Nokea
What complications of overstimulation of uterine contractions may occur?
- A. Water intoxication
- B. Impaired placental exchange of oxygen and nutrients
- C. Increased blood pressure
- D. Convulsions
- E. Uterine rupture
Correct Answer: A,B,E
Rationale: The most common complications are impaired placental exchange, uterine rupture, and water intoxication due to fluid retention.
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What is the purpose of glucocorticoid administration?
- A. Prevent infection.
- B. Increase fetal lung maturity.
- C. Increase blood flow from placenta.
- D. Relax the cervix.
Correct Answer: B
Rationale: Glucocorticoids assist with improving the lung maturity of a fetus that is preterm.
What should the nurse assess for in the newborn?
- A. Loss of hair from contact with forceps
- B. Sacral hematoma
- C. Facial asymmetry
- D. Shoulder dislocation
Correct Answer: C
Rationale: Pressure from forceps may injure the infant's facial nerve, which is evidenced by facial asymmetry.
What side effect should the nurse inform the patient that she might experience?
- A. Nausea and vomiting
- B. Headache
- C. Warm flush
- D. Urinary frequency
Correct Answer: C
Rationale: Magnesium sulfate is the drug of choice for initiating therapy to stop labor. The patient will notice a warm flush with the initiation of the drug.
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.
What side effect should the nurse inform the patient that she might experience?
- A. Nausea and vomiting
- B. Headache
- C. Warm flush
- D. Urinary frequency
Correct Answer: C
Rationale: Magnesium sulfate is the drug of choice for initiating therapy to stop labor. The patient will notice a warm flush with the initiation of the drug.