Nokea
What conditions would contraindicate labor induction?
- A. Maternal gynecoid pelvis
- B. Placenta previa
- C. Horizontal cesarean incision
- D. Prolapsed cord
- E. Gestational diabetes
Correct Answer: B,D
Rationale: Labor induction is contraindicated with placenta previa or a prolapsed umbilical cord.
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How might the nurse instruct the patient to stimulate her nipples in an attempt to increase the quality of uterine contractions?
- A. Place a warm, moist washcloth over the breast.
- B. Brush the nipples with a dry washcloth.
- C. Gently pull on the nipples.
- D. Apply suction to the nipples with a breast pump.
- E. Press the palms of her hands down on her breasts.
Correct Answer: B,C,D
Rationale: Brushing nipples with a dry washcloth, gently pulling nipples, and applying suction with a breast pump are effective methods to increase 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 is the most appropriate pain-relief intervention for a woman in precipitate labor?
- A. Get an order for an intravenous narcotic.
- B. Notify the anesthesiologist for an epidural block.
- C. Stay and breathe with her during contractions.
- D. Tell her to bear with it because she is close to delivery.
Correct Answer: C
Rationale: The nurse would stay with the woman experiencing precipitate labor and breathe with her during contractions to help the woman focus and cope with each contraction.
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 action by the physician will the nurse anticipate?
- A. Perform an amniotomy.
- B. Initiate tocolytic drugs.
- C. Order a sedative for the patient.
- D. Plan to do an emergency cesarean section.
Correct Answer: A
Rationale: Medical treatment for hypotonic labor dysfunction includes an amniotomy as the first remedy if the membranes are intact.