Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A. When the health care provider has arrived.
The arrival of the health care provider does not determine when the laboring client should push. This is dependent on the dilation of the cervix.
B. When the fetal head can be seen.
Seeing the fetal head is not the determinant for when the laboring client should push. The cervix needs to be fully dilated.
C. When the nurse wants the client to push.
The nurse wanting the client to push is not the correct time for the laboring client to push. The cervix needs to be fully dilated.
D. When the cervix is fully dilated.
The laboring client is encouraged to push when the cervix is fully dilated. This is to avoid birth trauma.
This question is an excerpt from Nurse Dive's nursing test bank - ATI RN Custom 2023 Fall NPRO 1100 Proctored Exam 3. Take the full exam now
Full Explanation
The correct answer is choice D. When the cervix is fully dilated.
Choice A rationale:
The arrival of the health care provider does not determine when the laboring client should push. This is dependent on the dilation of the cervix.
Choice B rationale:
Seeing the fetal head is not the determinant for when the laboring client should push. The cervix needs to be fully dilated.
Choice C rationale:
The nurse wanting the client to push is not the correct time for the laboring client to push. The cervix needs to be fully dilated.
Choice D rationale:
The laboring client is encouraged to push when the cervix is fully dilated. This is to avoid birth trauma.
Similar Questions
A nurse is assessing a postpartum woman.
Which behavior would the nurse interpret as an indication that the woman is entering the taking-hold phase of the postpartum period?
A. She did her perineal care independently.
Taking the initiative for caring for her newborn independently while managing her own postpartum needs marks the taking-hold phase of infant bonding.
B. She is eager to talk about her birth experience.
Being eager to talk about her birth experience is more associated with the taking-in phase, not the taking-hold phase.
C. She has not asked for anything for pain all day.
Not asking for anything for pain all day is not a specific indicator of the taking-hold phase.
D. She sits and rocks her infant for long intervals.
Sitting and rocking her infant for long intervals is not a specific indicator of the taking-hold phase.
Full Explanation
The correct answer is choice A. She did her perineal care independently.
Choice A rationale:
Taking the initiative for caring for her newborn independently while managing her own postpartum needs marks the taking-hold phase of infant bonding.
Choice B rationale:
Being eager to talk about her birth experience is more associated with the taking-in phase, not the taking-hold phase.
Choice C rationale:
Not asking for anything for pain all day is not a specific indicator of the taking-hold phase.
Choice D rationale:
Sitting and rocking her infant for long intervals is not a specific indicator of the taking-hold phase.
A nurse is assessing a postpartum woman.
Which behavior would the nurse interpret as an indication that the woman is entering the taking-hold phase of the postpartum period?
A. She did her perineal care independently.
Taking the initiative for caring for her newborn independently while managing her own postpartum needs marks the taking-hold phase of infant bonding.
B. She is eager to talk about her birth experience.
Being eager to talk about her birth experience is more associated with the taking-in phase, not the taking-hold phase.
C. She has not asked for anything for pain all day.
Not asking for anything for pain all day is not a specific indicator of the taking-hold phase.
D. She sits and rocks her infant for long intervals.
Sitting and rocking her infant for long intervals is not a specific indicator of the taking-hold phase.
Full Explanation
The correct answer is choice A. She did her perineal care independently.
Choice A rationale:
Taking the initiative for caring for her newborn independently while managing her own postpartum needs marks the taking-hold phase of infant bonding.
Choice B rationale:
Being eager to talk about her birth experience is more associated with the taking-in phase, not the taking-hold phase.
Choice C rationale:
Not asking for anything for pain all day is not a specific indicator of the taking-hold phase.
Choice D rationale:
Sitting and rocking her infant for long intervals is not a specific indicator of the taking-hold phase.
Encouraging routine prenatal visits is an important function for nurses to ensure the clients avoid complications or difficulties throughout the pregnancy and birth.
The nurse would prepare to screen clients for gestational diabetes at which time during the pregnancy?
A. Between 24 and 28 weeks' gestation.
The glucose challenge test is used to check for gestational diabetes during pregnancy. People at average risk of gestational diabetes usually have this test done during the second trimester, generally between 24 and 28 weeks of pregnancy.
B. Between 8 and 12 weeks' gestation.
This is too early in the pregnancy to screen for gestational diabetes. The body’s response to sugar changes as the pregnancy progresses, so testing is typically done later.
C. Between 15 and 19 weeks' gestation.
This is still a bit early for the screening. The recommended time is between 24 and 28 weeks of gestation.
D. Between 30 and 32 weeks' gestation.
This is too late in the pregnancy for the screening. The recommended time is between 24 and 28 weeks of gestation.
Full Explanation
The correct answer is choice A.
Choice A rationale:
The glucose challenge test is used to check for gestational diabetes during pregnancy. People at average risk of gestational diabetes usually have this test done during the second trimester, generally between 24 and 28 weeks of pregnancy.
Choice B rationale:
This is too early in the pregnancy to screen for gestational diabetes. The body’s response to sugar changes as the pregnancy progresses, so testing is typically done later.
Choice C rationale:
This is still a bit early for the screening. The recommended time is between 24 and 28 weeks of gestation.
Choice D rationale:
This is too late in the pregnancy for the screening. The recommended time is between 24 and 28 weeks of gestation.