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 C
Explanation
Choice A rationale:
Transient fetal hypoxia is not typically associated with cloudy amniotic fluid. It’s a condition where the fetus doesn’t get enough oxygen.
Choice B rationale:
Normal amniotic fluid is clear or light yellow. Cloudy amniotic fluid is not considered normal.
Choice C rationale:
Cloudy amniotic fluid could indicate a possible infection. The cloudiness can be due to the presence of bacteria and inflammatory cells.
Choice D rationale:
Meconium passage can cause the amniotic fluid to become green or brown, not typically cloudy. So, the correct answer for both questions 26 and 27 is C.
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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