NCLEX-RN Question #229: Real Exam Question with Answer & Explanation

The correct answer is A. Control the delivery by guiding expulsion of fetus. (A) Controlling the rapid delivery will reduce the risk of fetal injury and perineal lacerations. (B) The nurse should always remain with a client experiencing a precipitous delivery. (C) Pushing against the perineum may cause fetal distress. (D) Crossing of legs may cause fetal

Question

A pregnant client experiences a precipitous delivery. The nursing action during a precipitous delivery is to:

Options

AControl the delivery by guiding expulsion of fetus
BLeave the room to call the physician
CPush against the perineum to stop delivery
DCross client's legs tightly

Explanation

(A) Controlling the rapid delivery will reduce the risk of fetal injury and perineal lacerations. (B) The nurse should always remain with a client experiencing a precipitous delivery. (C) Pushing against the perineum may cause fetal distress. (D) Crossing of legs may cause fetal distress and does not stop the delivery process.

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