Which nursing intervention should be immediately performed after the forceps-assisted birth of an infant?
Measuring the circumference of the infant's head
Applying a cold pack to the infant's scalp
Assessing the infant for signs of trauma
Administering prophylactic antibiotic agents to the infant
The Correct Answer is C
After a forceps-assisted birth, the infant should be assessed for signs of trauma or injury, such as bruising, facial nerve injury, or skull fractures. This assessment should be done immediately after the birth to ensure prompt recognition and management of any issues.
Option A is incorrect because measuring the circumference of the infant's head can be done after the assessment for trauma has been completed and any issues have been addressed.
Option B is incorrect because applying a cold pack to the infant's scalp is not a standard nursing intervention after a forceps-assisted birth.
Option D is incorrect because prophylactic antibiotics are not routinely administered to infants after a forceps-assisted birth unless there is a specific indication, such as suspected infection.
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Related Questions
Correct Answer is B
Explanation
Methotrexate is a medication that can be used to treat an ectopic pregnancy by stopping the growth of the developing embryo and allowing the body to absorb it.
Surgery, such as salpingostomy or salpingectomy, may be required in some cases. Bedrest and suction D&C are not typically part of the treatment plan for an ectopic pregnancy.
A cesarean section is a surgical procedure used for delivering a baby during a full-term pregnancy and is not related to an ectopic pregnancy.
Correct Answer is A
Explanation
Based on the provided information, the probable diagnosis for the spontaneous abortion in this woman would be a threatened abortion, since the cervix is closed and there is no evidence of expulsion of fetal or placental tissue. A threatened abortion is defined as vaginal bleeding occurring before the 20th week of gestation, with a closed cervical os, and no expulsion of fetal or placental tissue.
The other types of spontaneous abortion are defined as follows:
B. Inevitable abortion: vaginal bleeding and cramping with an open cervical os, with or without expulsion of fetal or placental tissue
C. Missed abortion: fetal demise without expulsion of fetal tissue, and may be associated with a closed cervical os and absence of uterine contractions
D. Incomplete abortion: partial expulsion of fetal or placental tissue, with or without vaginal bleeding, and may be associated with an open cervical os and uterine contractions
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