Author Question: A client is in labor, and the nurse palpates her abdomen to assess the presentation of the fetus. ... (Read 70 times)

mcmcdaniel · **on:** Jul 16, 2018

A client is in labor, and the nurse palpates her abdomen to assess the presentation of the fetus. Which of the following presentations indicates normal labor?

A) Breech presentation
B) Shoulder presentation
C) Brow presentation
D) Vertex presentation

Question 2

A client who was in a motor vehicle accident has a black eye. What nursing intervention is appropriate for this client?

A) Apply warm packs to the eye for the first 24 to 48 hours.
B) Apply cold packs to the eye for the first 24 to 48 hours.
C) Soak the eye with normal saline for the first 24 to 48 hours.
D) Apply warm packs to the eye once the swelling has stopped.

coreycathey · **Reply #1 on:** Jul 16, 2018

Answer to Question 1

D
Feedback:
Vertex presentation occurs when the fetal head is flexed well against the fetal chest and the top of the fetal head is the presenting part. In normal labor, there is a vertex presentation. Complicated labor often occurs when body parts other than the top (crown) of the fetal head present. When the buttocks, foot, or knee is the presenting (lowest) part, it is called a breech presentation. The shoulder may be the presenting part if the fetus is lying in a transverse position. If the head is partially extended, then the brow presents.

Answer to Question 2

D
Feedback:
A blunt injury to the eye may cause swelling and bleeding into the soft tissues surrounding the orbit, resulting in a contusion or hematoma, also known as a black eye. The nurse should apply cold packs for the first 24 to 48 hours to decrease bleeding and edema. When the swelling has stopped, usually after 24 to 48 hours, the nurse should use warm packs on the site to hasten the absorption of the blood from the tissues.