Intrapartum-Related Complications

Intrapartum-Related Complications Related

Review Intrapartum-Related Complications related questions and content

What is the most likely cause for this fetal heart rate pattern?

  • A. Administration of an epidural for pain relief during labor
  • B. Cord compression
  • C. Breech position of fetus
  • D. Administration of meperidine (Demerol) for pain relief during labor
Correct Answer: B

Rationale: The fetal heart rate pattern described in the question, which likely includes decelerations, is indicative of cord compression. Cord compression occurs when there is pressure on the umbilical cord, leading to temporary reduction or blockage of blood flow and oxygen supply to the fetus. This can result in variable decelerations in the fetal heart rate pattern. Common scenarios that can cause cord compression include changes in fetal position, cord prolapse, or excessive uterine contractions. It is important to promptly address cord compression to prevent fetal distress and potential complications during labor and delivery. The other options listed may also influence fetal heart rate, but in this scenario, cord compression is the most likely cause based on the described heart rate pattern.

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What is a common reason for cesarean birth?

  • A. cephalic presentation
  • B. laboring person’s BMI of 23
  • C. labor dystocia
  • D. lack of adequate pain control
Correct Answer: C

Rationale: Labor dystocia, or failure to progress, is a common reason for a cesarean birth.

If the position of a fetus in a cephalic presentation is right occiput anterior, the nurse should assess the fetal heart rate in which quadrant of the maternal abdomen?

  • A. Right upper
  • B. Left upper
  • C. Right lower
  • D. Left lower
Correct Answer: C

Rationale: When the fetus is in a right occiput anterior position, the back of the fetus is on the mother's right side, and the fetal heart is also located on the right side of the mother's abdomen. It is typically heard in the lower right quadrant due to the location of the fetal back and heart. The nurse should assess the fetal heart rate in the right lower quadrant of the maternal abdomen to accurately assess the well-being of the fetus in this position.

A patient at 41 weeks' gestation is undergoing an induction of labor with an IV administration of oxytocin (Pitocin). The fetal heart rate starts to demonstrate a recurrent pattern of late decelerations with moderate variability. What is the nurse's priority action?

  • A. Stop the infusion of Pitocin.
  • B. Reposition the patient from her right to her left side
  • C. Perform a vaginal exam to assess for a prolapsed cord
  • D. Perform a vaginal exam to assess for a prolapsed cor
Correct Answer: A

Rationale: The priority action for the nurse in this situation is to stop the infusion of Pitocin. Late decelerations are a concerning fetal heart rate pattern that indicates uteroplacental insufficiency. Oxytocin (Pitocin) can cause hyperstimulation of the uterus, leading to poor oxygenation of the fetus and resulting in late decelerations. Stopping the Pitocin infusion can help to improve placental perfusion and oxygenation to the fetus, potentially reversing the late decelerations. It is crucial to address the fetal distress promptly to prevent further compromise and ensure the safety of both the mother and the baby. Other interventions, such as repositioning the patient or preparing for a cesarean birth, may also be necessary but should occur after stopping the Pitocin infusion.

With what is malnutrition during pregnancy associated?

  • A. fetal growth restriction
  • B. postterm birth
  • C. uterine dystocia
  • D. precipitous birth
Correct Answer: A

Rationale: Malnutrition during pregnancy can lead to fetal growth restriction.

The nurse is educating a primigravida patient during her first prenatal clinic appointment about follow-up prenatal care. How often will follow-up prenatal clinic visits be scheduled if the patient has a low-risk pregnancy and develops no complications? Select all that apply.

  • A. Every 2 weeks for the first 28 weeks
  • B. Every 4 weeks until 30 weeks
  • C. Every 4 weeks until 28 weeks
  • D. Every 2 weeks after 28 completed weeks until 36 weeks gestation
Correct Answer: C

Rationale: Ballottement is a physical examination technique used to detect the presence of a floating fetus or other abnormalities. A gentle tap on the cervix causes a rebound or sensation, confirming fetal presence.

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