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Exam NCLEX-RN topic 3 question 25 discussion

Actual exam question from Test Prep's NCLEX-RN
Question #: 25
Topic #: 3
[All NCLEX-RN Questions]

On a mothers 2nd postpartum day after having a vaginal delivery, the RN is preparing to assess her perineum and anus as part of her daily assessment. The best position for the client to be placed in for this assessment is:

  • A. Sims’
  • B. Fowler’s
  • C. Prone
  • D. Any position that the RN chooses A
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Suggested Answer: Explanation 🗳️
(A) The Sims position is the best position for assessment of the perineum and anus. The top leg is placed over the bottom leg, and the RN raises the upper buttocks to fully expose the perineum and anus. (B) Fowlers position is a sitting position, and the perineum and anus would not be exposed. (C) The prone position would have the mother on her back, and her perineum and anus would not be exposed. (D) The position of choice should always be the Sims.

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grilla
5 months, 2 weeks ago
A-Sims' position also referred to as semi-prone position or left lateral Sims' position.
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