Intrapartum Complication Related

Review Intrapartum Complication related questions and content

A nurse has recently transferred to a labor and delivery unit. During a scheduled cesarean, the nurse notices a prescription for the administration of 1,000 mL of prewarmed IV fluid. For which reason does the health care provider prescribe the fluid in this manner? Select all that apply.

  • A. Results in an increased maternal core temperature
  • B. Results in improved neonatal umbilical arterial pH
  • C. Results in improved Apgar scores
  • D. Results in decreased risk for maternal shock
Correct Answer: A

Rationale: Step 1: IV fluid is prewarmed to prevent hypothermia in the mother during cesarean delivery, which can occur due to exposure to cold operating room environment.

Step 2: Hypothermia in the mother can lead to adverse outcomes such as increased blood loss, delayed wound healing, and increased risk of infection.

Step 3: Maintaining maternal normothermia through prewarmed IV fluids is crucial for optimal maternal outcomes during cesarean delivery.

Summary:
- B: Improved neonatal umbilical arterial pH is not directly related to prewarmed IV fluid administration.
- C: Apgar scores are primarily influenced by factors like neonatal resuscitation and immediate care, not IV fluid temperature.
- D: Prewarmed IV fluid administration is more about preventing hypothermia in the mother rather than decreasing the risk for maternal shock.