Maternal Child Nursing 5th Edition by McKinney- ISBN- 978-0323401708 TEST BANK Chapter 27: The Woman with an Intrapartum Complication 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 27: The Woman with an Intrapartum Complication Verified 2024 Practice Questions and 100% Correct Answers with Explanations for Exam Preparation, Graded A+ Which actions by the nurse may prevent infections in the labor and delivery area? a. Vaginal examinations every hour while the woman is in active labor b. Use of clean techniques for all procedures c. Cleaning secretions from the vaginal area by using back-to-front motion d. Keeping under pads and linens as dry as possible ANS: D Bacterial growth prefers a moist, warm environment. Vaginal examinations should be limited to decrease transmission of vaginal organisms into the uterine cavity. Use an aseptictechnique if membranes are not ruptured; use a sterile technique if membranes are ruptured.Vaginal drainage should be removed with a front-to-back motion to decrease fecal contamination. PTS: 1 DIF: Cognitive Level: Application/Applying REF: p. 579 OBJ: Nursing Process: Implementation MSC: Client Needs: Safe and Effective Care Environment 2. A woman in labor at 34 weeks of gestation is hospitalized and treated with intravenousmagnesium sulfate for 18 to 20 hours. When the magnesium sulfate is discontinued, which oral drug will probably be prescribed for continuation of the tocolytic effect? a. Ritodrine b. Terbutaline c. Calcium gluconate d. Pitocin ANS: B The woman receiving decreasing doses of magnesium sulfate is often switched to oral terbutaline to maintain tocolysis for 48 hours. The terbutaline will probably be discontinuedprior to discharge. Ritodrine is the only drug approved by the FDA for tocolysis; however, itis rarely used because of significant side effects. Calcium gluconate reverses magnesium sulfate toxicity. The drug should be available for complications of magnesium sulfate therapy. Pitocin is used to augment labor, not stop it. PTS: 1 DIF: Cognitive Level: Knowledge/Remembering REF: p. 588 OBJ: Nursing Process: Planning MSC: Client Needs: Physiologic Integrity