AWHONN POEP Module 6 Latest Update with Verified Solutions

AWHONN POEP Module 6 Latest Update with Verified Solutions Althea arrived at the obstetric unit for a labor evaluation at 39 weeks gestation. She reports decreased fetal movement for the past 24 hours. Her biophysical profile is 2/8. The decision is made to perform a cesarean delivery. The most common maternal reason for a cesarean birth is failure to progress or abnormal fetal heart patterns. Which of the following is a contraindication to the administration of regional analgesia and anesthesia? Local infection at the site of injection A woman is to receive general anesthesia for an unscheduled cesarean birth. The anesthesiologist asks if she or anyone in her immediate family has had problems with general anesthesia in the past. This question is asked to screen for which of the following? Malignant hyperthermia Which of the following is recommended thromboprophylaxis for all women having a cesarean birth? Placement of pneumatic compression devices A primary and routine role of the circulating registered nurse during a cesarean birth includes performing needle and sponge counts with the scrub person. The level of care provided when a patient is emerging from a surgical procedure requiring anesthesia or sedation is referred to as phase 1. A rapid assessment of maternal status is completed immediately on arrival prior to the anesthesiologist provider leaving the PACU. If the mother is stable, the RN accepts the transfer and assumes care of the mother. In situations in which the mother is unstable, the nurse should expect that the anesthesia provider will remain with the mother until stable, and then the nurse accepts the responsibility of the mother. Postoperative assessment guidelines recommend that vital signs, including blood pressure, pulse, and respirations, be recorded every Q15 minutes for 2 hours A woman who is G2P2 has had a primary cesarean at 34 weeks gestation due to preeclampsia with severe features. Due to difficulty with respiratory transitioning, the newborn has been transferred to the nursery and the mother is admitted to the labor and delivery PACU. Her vital signs are as follows: 94 BPM heart rate / 144/98 mmHg blood pressure / 18 per minute respirations / 98% PaO2 on pulse oximeter / 97.6°F temperature. Magnesium sulfate is infusing at 2 grams per hour, urine output is 60 ml in the past hour, and reflexes are 2+. She received neuraxial anesthesia for the cesarean. Which of the following is your PRIMARY concern? Fundal location and bleeding amount A G1P1 woman delivered by cesarean is now in the recovery room. She received Duramorph via intrathecal catheter. On review of orders before transfer to the postpartum unit, the nurse notes one entry that needs clarification by the physician. Which order is the source of the nurse's concern? Monitor respirations every 6 hours for 24 hours Which of the following best describes the respiratory status assessment performed in the PACU? Inspection, auscultation, and oxygen saturation Cardiac output in the immediate postpartum period is increased. A dermatome is an area of skin supplied by a single spinal nerve. Assessment of dermatome level helps establish sympathetic and motor levels of the neuraxial blockade caused by anesthesia. The RN knows that a woman is recovering from neuraxial anesthesia when she can lift both legs off the bed. Measures to prevent hypothermia includes which of the following? pre-warming blanket Best practice for maternal-infant bonding includes which of the following? Allowing early skin-to-skin contact initiated in the OR and continuing in the PACU Which of the following are maternal indications for a cesarean delivery? Cephalopelvic disproportion (CPD) Co-morbidities (e.g. diabetes) Transverse or oblique lie Multiple gestation Dysfunctional or prolonged labor Placenta previa Previous uterine surgery Cephalopelvic disproportion (CPD) Co-morbidities (e.g. diabetes) Dysfunctional or prolonged labor Placenta previa Previous uterine surgery A major trigger for malignant hyperthermia is Succinylcholine