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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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

Choice A rationale:

The fourth stage of labor begins after the delivery of the placenta.

Choice B rationale:

The first stage of labor is the longest and involves three phases: early, active, and transition.

Choice C rationale:

The second stage of labor involves pushing and birth of the baby.

Choice D rationale:

The third stage of labor involves the delivery of the placenta.

A. Inform the family of the need for information. B. Present the information in a factual, nondirective manner. C. Maintain the confidentiality of the information. D. Gather information for three generations. E. Gather information for three generations.

Correct Answer is B

Explanation

Choice A rationale:

Informing the family of the need for information is important, but it is not the most important aspect when working with a family who suspects they could bear a child with a genetic abnormality.

Choice B rationale:

Presenting the information in a factual, nondirective manner is the most important aspect. This allows the family to make informed decisions based on accurate information without being influenced by the nurse’s personal beliefs or opinions.

Choice C rationale:

Maintaining the confidentiality of the information is a standard nursing practice and while it is important, it is not the most important aspect in this scenario.

Choice D rationale:

Gathering information for three generations can provide valuable insight into the family’s genetic history, but it is not the most important aspect in this scenario.

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Which action is a priority when caring for a woman during the fourth stage of labor?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client has just given birth to a healthy baby boy, but the placenta has not yet delivered. What stage of labor does this scenario represent?.

Correct Answer is D

Explanation

The nurse is counseling a couple who suspect that they could bear a child with a genetic abnormality. What would be most important for the nurse to do when working with this family?.

Correct Answer is B

Explanation

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