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

A.

Offering fluids as indicated.

B.

Encouraging the woman to void.

C.

Assessing the uterine fundus.

D.

Assisting with perineal care.

E.

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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Related Questions

Correct Answer is ["20"]

Explanation

  1. Calculate the total units of insulin in the IV bag:

    • The bag contains 150 mL of solution.
    • The concentration is 0.456 units/mL.
    • Total insulin = 150 mL × 0.456 units/mL = 68.4 units.

  2. Determine how long the IV bag will last:

    • The ordered rate is 9 units/hour.
    • Total duration = 68.4 units ÷ 9 units/hour = 7.6 hours.

  3. Calculate the IV pump rate:

    • The total volume of the bag is 150 mL.
    • Pump rate = 150 mL ÷ 7.6 hours = 19.74 mL/hr.
    • Rounded to the nearest whole number: 20 mL/hr.

So the nurse should set the IV pump to 20 mL/hr.

Correct Answer is B

Explanation

Choice A rationale:

Bacterial vaginosis typically presents with a thin, grayish-white discharge with a fishy odor. It does not usually cause intense itching or dyspareunia.

Choice B rationale:

Candidiasis is characterized by a thick, white, cottage cheese-like vaginal discharge, intense itching, and dyspareunia. These symptoms align with the client’s presentation.

Choice C rationale:

Genital herpes simplex usually presents with painful blisters or ulcers in the genital area, not a thick, white discharge.

Choice D rationale:

Trichomoniasis often causes a frothy, yellow-green discharge with a fishy smell. Itching can occur, but the discharge is not typically thick and white.

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