Which technique is least effective for the woman with persistent ...

[gonzo233]

Which technique is least effective for the woman with persistent occiput posterior position?
 
  a. Lie supine and relax.
  b. Sit or kneel, leaning forward with support.
  c. Rock the pelvis back and forth while on hands and knees.
  d. Squat.

Question 2

Kelly, age 8 years, will soon be able to return to school after an injury that resulted in several severe, chronic disabilities. The most appropriate action by the school nurse is to
 
  a. Recommend that Kelly's parents attend school at first to prevent teasing.
  b. Prepare Kelly's classmates and teachers for changes they can expect.
  c. Refer Kelly to a school where the children have chronic disabilities similar to
  hers.
  d. Discuss with Kelly and her parents the fact that her classmates will not accept her
  as they did before.

[tandmlomax84]

Answer to Question 1

A
Feedback
A Lying supine increases the discomfort of back labor.
B A sitting or kneeling position may help the fetal head to rotate to occiput
anterior.
C Rocking the pelvis encourages rotation from occiput posterior to occiput
anterior.
D Squatting aids both rotation and fetal descent.

Answer to Question 2

B
Feedback
A A visit by the parents can be helpful, but unless the classmates are prepared for
the changes, it alone will not prevent teasing.
B Attendance at school is an important part of normalization for Kelly. The school
nurse should prepare teachers and classmates about her condition, abilities, and
special needs.
C Kelly's school experience should be normalized as much as possible. Children
need the opportunity to interact with healthy peers, as well as to engage in
activities with groups or clubs composed of similarly affected persons.
D Children with special needs are encouraged to maintain and reestablish
relationships with peers and to participate according to their capabilities.