(WK 4 NR 327) CHAPTER 16: INTRAPARTUM COMPLICATIONS FOUNDATIONS OF MATERNAL-NEWBORN & WOMEN'S HEALTH NURSING, 7TH EDITION QUESTIONS AND ANSWERS 1. Which pelvic shape is most conducive to vaginal labor and birth? a. Android b. Gynecoid c. Platypelloid d. Anthropoid: b 2. Which action by the nurse prevents infection in the labor and birth area? a. Using clean techniques for all procedures b. Keeping underpads and linens as dry as possible c. Cleaning secretions from the vaginal area by using a back to front motion d. Performing vaginal examinations every hour while the patient is in active labor: b 3. A pregnant patient with premature rupture of membranes is at higher risk for postpartum infection. Which assessment data indicates a potential infection? a. Fetal heart rate, 150 beats/minute b. Maternal temperature, 37.2°C (99°F) c. Cloudy amniotic fluid, with strong odor d. Lowered maternal pulse and decreased respiratory rates: c. 4. A patient with polyhydramnios is admitted to a labor-birth-recovery-postpar tum (LDRP) suite. Her membranes rupture and the fluid is clear and odorless; however, the fetal heart monitor indicates bradycardia and variable decelera tions. Which action should be taken next? a. Perform Leopold maneuvers. b. Perform a vaginal examination. c. Apply warm saline soaks to the vagina. d. Place the patient in a high Fowler position
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