Maternal Child Exam 3 with correct |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
answers
The perinatal nurse explains to a nursing student that the most appropriate patient for an
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
amnioinfusion is a woman who has a fetal heart rate tracing that exhibits which pattern? |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
A.
Absent variability |||\\\
B.
Early decelerations|||\\\
C.
Late decelerations
|||\\\
D.
Variable decelerations - correct answer✔✔D |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Pregnancy outcome in patients experiencing variable fetal heart rate decelerations caused by
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
cord compression is improved through the use of amnioinfusion, which is the instillation of
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
normal saline or lactated Ringer's solution into the uterine cavity.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
The perinatal nurse notes a rapid decrease in the fetal heart rate (FHR) that does not recover
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
immediately following an amniotomy. What action should the nurse perform first?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
A.
Administer oxygen at 100%. |||\\\ |||\\\ |||\\\
B.
Assess the maternal temperature.
|||\\\ |||\\\ |||\\\
C.
Perform a vaginal examination. |||\\\ |||\\\ |||\\\
D.
,Recheck the FHR in 30 minutes. - correct answer✔✔C |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
The nurse needs to assess the fetal heart rate immediately before and after the artificial
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
rupture of the membranes. Changes such as transient fetal tachycardia may occur and are
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
common. However, other fetal heart rate patterns, such as bradycardia and variable |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
decelerations, may be indicative of cord compression or prolapse. The nurse should perform a |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
vaginal examination to assess for cord prolapse. Administering oxygen may or may not be
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
needed. Maternal temperature is assessed every 2 hours after artificial rupture of membranes
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
but is not related to this situation. The nurse should not wait 30 minutes prior to doing
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
anything
The perinatal nurse has administered a dose of dinoprostone (Cervidil) to a woman prior to a
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
labor induction with oxytocin (Pitocin). The nurse then notices that the admission database is
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
incomplete. What conditions should the nurse quickly question the patient about? |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
A.
Asthma
B.
Gallbladder disease |||\\\
C.
IV drug use
|||\\\ |||\\\
D.
Penicillin allergy - correct answer✔✔A |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Dinoprostone is a prostaglandin E2 preparation for cervical ripening. It should be used |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
cautiously in women with a history of asthma, glaucoma, and renal, hepatic, or cardiovascular|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
disorders. Once the missing information is noticed, the nurse should assess for |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
contraindications to using the medication, then for conditions that make it riskier. The other |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
conditions are not related. |||\\\ |||\\\ |||\\\
During the postpartum assessment, the perinatal nurse notes that a patient who has just
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
experienced a forceps-assisted birth now has a large amount of bright red vaginal bleeding. Her |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
uterine fundus is firm. The most appropriate action by the nurse is to collaborate with the
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
health-care provider in which activity? |||\\\ |||\\\ |||\\\ |||\\\
,A.
Bladder assessment and catheterization |||\\\ |||\\\ |||\\\
B.
Preparing the woman for a hysterectomy |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
C.
Uterine massage and oxytocin infusion |||\\\ |||\\\ |||\\\ |||\\\
D.
Vaginal assessment and repair - correct answer✔✔D
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
A forceps-assisted birth is one in which a steel instrument with two curved blades is used to
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
facilitate the birth of the infant's head. Perineal trauma is one of the major complications
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
associated with the use of forceps. Because hemorrhage (bright red bleeding) may result from
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
cervical lacerations and vaginal tearing, the woman requires close observation during the
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
postpartum period. If this occurs, the care provider should be notified regarding a potential |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
vaginal repair. The other actions are not warranted.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
The perinatal nurse is caring for a patient with preeclampsia. What intervention does the nurse
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
include on this patient's care plan?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
A.
Administer magnesium sulfate per agency policy. |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
B.
Assess the patient's blood pressure every 6 hours.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
C.
Encourage the patient to rest on her back. |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
D.
Notify the physician of urine output greater than 30 mL/hr. - correct answer✔✔A
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
The nurse is the manager of care for the woman with preeclampsia during the intrapartal
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
period. Careful assessments are critical. The nurse administers medications as ordered and
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
should adhere to hospital protocol for a magnesium sulfate infusion. Vital signs should be
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
, assessed more often than every 6 hours. The patient should be encouraged to maintain a left
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
side-lying position. A urine output of greater than 30 mL/hour is normal.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
The perinatal nurse is providing care to a 25-year-old G1 TPAL 0000 woman hospitalized with
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
severe hypertension at 33 weeks' gestation. The nurse is preparing to administer the second
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
dose of betamethasone (Celestone), prescribed by the physician. The patient asks, "What is
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
this injection for again?" Which of the following is the best response by the nurse?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
A.
Helps your baby grow and develop
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\
B.
Helps your baby's lungs to mature
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\
C.
Prepares your body to begin labor |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
D.
Stabilizes your blood pressure - correct answer✔✔B |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Glucocorticoids such as betamethasone are given prior to 34 weeks' gestation to promote fetal |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
lung maturity if delivery can be delayed for 48 hours.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
The perinatal nurse provides information to a laboring woman with twins that the second twin
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
will normally be born within what time frame?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
A.
Within 5 minutes of the first twin |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
B.
Within 15 minutes of the first twin |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
C.
Within 30 minutes of the first twin |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
D.
