The clinic nurse is explaining to a new prenatal client that the ...

[rl]

The clinic nurse is explaining to a new prenatal client that the certified nursemidwife will be performing clinical pelvimetry as a part of the pelvic exam.
 
  The nurse knows that teaching has been successful if the client states, The certified nursemidwife will perform this examination because: 1. It will help understand how big a baby I can have.
  2. Doing this exam is a part of prenatal care at this clinic.
  3. My sister had both of her babies by cesarean.
  4. I am pregnant with my first child.

Question 2

The client delivered her first child vaginally seven hours ago. She has not voided since delivery. She has an IV of lactated Ringer's solution running at 100 ml/hr. Her fundus is firm, 1 FB  U, to the right of midline.
 
  The best nursing action is to: 1. Massage the fundus vigorously.
  2. Assesses the client's pain level.
  3. Increase the rate of the IV.
  4. Assist the client to the bathroom.

[cupcake16]

Answer to Question 1

1
Rationale:
1. Clinical pelvimetry is an estimate of the diameter of the pelvis the baby fits through during birth. The estimated size of the pelvis helps estimate what size fetus the client can deliver vaginally.
2. Although this is a true statement, the estimation of the pelvis to estimate how big a fetus the client can vaginally deliver is more important.
3. No information is known about why the client's sister had her babies by cesarean. Clinical pelvimetry is performed to estimate how big a fetus the client can vaginally deliver.
4. Clinical pelvimetry is performed to estimate how big a fetus the client can vaginally deliver.

Answer to Question 2

4
Rationale:
1. The location of the fundus and the time since delivery indicate that the bladder is distended. Emptying the bladder is the top priority.
2. This is not important at this time. Emptying the bladder is the top priority.
3. Emptying the bladder is the top priority. A distended bladder is an indication that hydration is adequate.
4. Emptying the bladder is the top priority.

[rl]

TYSM

[aruss1303]

Gracias!