DAVIS ADVANTAGE FOR MATERNAL CHILD
NURSING CARE 3RD EDITION FINAL PAPER FULL
SOLUTION STUDY GUIDE
◉ Aimee is a G1P001 at 38 weeks 3 days who has been in labor for
23 hours. She is now 7 cm dilated, 80% effaced, and the infant is at
zero station. Over the last 2 hours, her strip has begun to resemble
this FHR pattern. What orders should the nurse anticipate? (Strip
has many decelerations)
Orders for an emergency cesarean section.
This is a normal labor pattern, and no new orders would be needed.
Orders for an amnioinfusion.
Orders to discontinue continuous EFM and begin IA so patient can
ambulate.
Answer: Orders for an amnioinfusion.
An amnioinfusion witll help to reduce the cord compression
◉ Anna is a patient who just ambulated to OB triage for labor
assessment. She is a 37 week 5 day G3P0111. As the nurse working
in triage, which of the following statements from Anna would
indicate she should be evaluated? Select all that apply.
"My contractions spaced out and got better when I walked in from
the parking lot."
,"The bed was wet when I woke up this morning."
"There was a pinkish, thick discharge on the toilet paper when I
wiped this morning."
"The baby has been playing soccer in there today!"
"I feel like the baby is lower this week because I've been having to
pee so much.".
Answer: The bed was wet when I woke up this morning."
"There was a pinkish, thick discharge on the toilet paper when I
wiped this morning."
◉ When assisting a hypotensive patient receiving an epidural, which
of the following situations is the most concerning?
A drop ≥ 20 mm Hg in blood pressure.
Increased need for oxytocin in labor.
A maternal shiver response.
An inability to void leading to urinary catheterization..
Answer: A drop ≥ 20 mm Hg in blood pressure.
◉ Which of the following are expected findings for a patient who has
received an epidural? Select all that apply.
The patient will be unable to walk for up to 24 hours after receiving
an epidural.
The patient may need help holding her legs and being directed when
to push.
, The patient may develop intense pruritus.
The patient may have a decrease in temperature immediately
following the placement.
Urinary retention and stress incontinence may occur immediately
postpartum..
Answer: The patient may need help holding her legs and being
directed when to push.
The patient may develop intense pruritus.
Urinary retention and stress incontinence may occur immediately
postpartum.
◉ The urge to push will usually occur when the presenting part is at
what station in the pelvis?
-2
0
+2
+3.
Answer: +3
◉ Teasha is 38 weeks 4 days and is in the office for a routine
checkup. She tells the provider she's been breathing easier, but now
her feet are starting to swell and she woke up with a leg cramp this
morning. What normal physiological finding is Teasha experiencing?
Lightening
NURSING CARE 3RD EDITION FINAL PAPER FULL
SOLUTION STUDY GUIDE
◉ Aimee is a G1P001 at 38 weeks 3 days who has been in labor for
23 hours. She is now 7 cm dilated, 80% effaced, and the infant is at
zero station. Over the last 2 hours, her strip has begun to resemble
this FHR pattern. What orders should the nurse anticipate? (Strip
has many decelerations)
Orders for an emergency cesarean section.
This is a normal labor pattern, and no new orders would be needed.
Orders for an amnioinfusion.
Orders to discontinue continuous EFM and begin IA so patient can
ambulate.
Answer: Orders for an amnioinfusion.
An amnioinfusion witll help to reduce the cord compression
◉ Anna is a patient who just ambulated to OB triage for labor
assessment. She is a 37 week 5 day G3P0111. As the nurse working
in triage, which of the following statements from Anna would
indicate she should be evaluated? Select all that apply.
"My contractions spaced out and got better when I walked in from
the parking lot."
,"The bed was wet when I woke up this morning."
"There was a pinkish, thick discharge on the toilet paper when I
wiped this morning."
"The baby has been playing soccer in there today!"
"I feel like the baby is lower this week because I've been having to
pee so much.".
Answer: The bed was wet when I woke up this morning."
"There was a pinkish, thick discharge on the toilet paper when I
wiped this morning."
◉ When assisting a hypotensive patient receiving an epidural, which
of the following situations is the most concerning?
A drop ≥ 20 mm Hg in blood pressure.
Increased need for oxytocin in labor.
A maternal shiver response.
An inability to void leading to urinary catheterization..
Answer: A drop ≥ 20 mm Hg in blood pressure.
◉ Which of the following are expected findings for a patient who has
received an epidural? Select all that apply.
The patient will be unable to walk for up to 24 hours after receiving
an epidural.
The patient may need help holding her legs and being directed when
to push.
, The patient may develop intense pruritus.
The patient may have a decrease in temperature immediately
following the placement.
Urinary retention and stress incontinence may occur immediately
postpartum..
Answer: The patient may need help holding her legs and being
directed when to push.
The patient may develop intense pruritus.
Urinary retention and stress incontinence may occur immediately
postpartum.
◉ The urge to push will usually occur when the presenting part is at
what station in the pelvis?
-2
0
+2
+3.
Answer: +3
◉ Teasha is 38 weeks 4 days and is in the office for a routine
checkup. She tells the provider she's been breathing easier, but now
her feet are starting to swell and she woke up with a leg cramp this
morning. What normal physiological finding is Teasha experiencing?
Lightening
