Maternal Monitoring During Labor ppt

Maternal Monitoring During Labor ppt Related

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A 32-week pregnant woman is admitted with preterm labor. What is the most appropriate intervention to delay labor?

  • A. Administer magnesium sulfate
  • B. Perform an emergency cesarean section
  • C. Administer a prostaglandin inhibitor
  • D. Start a Pitocin infusion
Correct Answer: A

Rationale: The correct answer is A: Administer magnesium sulfate. Magnesium sulfate is commonly used to delay preterm labor by relaxing uterine smooth muscle. It inhibits contractions and delays labor progression. It is a standard treatment to prevent preterm birth and reduce the risk of complications for both the mother and the baby.

Choice B: Emergency cesarean section is not indicated for delaying preterm labor unless there are severe complications putting the mother or baby at immediate risk.

Choice C: Administering a prostaglandin inhibitor may help in some cases, but magnesium sulfate is the preferred choice for delaying labor in preterm pregnancies.

Choice D: Starting a Pitocin infusion would actually stimulate contractions and hasten labor, which is the opposite of what is needed in this scenario.

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What is the purpose of performing an amniotomy during labor?

  • A. to induce labor and promote cervical dilation
  • B. to reduce the risk of infection
  • C. to augment labor and prevent prolonged labor
  • D. to prevent fetal infection
Correct Answer: C

Rationale: Performing an amniotomy during labor is done to augment labor by releasing amniotic fluid, which can help progress labor by increasing uterine contractions and encouraging the descent of the baby's head. This can help prevent prolonged labor and facilitate a smoother delivery process. Options A, B, and D are incorrect because inducing labor, reducing the risk of infection, and preventing fetal infection are not the primary purposes of performing an amniotomy.

A third-trimester client is being seen for routine prenatal care.

  • A. Blood glucose.
  • B. Blood pressure.
  • C. Fetal heart rate.
  • D. Urine protein.
Correct Answer: A

Rationale: Routine assessments in the third trimester include monitoring blood glucose, blood pressure, fetal heart rate, and urine protein to ensure maternal and fetal health.

What does the nurse explain can affect the survival of the X- and Y-bearing sperm after intercourse?

  • A. Age
  • B. Estrogen level
  • C. Body temperature
  • D. Level of feminine hygiene
Correct Answer: B

Rationale: Estrogen levels and the pH of the female reproductive tract can affect the survival of the X- and Y-bearing sperm as well as their motility.

A nurse is caring for a laboring person who is receiving an epidural. What is the most important nursing intervention when administering an epidural?

  • A. Ensure the person is positioned correctly
  • B. Monitor the person's blood pressure
  • C. Monitor the person's oxygen saturation
  • D. Administer a pain medication
Correct Answer: A

Rationale: The correct answer is A: Ensure the person is positioned correctly. This is crucial because proper positioning ensures the medication is distributed correctly and helps prevent complications like uneven distribution or nerve injury. Monitoring blood pressure (B) and oxygen saturation (C) are important but secondary to ensuring correct positioning. Administering pain medication (D) is not a nursing intervention specific to epidural administration.

What is the most appropriate action when a laboring person's membranes rupture and meconium is present?

  • A. notify the healthcare provider
  • B. document the amount of meconium
  • C. prepare the person for vacuum extraction
  • D. apply pressure to the abdomen
Correct Answer: A

Rationale: The correct answer is A: notify the healthcare provider. This is the most appropriate action because the presence of meconium in the amniotic fluid indicates potential fetal distress, requiring immediate medical evaluation. Notifying the healthcare provider allows for prompt assessment and necessary interventions to ensure the well-being of both the laboring person and the baby. Documenting the amount of meconium (choice B) may be important for the medical record but is not the priority in this situation. Choices C and D, preparing for vacuum extraction and applying pressure to the abdomen, are not indicated and could potentially harm the baby or the laboring person.

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