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Tanya comes into triage and is early labor, 3 cm dilated 30% effaced -4
station, (3/30/-4) and complaining of pain. You assess that the fetus of
Tanya is in an occiput posterior position on her left side (LOP). You know
that Tanya’s labor most likely will be different from a woman whose fetus is
in an anterior position in that Tanya:
a) Will have a shorter second stage of labor
b) May experience more pronounced back pain, also known as
back labor
c) May need to have an external cephalic version performed
d) Probably will need to have the delivery assisted by forceps
or vaccum extraction.
A woman at 41 weeks' gestation is progressing well in labor;
however, the nurse notes the amniotic fluid is greenish in color. When
questioned by the client for the reason for this, which explanation
should the nurse provide?
,a) Amniotic fluid is normally green
b) This is meconium-stained fluid from the baby.
c) You have an infection and need antibiotics
d) Green might be a yeast infection and we need to culture the discharge.
Which of the following factors is most crucial to a healthy outcome for
a pregnant adolescent?
a) Involvement from the father of the baby
b) Support from the father of the baby
c) Early and consistent prenatal care
d) Wealthy socioeconomic background.
The nurse is assisting with a vaginal birth. The patient is fully dilated,
100% effaced and is pushing. The nurse observes the "turtle sign" with
each push and there is no progress. What does the nurse suspect may
be occurring with this fetus?
A) Shoulder dystocia
,B) Umbilical cord prolapse
C) Nuchal cord
e) Breech position
, Lisa is a 32 year old G3 P1011 who is HIV positive has been admitted to
the labor and delivery unit. She is in active labor. Lisa’s prepregnant weight
was 132 lbs (60 kg) and her current weight is 157 lbs (71 kg). What action
by the nurse is most appropriate? (LECTURE 6 Slide: 46)
A) Prepare to administer IV ZDV (zidovudine) with 2-hour loading
dose of 120 mg followed by continuous infusion of 60mg/per hour until
delivery.
B) Prepare to administer IV ZDV (zidovudine) with 1-hour loading
dose of 142 mg followed by continuous infusion of 71mg/ per hour
until delivery.
C) Prepare to administer IV ZDV (zidovudine) with 2-hour loading
dose of 71mg followed by continuous infusion if 142mg/per hour until
delivery.
D) Prepare to administer IV ZDV (zidovudine) with 1-hour loading
dose of 132 mg followed continuous infusion of 78.5 mg/per hour until
delivery.
The nurse teaches a pregnant woman with gestational diabetes (GDM)
about management of her illness with insulin. The nurse should explain
that as her pregnancy advances and once her baby is born,
newborns of GDM mothers most likely experience : (LECTURE