Nokea
What is the nurse's initial action?
- A. Stop the oxytocin infusion.
- B. Continue the infusion and report the findings to the physician.
- C. Turn her on her left side and reassess the contractions.
- D. Administer oxygen by mask.
Correct Answer: A
Rationale: Oxytocin is discontinued if signs of fetal compromise or excessive uterine contractions occur.
You may also like to solve these questions
What would the nurse planning discharge instruction teach the woman to do?
- A. Report any increase in fetal activity.
- B. Notify her obstetrician if she has a temperature above 37.8?°C (100?°F).
- C. Massage her breasts to promote uterine relaxation.
- D. Rest in a side-lying Trendelenburg's position with hips elevated.
Correct Answer: B
Rationale: For the woman with premature rupture of membranes (PROM) who is not having labor induced right away, teaching combines information about infection and preterm labor. The woman should monitor her temperature and report a temperature greater than 37.8?°C (100?°F).
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 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.
How can anxiety affect labor?
- A. By decreasing a woman's pain sensitivity
- B. By reducing blood flow to the uterus
- C. By increasing the ability to tolerate pain
- D. By enhancing maternal pushing through greater muscle tension
Correct Answer: B
Rationale: Excessive anxiety reduces uterine blood flow, making uterine contractions less effective, and creates muscle tension that counteracts the expulsion powers of contractions.
What position will the nurse promote to encourage fetal rotation and pain relief?
- A. Prone with legs supported and give her a back massage
- B. Supine with legs bent at the knee
- C. Standing with support
- D. Sitting up and leaning forward on the overbed table
Correct Answer: D
Rationale: A position that favors fetal rotation and descent and is helpful for the woman with back labor is to sit or kneel leaning forward on a support.