The practical nurse (PN) is assigned to assist in the care of a laboring client at 42-weeks gestation. While providing perineal care, the PN observes the umbilical cord protruding from the vagina. Which action should the PN take?

Support the client's upper body and knees with pillows.

Encourage the client to push with the next contraction.

Assist the team to prepare for a possible cesarean delivery.

Gently wrap the cord with a dry sterile dressing.

Answer and Explanation

The Correct Answer is C

The umbilical cord prolapse is an emergency situation that requires immediate intervention. The PN should not attempt to push the cord back into the vagina or cover it with a dry sterile dressing. Instead, the PN should notify the healthcare provider and the obstetrical team and assist in preparing for an emergency cesarean delivery.

Option A and B may be appropriate in some situations, but they are not the priority in this scenario.

Therefore, options A, B, and D are not answers because they do not address the immediate emergency of umbilical cord prolapse.

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Correct Answer is A

Explanation

Providing a structured daily routine is the most eﬀective intervention for managing the symptoms of ADHD. Children with ADHD benefit from routines that include consistent times for meals, homework, play, and bedtime. This provides structure and predictability, which can help to decrease anxiety and improve the child's ability to focus.

Consulting with a licensed kinesiologist (B) or instituting a regimen of mega-vitamins (C) have not been found to be eﬀective interventions for managing the symptoms of ADHD.

Eliminating dietary simple sugars (D) has also not been found to be an eﬀective intervention for managing the symptoms of ADHD.

A. Level of pain sensation. B. Maternal blood pressure (BP). C. Infusion pump and IV site. D. Variability of fetal heart rate.

Correct Answer is B

Explanation

The greatest priority for the practical nurse to monitor during the administration of epidural anesthesia is maternal blood pressure (BP). Epidural anesthesia can cause maternal hypotension due to vasodilation and decreased venous return, which can result in decreased fetal perfusion and oxygenation. Therefore, it is important for the practical nurse to monitor maternal BP frequently and promptly report any significant changes to the healthcare provider. Options A, C, and D are also important assessments, but they are not the priority in this scenario.

Therefore, options A, C, and D are not answers because they are not the priority assessment during the administration of epidural anesthesia.

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The practical nurse (PN) is assigned to assist in the care of a laboring client at 42-weeks gestation. While providing perineal care, the PN observes the umbilical cord protruding from the vagina. Which action should the PN take?

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Naxlex Comprehensive Predictor Exams

The practical nurse (PN) is discussing attention deficit hyperactivity disorder (ADHD) with the mother of a 7- year-old student newly diagnosed with the disorder. Which intervention should the PN suggest as most eﬀective in managing the symptoms of ADHD?

Correct Answer is A

Explanation

Epidural anesthesia is initiated for a primigravida at 40 weeks gestation who is in active labor. Which assessment has the greatest priority for the practical nurse to monitor during the administration of epidural anesthesia?

Correct Answer is B

Explanation

A highly successful businessman presents to a mental health center complaining of sleeplessness and anxiety over his financial status. Which action should the practical nurse (PN) take to assist this client in diminishing his anxiety?

Which information is most important for the practical nurse (PN) to relay to the registered nurse (RN) concerning a 24-hour-old infant?

A client with blood type AB negative delivers a newborn with blood type A positive. The cord blood reveals a positive indirect Coombs' test. What is the implication of this finding?

Another person tells the practical nurse (PN) that her 7-year-old child frequently wets the bed at night. Which information should the PN provide?

The practical nurse (PN) is monitoring a 5-year-old following a fracture of the ulna. For which situation should the PN seek immediate intervention by the registered nurse (RN)?

A postpartum client who delivered vaginally 6-hours ago and had a second-degree perineal laceration reports feeling increased pain and pressure in her vaginal area. Which intervention should the practical nurse (PN) implement?

An older client is admitted to the psychiatric unit for assessment of a recent onset of dementia. The practical nurse (PN) notes that in the evening this client often becomes restless, confused, and agitated. Which intervention should the PN implement?

The practical nurse (PN) is assisting with the admission of a 12-month-old child with a history of frequent colds and growth failure. Testing is being planned for a possible diagnosis of cystic fibrosis (CF). Which information is most important for the PN to obtain?