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Which action would be a priority for the nurse to complete immediately after the delivery of a 40-week gestation newborn?.

Assess the newborn's glucose level.

Swaddle the infant and place in the bassinet.

Dry the newborn and place it skin-to-skin on mother.

Complete a full head-to-toe assessment.

Answer and Explanation

The Correct Answer is C

The correct answer is choice C.

Choice A rationale:

While it’s important to monitor a newborn’s glucose level, it’s not the immediate priority following birth.

Choice B rationale:

Placing the infant in the bassinet is not the immediate priority. The newborn needs to be dried and warmed first to prevent hypothermia.

Choice C rationale:

Drying the newborn and placing it skin-to-skin on the mother helps prevent hypothermia and promotes bonding. This is the immediate priority.

Choice D rationale:

A full head-to-toe assessment is important, but it’s not the immediate priority following birth.

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Correct Answer is B

Explanation

The correct answer is choice B.

Choice A rationale:

Cabbage leaves have been used for many years for relief of breast engorgement. They can be crushed slightly until the juice is visible and then chilled in the refrigerator before applying to the breasts.

Choice B rationale:

Applying hot packs during feeding can actually increase blood flow and make engorgement worse. Cold packs should be used after feeding to help reduce swelling.

Choice C rationale:

Applying ice packs after feeding can help reduce swelling and provide relief from engorgement.

Choice D rationale:

Frequent breastfeeding can help to relieve engorgement. The breasts should be emptied completely at each feeding.

A. To increase the boggy nature of the uterus. B. To constrict the uterine blood vessels. C. To lessen the chances of conducting an episiotomy. D. To remove pieces left attached to the uterine wall.

Correct Answer is B

Explanation

The correct answer is choice B.

Choice A rationale:

Massaging the uterus does not increase its boggy nature, but rather helps it contract and become firm, reducing the risk of postpartum hemorrhage.

Choice B rationale:

Massaging the uterus helps constrict the uterine blood vessels, which reduces bleeding after the placenta has been expelled.

Choice C rationale:

Massaging the uterus has no effect on the likelihood of conducting an episiotomy, which is a surgical incision made during childbirth.

Choice D rationale:

Massaging the uterus does not remove pieces left attached to the uterine wall. This would require a manual or surgical procedure.

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Which action would be a priority for the nurse to complete immediately after the delivery of a 40-week gestation newborn?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching about comfort measures for breast engorgement to a client who is postpartum and is breastfeeding.Which of the following statements by the client indicates a need for further teaching?.

Correct Answer is B

Explanation

A client in the third stage of labor has experienced placental separation and expulsion.Why is it necessary for a nurse to massage the woman's uterus briefly until it is firm?.

Correct Answer is B

Explanation

When reviewing the medical record of a postpartum client, the nurse notes that the client has experienced a fourth-degree laceration.The nurse understands that the laceration extends to which area?.

A nurse is assessing a postpartum woman.Which behavior would the nurse interpret as an indication that the woman is entering the taking-hold phase of the postpartum period?

A nurse is caring for a client who experienced a vaginal delivery 8 hours ago.When palpating the client's abdomen, at which of the following positions should the nurse expect to find the uterine fundus?.

A nurse is caring for a client who experienced a vaginal birth 12 hr ago.The nurse recognizes the client is in the dependent, taking in phase of maternal postpartum adjustment.Which of the following findings should the nurse expect during this phase?.

The Apgar score is based on which 5 parameters?.

Encouraging routine prenatal visits is an important function for nurses to ensure the clients avoid complications or difficulties throughout the pregnancy and birth.The nurse would prepare to screen clients for gestational diabetes at which time during the pregnancy?

A nurse on the labor and delivery unit is caring for a client following a vaginal examination by the provider which is documented as: -1. Which of the following interpretations of this finding should the nurse make?

A nurse is caring for a client who is at 37 weeks of gestation and has placenta previa.The client asks the nurse why the provider does not do an internal examination.Which of the following explanations of the primary reason should the nurse provide?