A pregnant patient in labor is being encouraged to push with contractions. In which position should the nurse assist to help the patient at this time?
A) Squatting while holding the breath
B) Lying on side, arms grasped on abdomen
C) Lying supine with legs in lithotomy stirrups
D) Semi-Fowler's position with legs bent against the abdomen
D
Feedback:
Pushing is usually best done from a semi-Fowler's position with legs raised against the abdomen. Lying on the side or supine in the lithotomy position are not positions conducive to successful delivery. The patient should be coached to not hold the breath during a contraction or pushing because this could increase intrathoracic pressure, which could interfere with blood supply to the uterus.
You might also like to view...
In a correlational study, as compared with an experimental study, the researcher forfeits control of:
A) The independent variable B) The dependent variable C) The outcome variable D) The mediating variable
A 60-year-old man has been brought to the emergency department (ED) by ambulance after his wife phoned 911 when he experienced a sudden onset of severe chest pain
In the ED, the patient has received morphine, had an electrocardiogram (ECG), and had blood work drawn. In the event of a myocardial infarction, which of the following cardiac biomarkers would usually be first detectable? A) CK-MB B) Myoglobin C) Troponin T D) Troponin I
The nurse implemented an immunization program for influenza for members of a parish. Following the implementation of the program, the nurse gathered data on the incidence of flu. What is this an example of?
1. A retrospective study 2. A controlled study 3. A prospective study 4. An experimental study
An older client is being screened for tuberculosis. The client questions why PPD testing is done twice. Which of the following is the most appropriate response by the nurse?
A) "The treatment for TB is 6 months of medication, and we want to make sure the first PPD was done correctly prior to starting the medication." B) "Different medication is used in the second PPD." C) "The first PPD was not interpreted in the correct time frame of 48 to 72 hours." D) "The second PPD provides a more accurate reading because the older person's immune system may be sluggish and not adequately react to the first exposure."