If the physician indicates a shoulder dystocia during the delivery of a macrosomic fetus, how would the nurse assist?

1. Call a second physician to assist.
2. Prepare for an immediate cesarean delivery.
3. Assist the woman into McRoberts maneuver.
4. Utilize fundal pressure to push the fetus out.


3
Explanation: 3. The McRoberts maneuver is thought to change the maternal pelvic angle and therefore reduce the force needed to extract the shoulders, thereby decreasing the incidence of brachial plexus stretching and clavicular fracture.

Nursing

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During the period from 1940 to 1950, the focus of nursing research was:

A) nursing education B) nursing practice C) credentialing in nursing D) nursing theory development

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A widow develops cancer within 6 months of her husband's death. This may be a result of:

A) social isolation. B) alcohol intake. C) bereavement. D) multiple losses.

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A nurse is providing information to a mother of a 1-year-old who has asked about bladder-training her child. The nurse should provide which information to the mother?

A. That she may start bladder training at any time B. That her child is too young and that she should not yet be worrying about it C. That a child cannot begin to control urination until approximately the age of 24 months D. That bowel training should be started immediately and then begin bladder training in about 1 month

Nursing

To devise a plan of care, when taking a patient's health history the nurse should always:

A. focus only on physical factors that affect sexual functioning. B. discuss sexual concerns only if the patient raises questions or concerns. C. use emotionally laden terms when discussing sexual concepts. D. routinely include a few questions related to sexual functioning.

Nursing