To avoid stimulating the cremasteric reflex while examining the ...

[fagboi]

To avoid stimulating the cremasteric reflex while examining the testicles on a male infant, the nurse should:
 
  1. Warm the examiner's hands under hot water before palpating.
  2. Place the examiner's index finger and thumb over both inguinal canals.
  3. Distract the infant with a rattle while performing the examination.
  4. Palpate the testicle under clothing.

Question 2

The nurse understands that the purpose of adding 20 units of oxytocin to the intravenous infusion following delivery is to
 
  a. help stabilize the client's blood pressure
  b. control postpartum bleeding
  c. decrease the length of fourth-stage labor
  d. assist in the delivery of the placenta

[ApricotDream]

Answer to Question 1

2
Rationale:
1. Warming the examiner's hands might provide comfort, but will not prevent the cremasteric reflex.
2. The cremasteric reflex can occur when the testicle is palpated, causing the testes to retract toward the inguinal canal. Placing the index finger and thumb over both inguinal canals on each side of the penis keeps the testicles from retracting into the abdomen.
3. Distracting the infant might provide comfort, but will not prevent the cremasteric reflex.
4. The testicles should be visualized during exam and not examined under a gown or clothing.

Answer to Question 2

B
Oxytocin stimulates uterine contractions to help control postpartum bleeding. Stabilizing the client's blood pressure is not an action of oxytocin. The fourth-stage of labor is considered to be the first 2 hours after delivery. Oxytocin does not shorten this period. Placenta delivery occurs during the third stage of labor.

[fagboi]

Excellent

[olderstudent]

Thanks for the timely response, appreciate it