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A pregnant client experiences a precipitous delivery. The nursing action during a precipitous delivery is to:

  1. Control the delivery by guiding expulsion of fetus
  2. Leave the room to call the physician
  3. Push against the perineum to stop delivery
  4. Cross client's legs tightly

Answer(s): A

Explanation:

(A) Controlling the rapid delivery will reduce the risk of fetal injury and perineal lacerations. (B) The nurse should always remain with a client experiencing a precipitous delivery. (C) Pushing against the perineum may cause fetal distress. (D) Crossing of legs may cause fetal distress and does not stop the delivery process.



A pregnant client experiences a precipitous delivery. The nursing action during a precipitous delivery is to:

  1. Control the delivery by guiding expulsion of fetus
  2. Leave the room to call the physician
  3. Push against the perineum to stop delivery
  4. Cross client's legs tightly

Answer(s): A

Explanation:

(A) Controlling the rapid delivery will reduce the risk of fetal injury and perineal lacerations. (B) The nurse should always remain with a client experiencing a precipitous delivery. (C) Pushing against the perineum may cause fetal distress. (D) Crossing of legs may cause fetal distress and does not stop the delivery process.



A premature infant needs supplemental O2 therapy. A nursing intervention that reduces the risk of retrolental fibroplasia is to:

  1. Maintain O2at <40%
  2. Maintain O2at>40%
  3. Give moist O2at>40%
  4. Maintain on 100% O2

Answer(s): A

Explanation:

(A) Retrolental fibroplasia is the result of prolonged exposure to high levels of O2in premature infants. Complications are hemorrhage and retinal detachment. (B, C, D) O2concentration is too high.



A premature infant needs supplemental O2 therapy. A nursing intervention that reduces the risk of retrolental fibroplasia is to:

  1. Maintain O2at <40%
  2. Maintain O2at>40%
  3. Give moist O2at>40%
  4. Maintain on 100% O2

Answer(s): A

Explanation:

(A) Retrolental fibroplasia is the result of prolonged exposure to high levels of O2in premature infants. Complications are hemorrhage and retinal detachment. (B, C, D) O2concentration is too high.






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