Practice Quiz

CNM Certified Nurse Midwife

Category - Intrapartum

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A client in labor is expected to give birth less than three hours after the onset of contractions. Which of the following actions by the nurse midwife is the most effective during the labor process?
  1. Encourage the client to pant with each contraction.
  2. Keep the fetus from being delivered
  3. Deliver the infant between contractions.
  4. Apply gentle, downward pressure to the fetal head, toward the rectum.
Explanation
Answer: C - The most effective action during a precipitous labor is to deliver the infant between contractions should an immediate delivery become necessary. The client has to pant in between contractions. The nurse midwife should not attempt to keep the fetus from being delivered. The nurse midwife should apply gentle pressure upward, toward the vagina, to prevent vaginal lacerations and damage to the fetal head.
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