Which action is a priority when caring for a woman during the fourth stage of labor?.
Offering fluids as indicated.
Encouraging the woman to void.
Assessing the uterine fundus.
Assisting with perineal care.
Assisting with perineal care.
The Correct Answer is C
Choice A rationale:
Offering fluids is important to prevent dehydration, but it’s not the priority during the fourth stage of labor.
Choice B rationale:
Encouraging the woman to void can help prevent urinary retention, but it’s not the priority.
Choice C rationale:
Assessing the uterine fundus is the priority during the fourth stage of labor. This is to ensure that the uterus is contracting and to prevent postpartum hemorrhage.
Choice D rationale:
Assisting with perineal care is important for comfort and hygiene, but it’s not the priority.
So, the correct answer is C, assessing the uterine fundus.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
This choice indicates 3 pregnancies, 1 term, 2 preterm, 2 living children, and 3 abortions. However, the client has had 4 pregnancies (twins, a son, and a miscarriage), so this choice is incorrect.
Choice B rationale:
This choice indicates 3 pregnancies, 2 term, 1 preterm, no living children, and 3 abortions. The client has 3 living children (twins and a son), so this choice is incorrect.
Choice C rationale:
This choice indicates 4 pregnancies, 1 term, 1 preterm, 1 living child, and 3 abortions. The client has 3 living children (twins and a son), so this choice is incorrect.
Choice D rationale:
This choice indicates 4 pregnancies, 2 term, 1 preterm, 3 living children, and 1 abortion. This correctly reflects the client’s obstetric history.
Correct Answer is B
Explanation
Answer and explanation
Choice A rationale:
LOP (Left Occiput Posterior) would mean the baby’s occiput is towards the mother’s left and facing posteriorly, which is not the case here.
Choice B rationale:
ROA (Right Occiput Anterior) would mean the baby’s occiput is towards the mother’s right and facing anteriorly, which matches the description.
Choice C rationale:
LOA (Left Occiput Anterior) would mean the baby’s occiput is towards the mother’s left and facing anteriorly, which is not the case here.
Choice D rationale:
ROP (Right Occiput Posterior) would mean the baby’s occiput is towards the mother’s right and facing posteriorly, which is not the case here.
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