Nokea
How often is oxytocin usually increased for induction or augmentation of labor?
- A. every 10 minutes
- B. every 30 minutes
- C. every 60 minutes
- D. every 90 minutes
Correct Answer: C
Rationale: Oxytocin is typically increased every 60 minutes during labor induction.
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When a Category II pattern of the fetal heart rate is noted and the patient is lying on her left side, which nursing action is indicated?
- A. Lower the head of the be
- B. Place a wedge under the left hip.
- C. Change her position to the right side
- D. Place the mother in Trendelenburg position
Correct Answer: C
Rationale: When a Category II pattern of fetal heart rate is noted, placing a wedge under the left hip of the pregnant patient is indicated. This position helps to improve blood flow to the placenta and can sometimes help to improve the fetal heart rate pattern. Placing the patient in a left lateral tilt can also be effective in improving circulation and oxygenation to the fetus. It is important to act promptly in response to abnormal fetal heart rate patterns to optimize the well-being of the baby. Lowering the head of the bed, changing the position to the right side, or placing the mother in Trendelenburg position are not appropriate actions in this situation.
What medication should the nurse anticipate administering when caring for a person with preeclampsia in labor?
- A. ampicillin
- B. magnesium sulfate
- C. nalbuphine hydrocholoride (Nubain)
- D. sodium bicarbonate
Correct Answer: B
Rationale: Magnesium sulfate is commonly administered for preeclampsia in labor.
The nurse recognizes that fetal scalp stimulation may be prescribed to evaluate the response of the fetus to tactile stimulation. Which conditions contraindicate the use of fetal scalp stimulation? (Select all that apply.)
- A. Post-term fetus
- B. Maternal fever
- C. Placenta previa
- D. Induction of labor
Correct Answer: A
Rationale: A. Post-term fetus: Fetal scalp stimulation can be contraindicated in post-term fetuses due to the potential risks associated with uterine hyperstimulation and decreased fetal reserve in these pregnancies.
The nurse is caring for a postpartum person after a hemorrhage. How does the nurse monitor for decreased perfusion?
- A. Monitor lochia.
- B. Measure blood loss.
- C. Check temperature.
- D. Monitor 24-hour urine output.
Correct Answer: B
Rationale: After postpartum hemorrhage, monitoring the 24-hour urine output can help assess for signs of decreased perfusion.
What is a common reason for cesarean birth?
- A. cephalic presentation
- B. laboring person’s BMI of 23
- C. labor dystocia
- D. lack of adequate pain control
Correct Answer: C
Rationale: Labor dystocia, or failure to progress, is a common reason for a cesarean birth.