Free NCLEX Maternity Questions | Nurselytic

Questions 51

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Free NCLEX Maternity Questions Questions

Extract:


Question 1 of 5

The laboring client suddenly experiences a dramatic drop in the FHR from the 150s to the 110s. A vaginal exam reveals the presence of the fetal cord protruding through the cervix. What should be the nurse’s first intervention?

Correct Answer: A

Rationale: The nurse should first exert continuous pressure on the presenting part to prevent further cord compression. This is continued until birth, which is usually by cesarean section. The bed should be placed in Trendelenburg position to further prevent pressure on the cord, but only after pressure is placed on the presenting part. A catheter may be inserted and 500 mL of warmed saline instilled to help float the head and prevent further compression, but only after pressure is placed on the presenting part. The fetus is continually monitored throughout until birth.

Question 2 of 5

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Question 3 of 5

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Question 4 of 5

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Question 5 of 5

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