Nokea
The pregnant patient expresses a desire to schedule birth during the baby's father's furlough
- A. The nurse explains that prior to induction of labor, it is essential to determine which clinical finding?
- B. Dilated cervix
- C. Fetal lung maturity
- D. Rupture of membranes
Correct Answer: C
Rationale: The correct answer is C: Fetal lung maturity. It is essential to determine fetal lung maturity before induction of labor to ensure that the baby's lungs are developed enough to breathe outside the womb. This is important for the baby's well-being and can help prevent complications.
Rationale:
1. Fetal lung maturity is crucial for the baby's ability to breathe independently.
2. Inducing labor without ensuring fetal lung maturity can lead to respiratory distress syndrome in the newborn.
3. A dilated cervix is important for labor progression but does not directly impact the baby's lung maturity.
4. Rupture of membranes may indicate potential labor but does not address the baby's lung development.
You may also like to solve these questions
Which patient presentation is an acceptable indication for serial oxytocin induction of labor?
- A. Multiple fetuses
- B. Polyhydramnios
- C. History of long labors
- D. Past 42 weeks of gestation
Correct Answer: D
Rationale: Rationale:
1. Past 42 weeks of gestation increases the risk of stillbirth.
2. Oxytocin can help initiate labor to reduce the risk.
3. Induction at this stage is considered safe and beneficial.
4. Other choices are not direct indications for oxytocin induction and may have different management strategies.
Summary:
- A: Multiple fetuses and polyhydramnios may require different approaches.
- B: History of long labors may not necessarily indicate the need for oxytocin induction.
A laboring patient has asked the nurse to assist her in utilizing a cutaneous stimulation strategy for pain management. The nurse would
- A. assist her into the shower.
- B. apply a heat pack to lower back.
- C. help her to create a relaxing mental scen
- D. encourage cleansing breaths and slow-paced breathing.
Correct Answer: B
Rationale: The correct answer is B because applying a heat pack to the lower back can help alleviate labor pain through cutaneous stimulation. Heat therapy can increase blood flow, relax muscles, and reduce pain perception. Choice A is not specific to cutaneous stimulation and may not provide effective pain relief. Choice C focuses on mental imagery, not cutaneous stimulation. Choice D, while helpful for pain management, does not involve cutaneous stimulation.
A major advantage of nonpharmacologic pain management is
- A. a more rapid labor is likely.
- B. more complete pain relief is possibl
- C. there are no side effects or risks to the fetus
- D. the woman remains fully alert at all times.
Correct Answer: C
Rationale: The correct answer is C because nonpharmacologic pain management methods, such as relaxation techniques or massage, do not involve medications that could potentially harm the fetus. This ensures there are no side effects or risks to the fetus during labor. Option A is incorrect as nonpharmacologic pain management does not necessarily guarantee a more rapid labor. Option B is incorrect because while nonpharmacologic methods can provide pain relief, it may not always be more complete compared to pharmacologic options. Option D is incorrect as some nonpharmacologic methods may alter alertness levels, such as hypnosis.
After insertion of the epidural catheter, what is the nurse's responsibility regarding patient care?
- A. monitoring vital signs every 5 to 15 minutes
- B. intermittent FHR monitoring
- C. providing the laboring person a meal
- D. instructing the laboring person to get out of bed to use the restroom
Correct Answer: A
Rationale: The correct answer is A: monitoring vital signs every 5 to 15 minutes. After inserting the epidural catheter, continuous monitoring of vital signs is crucial to detect any potential complications like hypotension or respiratory depression promptly. Vital signs include blood pressure, heart rate, respiratory rate, and oxygen saturation. Intermittent FHR monitoring (B) may be necessary but is not the primary responsibility after epidural insertion. Providing a meal (C) is contraindicated due to the risk of aspiration. Instructing the laboring person to get out of bed to use the restroom (D) is not recommended as they may be at risk of falls due to decreased sensation and muscle weakness from the epidural.
What would the nurse administer if the newborn has decreased or no respiratory effort at delivery after the person received an opiate?
- A. naloxone (Narcan)
- B. acetaminophen (Tylenol)
- C. oxygen
- D. sodium bicarbonate
Correct Answer: A
Rationale: The correct answer is A: naloxone (Narcan). If a newborn has decreased or no respiratory effort after the mother received an opiate, it indicates potential opiate toxicity in the newborn. Naloxone is an opioid antagonist that can reverse the effects of opiates, including respiratory depression. Administering naloxone can help stimulate the newborn's respiratory effort, promoting adequate oxygenation.
Summary:
- A: Naloxone is the correct answer as it reverses opiate effects.
- B: Acetaminophen is a pain reliever and does not address respiratory depression.
- C: Oxygen may help with oxygenation but does not address the underlying opiate toxicity.
- D: Sodium bicarbonate is used to treat acid-base imbalances and does not address opiate toxicity or respiratory depression.