Nokea
What complication should the nurse closely assess for with this patient?
- A. Chorioamnionitis
- B. Hemorrhage
- C. Hypotension
- D. Amniotic fluid embolism
Correct Answer: A
Rationale: Infection of the amniotic sac, called chorioamnionitis, may cause prematurely ruptured membranes, or it may be a consequence of rupture, because the barrier to the uterine cavity is broken.
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What does the nurse explain is used to soften the cervix with a 'cervical ripening' agent?
- A. Prostaglandin gel insertion
- B. Intravenous oxytocin
- C. Warm saline douches
- D. Nipple stimulation
Correct Answer: A
Rationale: Prostaglandin gel is inserted in the cervix and the woman remains in bed for 1 to 2 hours, being monitored for uterine contractions.
Which statement indicates a woman understands activity limitations for the management of preterm labor?
- A. After my shower in the morning, I do the laundry and straighten up the house; then I rest.'
- B. I pack a picnic basket and put it next to the sofa so I do not have to get up for food during the day.'
- C. I have a 2-year-old to care for, but I try to rest as much as I can.'
- D. I get really bored at home, so I go to the shopping mall for just a little while.'
Correct Answer: B
Rationale: Lengthy activity restrictions are often needed to prevent preterm birth. The nurse can help the woman identify ways to organize necessary activities and maximize rest.
What are the rationales for labor induction?
- A. Placenta previa
- B. Prolapse of cord
- C. High station of fetus
- D. Maternal diabetes
- E. Placental insufficiency
Correct Answer: D,E
Rationale: Maternal diabetes and placental insufficiency are rationales for induction. Placenta previa, prolapse of cord, and high station of fetus are contraindications.
What is this labor pattern considered?
- A. Normal
- B. Hypotonic
- C. Hypertonic
- D. FALSE
Correct Answer: B
Rationale: The woman with labor dysfunction related to decreased uterine muscle tone begins labor normally, but contractions diminish after the active phase.
What sign(s) of infection should the nurse assess for after an amniotomy?
- A. Oral temperature of 37?°C (99.8?°F)
- B. Increase of fetal heart rate (FHR) from 160 to 174 beats/minute
- C. Flecks of vernix in the amniotic fluid
- D. Low back pain
Correct Answer: B
Rationale: Increase in the FHR above 160 beats/minute frequently precedes a woman's temperature elevation, indicating possible infection.