Nokea
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.
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A pregnant woman is being seen at her first prenatal visit. The RN should correct which action of a student nurse who is preparing the client for a pelvic examination?
- A. Asking the client if she needs something to drink
- B. Assembling the necessary equipment for the pelvic examination
- C. Positioning the client in the lithotomy position
- D. Explaining the procedure prior to the pelvic examination
Correct Answer: A
Rationale: Multipara is a term used for a woman who has given birth more than once, which is consistent with the birth history provided. Primigravida refers to a woman who is pregnant for the first time, and primipara refers to a woman who has had one pregnancy outcome.
The nurse is caring for a pregnant person who was in a motor vehicle accident when she was younger and broke a bone in her pelvis. For what complication should the nurse be prepared?
- A. fetal dystocia
- B. pelvic dystocia
- C. uterine dystocia
- D. age dystocia
Correct Answer: B
Rationale: Pelvic dystocia can result from previous pelvic fractures.
What is the most common cause of placenta accreta?
- A. malnutrition
- B. smoking
- C. previous cesarean birth
- D. obesity
Correct Answer: B
Rationale: Previous cesarean births are a leading cause of placenta accreta, where the placenta attaches too deeply into the uterine wall.
The nurse is providing care for a prenatal patient who is told she will require a cesarean delivery because of cephalopelvic disproportion. Which explanation of the condition will the nurse provide to the patient?
- A. The patient has a preexisting medical condition that supports cesarean birth.
- B. The size and/or shape of either the fetal head or patient pelvis is an issue.
- C. The placenta is implanted in an unfavorable position in the uterus.
- D. The patient had a surgery with an incision through the myometrium of the uterus.
Correct Answer: B
Rationale: Choice B is the correct answer because cephalopelvic disproportion refers to a situation where the size or shape of the fetal head or the mother's pelvis causes difficulty during vaginal birth. This is the most accurate explanation for why a cesarean may be required.
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.