Maternity, Newborn and Womens Health Nursing 2Ed.-Amy Mandeville; Amy O'Meara-Test bank I

Womens Health Nursing 2Ed.-Amy Mandeville; Amy O'Meara-Test bank I Womens Health Nursing 2Ed.-Amy Mandeville; Amy O'Meara-Test bank I Womens Health Nursing 2Ed.-Amy Mandeville; Amy O'Meara-Test bank I Womens Health Nursing 2Ed.-Amy Mandeville; Amy O'Meara-Test bank I 1. A woman in labor is to receive continuous internal electronic fetal monitoring. The doctor reviews the woman's medical record to ensure which of the following as being required? A)Intact membranes B) Cervical dilation of 2 cm or more C) Floating presenting fetal part D) A neonatologist to insert the electrode Feedback: For continuous internal electronic fetal monitoring, four criteria must be met: ruptured membranes, cervical dilation of at least 2 cm, fetal presenting part low enough to allow placement of the electrode, and a skilled practitioner available to insert the electrode. 2. UNTILL assessing fetal heart rate, the doctor finds a heart rate of 175 bpm, accompanied by a decrease in variability and late decelerations. Which of the following would the doctor do next? A)Have the woman change her position. B) Administer oxygen. C) Notify the hospital provider. D) Continue to monitor the pattern every 15 minutes. Feedback: Fetal tachycardia as evidenced by a fetal heart rate greater than 160 bpm accompanied by a decrease in variability and late decelerations is an ominous sign indicating the need for prompt intervention. The hospital provider should be notified immediately and then measures should be instituted such as having the woman lie on her side and administering oxygen. In this instance, monitoring should be continuous to detect any further changes and evaluate the effectiveness of interventions. 10.A woman in labor has chosen to use hydrotherapy as a method of pain relief. Which statement by the woman would lead the doctor to suspect that the woman needs additional tinstructing? A) The warmth and buoyancy of the water has a nice relaxing effect. B) I can stay in the bath for as long as I feel comfortable. C) My cervix should be dilated more than 5 cm before I try using this method. D) The temperature of the water should be at least 105 F. Feedback: Hydrotherapy is an effective pain relief method. The water temperature should not exceed body temperature. Therefore, a temperature of 105° F would be too warm. The warmth and buoyancy have a relaxing effect and women are encouraged to stay in the bath as long as they feel comfortable. The woman should be in active labor with cervical dilation greater than 5 cm. 11.A woman in labor received an opioid close to the time of birth. The doctor would