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Amelia Sung Post Sim. Complete Solution.

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Amelia Sung Post Sim. Complete Solution.Ms. Sung's sister asks why there is a step stool in the room. What would be the best response by the nurse? Question CorrectTime Spent - 00:01:23 Your Respon ... se: Given the patient's history, the step stool is here in case we need to apply suprapubic pressure to help the baby be delivered. Rationale: The step stool is used so the provider applying suprapubic pressure can be directly over the patient. While a step stool is sometimes used for squatting, that is not the purpose of it being available in this situation. Also, squatting does not help the fetus to engage in the birth canal. Remediation: O'Meara, A. Maternity, Newborn, and Woman's Health Nursing: A Case-Based Approach, pp. 191-193 2The nurse reviews Ms. Sung's labor progress: 0100: 100% effaced, 4 cm dilated, –1 station 0330: 100% effaced, 6 cm dilated, –1 station 0500: 100% effaced, 10 cm dilated, 0 station Which of these findings combined with the patient's history would the nurse report to the provider? Question CorrectTime Spent - 00:00:46 Your Response: 0 station when dilated to 10 cm Rationale: When the cervix is completely dilated (10 cm), the fetus usually is engaged and moving through the pelvis into the birth canal. Combined with this patient's history of shoulder dystocia in her previous pregnancy, the lack of fetal descent is a potential cue, and the provider needs to be informed. Remediation: O'Meara, A. Maternity, Newborn, and Woman's Health Nursing: A Case-Based Approach, pp. 288-291 3Which of the following risk factors for shoulder dystocia are present in Ms. Sung's history and assessment? (Select all that apply) Question CorrectTime Spent - 00:03:05 Your Response: Short maternal stature,Excessive maternal weight gain Rationale: Excessive maternal weight gain and short maternal stature are both risk factors for this patient. A breech position, low BMI, and oligohydramnios are not associated with an increased incidence of shoulder dystocia. Remediation: O'Meara, A. Maternity, Newborn, and Woman's Health Nursing: A Case-Based Approach, p. 193 4Ms. Sung's family asks what can be done to prevent the baby from getting "stuck" like the last baby. Which of the follow is the best response from the nurse? Question CorrectTime Spent - 00:00:51 Your Response: While we cannot prevent shoulder dystocia, we will monitor both mother and fetus and have everything ready if we need to intervene. Rationale: The nurse should be reassuring yet honest. Shoulder dystocia is not preventable, but being prepared for the potential emergency can decrease morbidity and mortality. The other responses are neither therapeutic nor accurate. Remediation: [Show More]

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