Question

A nurse is educating the parents of a newborn about the Plastibell circumcision technique. Which piece of information should the nurse include?

Answer 1

Correct Answers:

Ensure the newborn's diaper is snug.

Rationale :

👶 After a Plastibell circumcision, keeping the diaper snug helps maintain gentle pressure on the surgical site to promote clotting and healing.

👶 A loose diaper could allow movement or friction, leading to bleeding or displacement of the Plastibell ring.

👶 The Plastibell device naturally falls off within 5–8 days as healing progresses.

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Answer 2

Correct Answers:

Ovulation will remain the same.

Rationale :

🥚 Tubal ligation is a permanent method of contraception by blocking or sealing the fallopian tubes, but it does not affect ovulation.

🥚 The ovaries continue to release an egg each month; the egg just cannot travel to meet sperm.

🥚 Menstrual cycles and hormonal levels also remain unchanged.

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Answer 3

Correct Answers:

Anticipate a prescription for misoprostol.

Rationale :

💊 Misoprostol is a uterotonic medication that promotes uterine contractions to treat uterine atony and prevent postpartum hemorrhage.

💊 It is used when the uterus fails to contract adequately after birth, leading to excessive bleeding.

💊 Early administration can stabilize the client's condition before it worsens.

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Answer 4

Correct Answers:

May 13

Rationale :

📅 Using Nägele’s Rule:

❄First day of last menstrual period = August 10

❄Add 7 days ➔ August 17

❄Subtract 3 months ➔ May 17

📅 This calculation estimates the delivery date based on a 40-week pregnancy.

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Answer 5

Correct Answers:

Provide the patient with photos of the fetus.

Rationale :

📸 Providing photos or keepsakes offers emotional support and helps families with grieving and memory making after a stillbirth.

📸 Parents may not be ready immediately but often value having these memories later.

📸 Respectful, supportive care during loss fosters healthy bereavement.

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Answer 6

Correct Answers:

Vacuum-assisted delivery
Labor induction with oxytocin
History of uterine atony

Rationale :

Vacuum-assisted delivery 🌀

🌀 Vacuum-assisted births increase the risk of trauma to the genital tract, leading to uterine atony and postpartum hemorrhage.

🌀 The mechanical stress applied during assisted delivery can cause uterine muscle fatigue, impairing its ability to contract effectively postpartum.

🌀 Therefore, women who have undergone vacuum extraction must be closely monitored for excessive bleeding and uterine tone after birth.

Labor induction with oxytocin 💉

💉 Oxytocin induction can cause uterine hyperstimulation, which leads to muscle fatigue and subsequent uterine atony.

💉 Overuse or prolonged use of oxytocin may impair the uterus’s natural ability to maintain effective contractions after delivery.

💉 Clients who undergo oxytocin induction are at higher risk for postpartum hemorrhage and should be assessed carefully for uterine tone and bleeding.

History of uterine atony 🧷

🧷 A previous history of uterine atony is one of the strongest risk factors for recurrent postpartum hemorrhage.

🧷 Once the uterine musculature has shown an inability to contract effectively, the chance of repeat atony in future births increases significantly.

🧷 Vigilant monitoring, early fundal massage, and possibly prophylactic administration of uterotonics are critical in these patients.

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Answer 7

Correct Answers:

Administer oxygen at 10 L/min via non-rebreather face mask.

Rationale :

🌬️ Persistent late decelerations indicate fetal hypoxia due to placental insufficiency.

🌬️ After stopping oxytocin, oxygen at 10 L/min improves maternal oxygenation and supports fetal oxygen needs.

🌬️ This is a priority emergency action while preparing for further interventions if necessary.

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Answer 8

Correct Answers:

How much protein do you eat in a day?

Rationale :

🍛 Vegans are at risk of protein deficiency because they do not consume animal products.

🍛 Adequate protein is critical for fetal growth, maternal blood volume expansion, and tissue development.

🍛 Protein intake should be closely assessed and supplemented if needed.

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Answer 9

Correct Answers:

Has your back labor improved?

Rationale :

🦴 The hands-and-knees position helps to relieve back labor, especially in occipitoposterior fetal positions.

🦴 Shifting fetal position can reduce direct pressure on the mother's lower back, easing discomfort.

🦴 This is a key non-pharmacological pain management strategy during labor.

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Answer 10

Correct Answers:

Provide the client with a cool sitz bath.

Rationale :

🧊 For a fourth-degree perineal laceration, applying a cool sitz bath helps reduce pain, swelling, and promotes comfort.

🧊 Moist warm compresses are inappropriate initially; cold therapy is better for acute injury management in the first 24 hours.

🧊 Sitz baths can greatly improve postpartum perineal healing and comfort.

