ATI Pediatrics Final Exam | Nurselytic

Questions 68

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ATI Pediatrics Final Exam Questions

Extract:

A client who is in active labor with 7 cm of cervical dilation and 100% effacement. The fetus is at 1+ station, and the client's amniotic membranes are intact. The client suddenly states that she needs to push


Question 1 of 5

A nurse is caring for a client who is in active labor with 7 cm of cervical dilation and 100% effacement. The fetus is at 1+ station, and the client's amniotic membranes are intact. The client suddenly states that she needs to push. Which of the following actions should the nurse take?

Correct Answer: A

Rationale: The correct answer is A: Have the client pant during the next contractions. At 7 cm dilation with the urge to push and intact membranes, it indicates that the client may be experiencing a premature urge to push. Panting during contractions helps prevent rapid descent of the fetus, decreasing the risk of cervical swelling or lacerations. Assisting the client into a comfortable position (
B) may not address the urge to push. Helping the client to the bathroom to void (
C) is unnecessary at this stage. Observing the perineum for signs of crowning (
D) would not be appropriate as the client's urge to push is premature.

Extract:


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