A nurse is assisting with a vaginal delivery. What is the most important action when the fetal head begins to crown?

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Maternal Fetal Monitoring Questions

Question 1 of 5

A nurse is assisting with a vaginal delivery. What is the most important action when the fetal head begins to crown?

Correct Answer: A

Rationale: The correct answer is A: apply gentle downward pressure. This action helps prevent rapid delivery, reducing the risk of tearing and allowing the perineum to stretch gradually. It also helps control the delivery, ensuring a safe and controlled birth process. Performing perineal massage (B) is beneficial during the pushing stage but is not the most important action when the head crowns. Performing a vaginal exam (C) is unnecessary and may increase the risk of infection. Assisting with breathing exercises (D) is important during labor but not specifically when the head crowns.

Question 2 of 5

What organ does the ductus venosus shunt blood away from in fetal circulation?

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

The nurse is presenting a conference on gene dominance. What does the nurse report as the percentage of children carrying the dominant gene if one parent has a dominant gene and the other parent does not?

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

What are the functions of amniotic fluid? (Select all that apply.)

Correct Answer: A

Rationale: The amniotic fluid provides maintenance of even temperature; prevents amnion from adhering to fetal skin; allows buoyancy, symmetrical growth, and fetal movement; and acts as a cushion for the fetus. Although the fetus does swallow amniotic fluid, it has no nutritional value. Impeding excessive fetal movement and lubricating fetal skin are not primary functions of amniotic fluid.

Question 5 of 5

A pregnant patient’s biophysical profile score is 8. The patient asks the nurse to explain the results. What is the nurse’s most appropriate response?

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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