While awaiting the health care provider's arrival in a precipitate birth, which of these actions should the nurse take first?
a. Hold the fetal head back by telling the mother to keep her legs together.
b. Dry the baby immediately.
c. Check for presence of a nuchal cord.
d. Suction the baby's nose.
C
Prior to the health care provider's arrive in a imminent birth, the nurse should check for the presence of a nuchal cord.
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A physician asks a nurse to witness a consent form the patient has already signed, even though the nurse did not see the patient sign the form. The best action by the nurse is to
a. ask the patient if the signature on the form is his or hers. b. refuse because the nurse did not witness the signing. c. tell the physician the consent cannot be witnessed now. d. write "consent procedure witnessed" on the consent.
A client has overflow incontinence. Which intervention does the nurse add to this client's care plan to assist with elimination?
a. Stroking the medial aspect of the thigh b. Using intermittent catheterization c. Providing digital anal stimulation d. Using the Valsalva maneuver
The nurse is caring for a low-risk client in the active phase of labor. At which interval should the nurse assess the fetal heart rate?
a. Every 15 minutes b. Every 30 minutes c. Every 45 minutes d. Every 1 hour
After describing continuous internal electronic fetal monitoring to a laboring woman and her partner, which of the following would indicate the need for additional teaching?
A) "This type of monitoring is the most accurate method for our baby." B) "Unfortunately, I'm going to have to stay quite still in bed while it is in place." C) "This type of monitoring can only be used after my membranes rupture." D) "You'll be inserting a special electrode into my baby's scalp."