OMSB_OEN Exam - Topic 7 Question 24 Discussion

Actual exam question for OMSB's OMSB_OEN exam

Question #: 24
Topic #: 7

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:

AProvide oral fluids

BOffer the woman pain relief

CPrepare for cesarean section

DMonitor the progress of labor

Show Suggested Answer

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.

by Vicky at Mar 08, 2025, 01:10 PM

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Matthew

3 months ago

Are we sure she needs a C-section right away?

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Filiberto

3 months ago

Definitely prepare for a cesarean section!

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Whitney

3 months ago

Wait, transverse lie means they can't deliver vaginally, right?

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Flo

4 months ago

I think monitoring labor is important too.

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Aliza

4 months ago

Sounds like a C-section is the way to go!

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Nieves

4 months ago

I recall that preparing for a cesarean section is often necessary with transverse presentations, but I wonder if there are any other immediate steps we should take first.

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Phil

4 months ago

I feel like pain relief might be important, but if the baby is transverse, wouldn't we need to act more urgently?

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Terrilyn

4 months ago

I think we had a similar practice question where the answer was to monitor the labor progress first. But this situation feels different because of the transverse lie.

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Jaclyn

5 months ago

I remember studying that malpresentation can complicate labor, but I'm not sure if we should prepare for a cesarean right away.

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Luis

5 months ago

I'm a little confused by this question. The woman is in labor, but the fetus is in a transverse lie. I'm not sure if the best action is to provide pain relief, monitor the labor, or go straight to a cesarean. I'll have to review my notes on managing malpresentations.

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Trevor

5 months ago

Okay, I've got this. With a transverse lie, the immediate priority is to prepare for a cesarean section. The fetus is in an abnormal position, so vaginal delivery would be unsafe. I'm confident this is the right answer.

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Roy

5 months ago

Hmm, I'm a bit unsure here. The transverse lie is the key detail, but I'm not sure if the immediate nursing action should be to prepare for a cesarean or monitor the labor progress. I'll have to think this through carefully.

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Janae

5 months ago

This seems like a straightforward question about managing a transverse fetal lie in a woman in labor. I'll carefully consider the options and go with the one that aligns with standard obstetric protocols.

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Tyra

10 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

9 months ago

C) Prepare for cesarean section

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Sunny

9 months ago

B) Offer the woman pain relief

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Huey

9 months ago

A) Provide oral fluids

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Kindra

10 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

9 months ago

C) Prepare for cesarean section

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Beata

9 months ago

B) Offer the woman pain relief

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Hyun

10 months ago

A) Provide oral fluids

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Fairy

10 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

10 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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