Author Question: Which of the following is a priority when caring for a woman during the fourth stage of labor? A) ... (Read 77 times)

berenicecastro · **on:** Jun 27, 2018

Which of the following is a priority when caring for a woman during the fourth stage of labor?

A) Assessing the uterine fundus
B) Offering fluids as indicated
C) Encouraging the woman to void
D) Assisting with perineal care

Question 2

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

Expo · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

A
Feedback:
During the fourth stage of labor, a priority is to assess the woman's fundus to prevent postpartum hemorrhage. Offering fluids, encouraging voiding, and assisting with perineal care are important but not an immediate priority.

Answer to Question 2

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.