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QLexNursing

1 :
A nurse is educating the parents of a newborn about the Plastibell circumcision technique. Which piece of information should the nurse include?

2 :
A nurse is providing discharge instructions to a patient following tubal ligation. Which statement by the patient indicates an understanding of the teaching?

3 :
A nurse is caring for a patient who is 1 hour postpartum and has uterine atony. The patient is exhibiting a large amount of vaginal bleeding. What action should the nurse take?

4 :
A nurse is calculating the estimated date of delivery for a patient who reports that the first day of her last menstrual period was August 10. Using Nägele's Rule, what is the patients estimated date of delivery?

5 :
A nurse is caring for a patient immediately following the delivery of a stillborn fetus. What action should the nurse take?

6 :
A nurse is reviewing the medical record of a patient who had a vaginal delivery 3 hours ago. Which findings place the patient at risk for postpartum hemorrhage? (Select all that apply)

7 :
A nurse is caring for a patient who is receiving oxytocin via continuous IV infusion and is experiencing persistent late decelerations in the FHR. After discontinuing the infusion, what action should the nurse take?

8 :
A nurse is assessing a client who is at 6 weeks of gestation and adheres to a vegan diet. Which of the following Questions should the nurse ask to assess the client's dietary intake?

9 :
A nurse is caring for a client who is in active labor with a fetus in the occipitoposterior position. The nurse assists the client into a hands-and-knees position. Which of the following Questions should the nurse ask to evaluate the effectiveness of this intervention?

10 :
A nurse is caring for a client who is 12 hr postpartum and has a fourth-degree laceration of the perineum. Which of the following actions should the nurse take?

QLexNursing

1 : A nurse is educating the parents of a newborn about the Plastibell circumcision technique. Which piece of information should the nurse include?

2 : A nurse is providing discharge instructions to a patient following tubal ligation. Which statement by the patient indicates an understanding of the teaching?

3 : A nurse is caring for a patient who is 1 hour postpartum and has uterine atony. The patient is exhibiting a large amount of vaginal bleeding. What action should the nurse take?

4 : A nurse is calculating the estimated date of delivery for a patient who reports that the first day of her last menstrual period was August 10. Using Nägele's Rule, what is the patients estimated date of delivery?

5 : A nurse is caring for a patient immediately following the delivery of a stillborn fetus. What action should the nurse take?

6 : A nurse is reviewing the medical record of a patient who had a vaginal delivery 3 hours ago. Which findings place the patient at risk for postpartum hemorrhage? (Select all that apply)

7 : A nurse is caring for a patient who is receiving oxytocin via continuous IV infusion and is experiencing persistent late decelerations in the FHR. After discontinuing the infusion, what action should the nurse take?

8 : A nurse is assessing a client who is at 6 weeks of gestation and adheres to a vegan diet. Which of the following Questions should the nurse ask to assess the client's dietary intake?

9 : A nurse is caring for a client who is in active labor with a fetus in the occipitoposterior position. The nurse assists the client into a hands-and-knees position. Which of the following Questions should the nurse ask to evaluate the effectiveness of this intervention?

10 : A nurse is caring for a client who is 12 hr postpartum and has a fourth-degree laceration of the perineum. Which of the following actions should the nurse take?

1 :
A nurse is educating the parents of a newborn about the Plastibell circumcision technique. Which piece of information should the nurse include?

2 :
A nurse is providing discharge instructions to a patient following tubal ligation. Which statement by the patient indicates an understanding of the teaching?

3 :
A nurse is caring for a patient who is 1 hour postpartum and has uterine atony. The patient is exhibiting a large amount of vaginal bleeding. What action should the nurse take?

4 :
A nurse is calculating the estimated date of delivery for a patient who reports that the first day of her last menstrual period was August 10. Using Nägele's Rule, what is the patients estimated date of delivery?

5 :
A nurse is caring for a patient immediately following the delivery of a stillborn fetus. What action should the nurse take?

6 :
A nurse is reviewing the medical record of a patient who had a vaginal delivery 3 hours ago. Which findings place the patient at risk for postpartum hemorrhage? (Select all that apply)

7 :
A nurse is caring for a patient who is receiving oxytocin via continuous IV infusion and is experiencing persistent late decelerations in the FHR. After discontinuing the infusion, what action should the nurse take?

8 :
A nurse is assessing a client who is at 6 weeks of gestation and adheres to a vegan diet. Which of the following Questions should the nurse ask to assess the client's dietary intake?

9 :
A nurse is caring for a client who is in active labor with a fetus in the occipitoposterior position. The nurse assists the client into a hands-and-knees position. Which of the following Questions should the nurse ask to evaluate the effectiveness of this intervention?

10 :
A nurse is caring for a client who is 12 hr postpartum and has a fourth-degree laceration of the perineum. Which of the following actions should the nurse take?