A nurse is assisting a laboring person with a vacuum extraction. What is the most important nursing action to ensure a safe procedure?

Correct Answer: B

Rationale: The correct answer is B: prepare the person for a cesarean section. In the scenario of vacuum extraction, if there are complications or the procedure is unsuccessful, the person may need to undergo an emergency cesarean section. By preparing the person for this possibility, the nurse ensures timely intervention if needed, prioritizing the safety of both the person and the baby. Monitoring fetal heart rate continuously (A) is important but not the most crucial action in this case. Monitoring for signs of uterine rupture (C) is not directly related to vacuum extraction. Assisting with positioning (D) is important but not as critical as preparing for a potential cesarean section.

Correct Answer: A

Rationale: The correct answer is A: Administer tocolytics. Tocolytics help to inhibit uterine contractions and can be used to address irregular contractions during labor. This intervention helps to prevent preterm labor and promote fetal well-being. Administering analgesics (choice B) may help with pain management but does not address the underlying issue of irregular contractions. Monitoring fetal heart rate (choice C) is important but does not directly address the irregular contractions. Increasing oxytocin infusion (choice D) would worsen the situation by further stimulating contractions. Therefore, administering tocolytics is the priority intervention to address irregular contractions during labor.

Correct Answer: C

Rationale: The correct answer is C: offer antibiotics as needed. In postpartum individuals at high risk for infection, antibiotics may be necessary to prevent or treat infections. Antibiotics target specific pathogens, reducing the risk of infection. Proper hand hygiene (B) and infection control practices (D) are important but do not directly address the underlying risk of infection. Providing perineal care and hygiene (A) is essential for overall hygiene but may not be sufficient in preventing infections in high-risk individuals. Antibiotics, when prescribed judiciously and appropriately, can be crucial in reducing the risk of infection and promoting recovery.

Correct Answer: B

Rationale: The correct answer is B: support skin-to-skin contact. Skin-to-skin contact immediately after birth helps regulate the baby's body temperature, promotes bonding, and enhances breastfeeding success by stimulating the baby's natural instincts to latch on and feed. This action establishes a strong foundation for successful breastfeeding. Rationale: 1. Skin-to-skin contact promotes bonding and attachment between the parent and baby, creating a supportive environment for breastfeeding. 2. It helps regulate the baby's body temperature, ensuring they are comfortable and more willing to breastfeed effectively. 3. Skin-to-skin contact triggers the baby's natural feeding reflexes, making it easier for them to latch on properly. 4. This action fosters a positive breastfeeding experience for both the parent and baby, setting the stage for successful breastfeeding. Summary: - Choice A: educating on proper latch is important, but skin-to-skin contact is more crucial for establishing successful breastfeeding. - Choice C: promoting frequent feeding is beneficial, but skin-to

Correct Answer: A

Rationale: The correct answer is A: administer preoperative medication. Before a cesarean birth, it is crucial to administer preoperative medication to ensure the person's comfort and safety during the procedure. This medication can include pain relief and sedatives to manage anxiety. Administering antibiotics (choice B) is important to prevent infection, but it typically occurs after preoperative medication. Assisting with perineal care (choice C) and applying pressure to the abdomen (choice D) are not necessary steps before a cesarean birth.