Nokea
What will the nurse include in the educational plan?
- A. Onset is slow.
- B. Duration is short.
- C. Administration is by mouth.
- D. No known side effects.
- E. It is not the same drug as sufentanil.
Correct Answer: B,E
Rationale: Fentanyl has a rapid onset and short duration of action. Fentanyl, sufentanil, and alfentanil are distinct drugs. Fentanyl can cause respiratory depression but less than meperidine and is not administered by mouth.
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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 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 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.
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 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.