Maternity NCLEX Questions | Nurselytic

Questions 51

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Maternity NCLEX Questions Questions

Extract:


Question 1 of 5

The pregnant client has been pushing for 2½ hours. After some difficulty, the large fetal head emerges. The HCP attempts to deliver the shoulders without success. Place the nurse’s actions in caring for this client in the correct sequence.

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Apply suprapubic pressure per direction of the HCP.
Place the client in exaggerated lithotomy position.
Catheterize the client’s bladder.
Call for the neonatal resuscitation team to be present.
Prepare for an emergency cesarean birth.

Correct Answer: D,B,A,C,E

Rationale: Call for the neonatal resuscitation team to be present because of fetal distress. Place the client in exaggerated lithotomy position so the McRoberts’ maneuver can be performed (flexing her thighs sharply on her abdomen may widen the pelvic outlet and let the anterior shoulder be delivered). Apply suprapubic pressure per direction of the HCP. This is completed in an effort to dislodge the shoulder from under the pubic bone. Catheterize the client’s bladder. This will empty the bladder to make more room for the fetal head. Prepare for an emergency cesarean birth. This will be performed if all efforts for a vaginal birth fail.

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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