“A nurse is caring for a patient who reports spontaneous rupture of membranes.

The nurse observes fetal bradycardia on the FHR tracing and notices that the umbilical cord is protruding.

After calling for assistance and notifying the provider, which of the following actions should the nurse take next?”

“Initiate an infusion of IV fluids for the patient.”.

“Administer Oxygen via nonrebreather mask at 8L/min.”.

“Perform a vaginal examination by applying upward pressure on the presenting part.”.

“Cover the umbilical cord with a sterile saline saturated towel.”. .

Answer and Explanation

The Correct Answer is C

Choice A rationale
While initiating an infusion of IV fluids for the patient is important, it is not the immediate next step after noticing a protruding umbilical cord.
Choice B rationale
Administering oxygen via a nonrebreather mask at 8L/min is a later step in the management of umbilical cord prolapse.
Choice C rationale
The immediate next step after noticing a protruding umbilical cord is to perform a vaginal examination and apply upward pressure on the presenting part to relieve cord compression.
Choice D rationale
Covering the umbilical cord with a sterile saline-saturated towel is a later step in the management of umbilical cord prolapse.

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Correct Answer is C

Explanation

Choice A rationale
While herbal teas can be a part of a healthy diet, there is no scientific evidence to suggest that drinking herbal tea twice daily can improve fertility. Some herbal teas may even contain substances that could potentially harm a developing fetus or interfere with fertility treatments. Therefore, it’s important for individuals trying to conceive to discuss any dietary supplements or herbal remedies with their healthcare provider.
Choice B rationale
Taking daily hot baths is not recommended as a fertility treatment. In fact, frequent hot baths or hot tub use can actually decrease fertility in men by affecting sperm production. For women, there is no evidence to suggest that hot baths can improve fertility.
Choice C rationale
Maintaining a healthy weight can improve fertility in both men and women. Being overweight or underweight can affect hormone production and make it more difficult to conceive.
Therefore, maintaining a healthy weight through a balanced diet and regular physical activity is one of the most effective non-pharmacological treatments for improving fertility.
Choice D rationale
Using a lubricant during intercourse can make sex more comfortable, but some lubricants can actually decrease fertility by affecting sperm motility. If a lubricant is needed, it’s important to choose a product that is labeled as "fertility-friendly"5.

A. Apply oxygen at 2 L/min via nasal cannula. B. Massage the client’s fundus. C. Turn the client to a side-lying position. D. Assist the client to empty their bladder.

Correct Answer is C

Explanation

Choice A rationale
Applying oxygen at 2 L/min via nasal cannula may be beneficial for a client experiencing hypotension following the administration of epidural anesthesia, but it is not the primary action a nurse should take.
Choice B rationale
Massaging the client’s fundus is not an appropriate action for a nurse to take when a client is hypotensive following the administration of epidural anesthesia.
Choice C rationale
Turning the client to a side-lying position is a recommended intervention for hypotension following epidural anesthesia. This position helps improve venous return to the heart and can help alleviate hypotension by reducing aortocaval compression.
Choice D rationale
Assisting the client to empty their bladder may be beneficial in certain circumstances, but it is not the primary action a nurse should take when a client is hypotensive following the administration of epidural anesthesia.

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Naxlex Comprehensive Predictor Exams

A nurse is discussing fertility treatment options with a client and their partner. Which of the following non-pharmacological treatments should the nurse suggest?

Correct Answer is C

Explanation

A nurse is caring for a client who is hypotensive following the administration of epidural anesthesia. Which action should the nurse take?

Correct Answer is C

Explanation

A nurse is caring for a client who is 48 hr postpartum and has a deep vein thrombosis. How should the nurse interpret the findings 24 hr later?

A nurse is planning care immediately following birth for a newborn who has a myelomeningocele that is leaking cerebrospinal fluid. Which of the following actions should the nurse include in the plan of care?

A nurse is providing teaching to a client who is 2 days postpartum and wants to continue using her diaphragm for contraception. Which of the following instructions should the nurse include?

A nurse is assessing a term newborn who is 48 hours old. The mother has a history of opioid use during pregnancy and was prescribed methadone. Based on the findings 24 hours later, how should the nurse interpret the findings?

A nurse is assessing a client who is at 6 weeks of gestation and adheres to a vegan diet. Which of the following Questions should the nurse ask to assess the client’s dietary intake?

A nurse is assessing a newborn whose mother had gestational diabetes mellitus. The nurse should monitor for which of the following findings as a manifestation of hypoglycemia?

A nurse is caring for a client who is at 36 weeks of gestation and has methicillin-resistant Staphylococcus aureus (MRSA). Which type of isolation precautions should the nurse initiate?