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OMSB Exam OMSB_OEN Topic 7 Question 24 Discussion

Actual exam question for OMSB's OMSB_OEN exam
Question #: 24
Topic #: 7
[All OMSB_OEN Questions]

A 37 weeks pregnant woman presents with labor-like pain. She has mild uterine contractions (2-3 contractions in 10 minutes). On abdominal palpation, the nurse notes the fetus lie is transverse. The nurse reported to the doctor who confirm the malpresentation via an ultrasound.

The immediate nursing action is to:

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Suggested Answer: A

In a 24-month-old child with hydrocephalus, later signs of the condition include frontal bossing, which is the prominent, protruding forehead caused by the enlargement of the frontal bone. This is a characteristic feature of chronic hydrocephalus. Bulging fontanels, separated sutures, and dilated scalp veins are typically earlier signs of hydrocephalus seen in younger infants before the cranial sutures close. As the child ages, frontal bossing becomes more apparent due to prolonged intracranial pressure.


Contribute your Thoughts:

Tyra
1 months ago
C) Prepare for cesarean section. Easy peasy, just like my grandma used to say. 'When the baby's sideways, it's time for the scalpel to sway!'
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Stephaine
13 days ago
C) Prepare for cesarean section
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Sunny
15 days ago
B) Offer the woman pain relief
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Huey
18 days ago
A) Provide oral fluids
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Kindra
2 months ago
I was about to choose D) Monitor the progress of labor, but then I remembered the part about the malpresentation. C) is the only logical choice here.
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Felicidad
16 days ago
C) Prepare for cesarean section
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Beata
20 days ago
B) Offer the woman pain relief
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Hyun
1 months ago
A) Provide oral fluids
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Fairy
2 months ago
Yeah, I agree with Evelynn. With a transverse lie, a C-section is the way to go. No point in trying to monitor the progress of labor here.
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Evelynn
2 months ago
C) Prepare for cesarean section is the immediate nursing action. The transverse lie of the fetus is a malpresentation that requires a C-section for a safe delivery.
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Titus
2 months ago
But shouldn't we also monitor the progress of labor before deciding on cesarean section?
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Yesenia
2 months ago
I agree with Kiera, the fetus lie being transverse is a concern.
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Kiera
3 months ago
I think we should prepare for cesarean section.
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