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The nurse noted that the placenta was shiny and smooth. Which side of the placenta was delivered first?

Fetal side

Anterior side

Posterior side

Maternal side

Answer and Explanation

The Correct Answer is A

A. Fetal side: The shiny, smooth side is the fetal side, also called the Schultz mechanism.

B. Anterior side: Placental delivery does not differentiate between anterior or posterior uterine positioning.

C. Posterior side: Irrelevant to the description of the placental surface appearance.

D. Maternal side: The maternal side is rough and lobulated, called the Duncan mechanism.

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Correct Answer is D

Explanation

A. Promoting delivery of the placenta: The placenta is delivered after the infant, making this a lower priority.

B. Preventing the perineum from tearing: While important, protecting the infant during birth takes precedence.

C. Cutting the umbilical cord: Cutting the cord occurs after delivery and is not the immediate priority.

D. Supporting the infant during the birth: The safety of the infant during rapid delivery is the top priority.

A. Contraction resting period 35 seconds B. Four contractions in a 10-min period C. Contraction lasting 85 seconds D. Fetal heart rate 100/min for a 10-min period

Correct Answer is D

Explanation

A. Contraction resting period 35 seconds: A resting period of 35 seconds is within normal limits and allows uterine relaxation.

B. Four contractions in a 10-min period: This contraction frequency is normal for active labor.

C. Contraction lasting 85 seconds: A contraction duration of up to 90 seconds is typical in active labor, though the nurse should monitor for patterns of tachysystole.

D. Fetal heart rate 100/min for a 10-min period: A sustained FHR of 100/min is bradycardia and indicates fetal distress, requiring immediate evaluation and intervention.

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The nurse noted that the placenta was shiny and smooth. Which side of the placenta was delivered first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with the care of a client who presents to a labor and delivery unit with rapidly progressing labor. Which of the following actions is the priority for the nurse to take?

Correct Answer is D

Explanation

A nurse is assisting with the care of a client who is in labor. Which of the following findings should the nurse report to the provider?

Correct Answer is D

Explanation

What marks the end of the third stage of labor?

An 18-year-old primigravida is 4 cm dilated and her contractions are 5 minutes apart. She received little prenatal care and had no childbirth preparation. She is crying loudly and shouting "Please give me something for the pain. I can't take the pain.” What is the priority nursing diagnosis?

A nurse is assisting with the care of a client who had an epidural anesthesia block during the early stages of labor. The client's blood pressure is 80/40 mm Hg and the fetal heart recording is 140/min. Which of the following actions should the nurse take first?

A woman in the transition phase of labor requests a narcotic analgesic medication for pain relief. What should the nurse explain regarding giving a narcotic analgesic medication at this stage of labor?

The nurse is caring for a laboring patient who is not reporting pain. What sign would alert the nurse of the need for pain relief?

A nurse is assisting in the care of a client who is in active labor. The nurse notes variable decelerations of the FHR. The nurse should identify which of the following as a cause of variable decelerations?

A nurse is collecting data from a newborn and notes a swollen area on the head that does not cross the suture line. The nurse should document this finding as which of the following?