medium · NCLEX-RN health-promotion
During the second stage of labor for Morgan, the fetal head is delivered, but then it tightly retracts against the perineum (turtle sign).
Which intervention should the nurse implement first?
- Notify the neonatal resuscitation team to attend the delivery, at this point in care.
- Apply firm fundal pressure to help expel the infant, for this client, in this situation.
- Prepare for an immediate vacuum-assisted delivery
- Assist the client into the McRoberts maneuver by flexing the thighs against the abdomen
Sign up free to see the explanation and track your rank →
More NCLEX-RN health-promotion practice
- Which task is most appropriate for the nurse to delegate to an experienced Unlicensed Assi
- Which procedure should the nurse absolutely avoid?
- Which teaching point is most critical for the nurse to emphasize to prevent fetal macrosom
- Which laboratory result most strongly supports a diagnosis of HELLP syndrome?
- Which behavior, if absent, would most concern the nurse?
- Which site is most appropriate for the injection?
- Which finding is most indicative of severe volume depletion in this client?
- What is the most effective communication strategy to use with this toddler?