Before performing Leopold maneuvers, what would the nurse do? ...

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Before performing Leopold maneuvers, what would the nurse do? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.
 
  1. Have the client empty her bladder.
  2. Place the client in Trendelenburg position.
  3. Have the client lie on her back with her feet on the bed and knees bent.
  4. Turn the client to her left side.
  5. Have the client lie flat with her ankles crossed.

Question 2

The nurse is cross-training maternal-child health unit nurses to provide home-based care for parents after discharge.
 
  Which statements indicate that additional teaching is required? The behavioral assessment: Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Should be done as soon after birth as possible.
  2. Can be performed without input from parents.
  3. Might be incomplete in a 1-hour home visit.
  4. Includes orientation and motor activity.
  5. Can detect neurological anomalies.

[Eazy416]

Answer to Question 1

1, 3
Explanation: 1. The woman should have recently emptied her bladder before performing Leopold maneuvers.
3. The woman should lie on her back with her abdomen uncovered. To aid in relaxation of the abdominal wall, the shoulders should be raised slightly on a pillow and the knees drawn up a little.

Answer to Question 2

1,2
Rationale 1: The behavioral exam is not accurate until about the third day of life. Newborns have disorganized behavior in the first days after birth.
Rationale 2: Parental input is required to fully understand the infant's behaviors that are not observed by the healthcare team.
Rationale 3: A full behavioral assessment requires seeing the infant in several sleep/alert stages, which is not likely to take place in a 1-hour home visit.
Rationale 4: Orientation to visual and auditory clues and motor activity are portions of the behavioral assessment.
Rationale 5: The behavioral assessment can detect neurological anomalies.

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TYSM

[Alyson.hiatt@yahoo.com]

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