Maternal Child Nursing 5th Edition by McKinney- ISBN- 978-0323401708 TEST BANK Chapter 19: Nursing Care during Obstetric Procedures Verified 2024 Practice Questions and 100% Correct Answers with Explanations for Exam Preparation, Graded A+

Maternal Child Nursing 5th Edition by McKinney- ISBN- 978-0323401708 TEST BANK Chapter 19: Nursing Care during Obstetric Procedures Verified 2024 Practice Questions and 100% Correct Answers with Explanations for Exam Preparation, Graded A+ The nurse knows that a urinary catheter is added to the instrument table if a forceps-assisted birth is anticipated. What is the correct rationale for this intervention? a. Spontaneous release of urine might contaminate the sterile field. b. An empty bladder provides more room in the pelvis. c. A sterile urine specimen is needed preoperatively. d. A Foley catheter prevents the membranes from spontaneously rupturing. ANS: B Catheterization provides room for the application of the forceps blades and limits bladder trauma. Urine is sterile. A clean- catch urinalysis is usually sufficient for preoperative treatment. The membranes must be ruptured and the cervix completelydilated for a forceps-assisted birth. PTS: 1 DIF: Cognitive Level: Comprehension/Understanding REF: p. 385 | Box 17.2 OBJ: Nursing Process: ImplementationMSC: Client Needs: Physiologic Integrity 2. After a forceps-assisted birth, the mother is observed to have continuous bright red lochia buta firm fundus. What other finding is important to correlate with these data? a. Mild, intermittent perineal pain b. Edema and discoloration of the labia and perineum c. Lack of an episiotomy d. Lack of pain in the perineal area ANS: B Edema and discoloration of the labia and perineum along with continuous bright red lochia and firm fundus are correlated with a vaginal wall hematoma. Perineal pain, lack ofepisiotomy, and lack of pain are not correlated with a hematoma. PTS: 1 DIF: Cognitive Level: Comprehension/UnderstandingREF: p. 386 OBJ: Nursing Process: Assessment MSC: Client Needs: Physiologic Integrity