Within 60 minutes of the first twin - correct answer✔✔B
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
answers
The perinatal nurse explains to a nursing student that the most appropriate patient for an
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
amnioinfusion is a woman who has a fetal heart rate tracing that exhibits which pattern? |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
A.
Absent variability |||\\\
B.
Early decelerations|||\\\
C.
Late decelerations
|||\\\
D.
Variable decelerations - correct answer✔✔D |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Pregnancy outcome in patients experiencing variable fetal heart rate decelerations caused by
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
cord compression is improved through the use of amnioinfusion, which is the instillation of
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
normal saline or lactated Ringer's solution into the uterine cavity.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
The perinatal nurse notes a rapid decrease in the fetal heart rate (FHR) that does not recover
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
immediately following an amniotomy. What action should the nurse perform first?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
A.
Administer oxygen at 100%. |||\\\ |||\\\ |||\\\
B.
Assess the maternal temperature.
|||\\\ |||\\\ |||\\\
C.
Perform a vaginal examination. |||\\\ |||\\\ |||\\\
D.
,Recheck the FHR in 30 minutes. - correct answer✔✔C |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
The nurse needs to assess the fetal heart rate immediately before and after the artificial
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
rupture of the membranes. Changes such as transient fetal tachycardia may occur and are
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
common. However, other fetal heart rate patterns, such as bradycardia and variable |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
decelerations, may be indicative of cord compression or prolapse. The nurse should perform a |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
vaginal examination to assess for cord prolapse. Administering oxygen may or may not be
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
needed. Maternal temperature is assessed every 2 hours after artificial rupture of membranes
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
but is not related to this situation. The nurse should not wait 30 minutes prior to doing
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
anything
The perinatal nurse has administered a dose of dinoprostone (Cervidil) to a woman prior to a
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
labor induction with oxytocin (Pitocin). The nurse then notices that the admission database is
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
incomplete. What conditions should the nurse quickly question the patient about? |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
A.
Asthma
B.
Gallbladder disease |||\\\
C.
IV drug use
|||\\\ |||\\\
D.
Penicillin allergy - correct answer✔✔A |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Dinoprostone is a prostaglandin E2 preparation for cervical ripening. It should be used |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
cautiously in women with a history of asthma, glaucoma, and renal, hepatic, or cardiovascular|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
disorders. Once the missing information is noticed, the nurse should assess for |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
contraindications to using the medication, then for conditions that make it riskier. The other |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
conditions are not related. |||\\\ |||\\\ |||\\\
During the postpartum assessment, the perinatal nurse notes that a patient who has just
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
experienced a forceps-assisted birth now has a large amount of bright red vaginal bleeding. Her |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
uterine fundus is firm. The most appropriate action by the nurse is to collaborate with the
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
health-care provider in which activity? |||\\\ |||\\\ |||\\\ |||\\\
,A.
Bladder assessment and catheterization |||\\\ |||\\\ |||\\\
B.
Preparing the woman for a hysterectomy |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
C.
Uterine massage and oxytocin infusion |||\\\ |||\\\ |||\\\ |||\\\
D.
Vaginal assessment and repair - correct answer✔✔D
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
A forceps-assisted birth is one in which a steel instrument with two curved blades is used to
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
facilitate the birth of the infant's head. Perineal trauma is one of the major complications
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
associated with the use of forceps. Because hemorrhage (bright red bleeding) may result from
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
cervical lacerations and vaginal tearing, the woman requires close observation during the
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
postpartum period. If this occurs, the care provider should be notified regarding a potential |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
vaginal repair. The other actions are not warranted.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
The perinatal nurse is caring for a patient with preeclampsia. What intervention does the nurse
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
include on this patient's care plan?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
A.
Administer magnesium sulfate per agency policy. |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
B.
Assess the patient's blood pressure every 6 hours.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
C.
Encourage the patient to rest on her back. |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
D.
Notify the physician of urine output greater than 30 mL/hr. - correct answer✔✔A
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
The nurse is the manager of care for the woman with preeclampsia during the intrapartal
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
period. Careful assessments are critical. The nurse administers medications as ordered and
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
should adhere to hospital protocol for a magnesium sulfate infusion. Vital signs should be
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
, assessed more often than every 6 hours. The patient should be encouraged to maintain a left
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
side-lying position. A urine output of greater than 30 mL/hour is normal.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
The perinatal nurse is providing care to a 25-year-old G1 TPAL 0000 woman hospitalized with
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
severe hypertension at 33 weeks' gestation. The nurse is preparing to administer the second
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
dose of betamethasone (Celestone), prescribed by the physician. The patient asks, "What is
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
this injection for again?" Which of the following is the best response by the nurse?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
A.
Helps your baby grow and develop
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\
B.
Helps your baby's lungs to mature
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\
C.
Prepares your body to begin labor |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
D.
Stabilizes your blood pressure - correct answer✔✔B |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Glucocorticoids such as betamethasone are given prior to 34 weeks' gestation to promote fetal |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
lung maturity if delivery can be delayed for 48 hours.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
The perinatal nurse provides information to a laboring woman with twins that the second twin
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
will normally be born within what time frame?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
A.
Within 5 minutes of the first twin |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
B.
Within 15 minutes of the first twin |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
C.
Within 30 minutes of the first twin |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
D.
Within 60 minutes of the first twin - correct answer✔✔B
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
