Nokea
Which medications could potentially cause hyperstimulation of the uterus during labor? (Select all that apply.)
- A. Oxytocin (Pitocin)
- B. Misoprostol (Cytote
- C. Dinoprostone (Cervidil)
- D. Methylergonovine maleate (Methergin
Correct Answer: A
Rationale: The correct answer is A: Oxytocin (Pitocin). Oxytocin is a uterotonic agent commonly used to induce or augment labor. It can cause hyperstimulation of the uterus, leading to uterine hypertonicity and potentially compromising fetal oxygenation. Misoprostol, Dinoprostone, and Methylergonovine maleate are not known to cause hyperstimulation of the uterus during labor.
You may also like to solve these questions
What complications can cocaine and methamphetamine use in pregnancy cause?
- A. seizures
- B. hypotonic contractions
- C. prolonged second stage labor
- D. prolonged first stage labor
Correct Answer: C
Rationale: The correct answer is C: Prolonged second stage labor. Cocaine and methamphetamine use in pregnancy can lead to vasoconstriction, decreased blood flow to the uterus, and reduced oxygen supply to the fetus, resulting in uterine hyperactivity and fetal distress during labor. This can cause the second stage of labor to be prolonged as the uterus may struggle to effectively contract and progress labor.
Explanation for other choices:
A: Seizures - While cocaine and methamphetamine use can lead to seizures in pregnant individuals, this is not directly related to labor complications.
B: Hypotonic contractions - Cocaine and methamphetamine use are more likely to cause hypertonic contractions (excessive uterine contractions) rather than hypotonic contractions.
D: Prolonged first stage labor - Cocaine and methamphetamine use are more likely to impact the second stage of labor rather than the first stage.
When a pattern of variable decelerations occur, the nurse should immediately
- A. administer O at 8 to 10 L/minut
- B. place a wedge under the right hip.
- C. increase the IV fluids to 150 mL/hour.
- D. position patient in a knee-chest position.
Correct Answer: D
Rationale: The correct answer is D because positioning the patient in a knee-chest position helps to relieve pressure on the vena cava, improving blood flow to the placenta and fetus. This can help alleviate variable decelerations. Choice A is incorrect because administering oxygen at 8 to 10 L/min would not directly address the cause of variable decelerations. Choice B is incorrect as placing a wedge under the right hip is typically used for supine hypotension syndrome. Choice C is incorrect because increasing IV fluids may not directly address the issue of variable decelerations.
A new client is seen at the prenatal clinic and says she thinks she is pregnant. The first day of her last menstrual period was April 1, 2014. What is her EDB?
- A. December 30, 2014
- B. January 1, 2015
- C. January 8, 2015
- D. December 8, 2014
Correct Answer: A
Rationale: The correct answer is A: December 30, 2014. To calculate the Estimated Date of Birth (EDB), you add 9 months and 7 days to the first day of the last menstrual period. In this case, April 1, 2014 + 9 months is January 1, 2015, and then adding 7 days gives December 30, 2014 as the EDB. This calculation takes into account the typical 40-week gestational period of a pregnancy. Choices B, C, and D are incorrect because they do not consider the full 40-week gestational period from the last menstrual period.
The nurse is monitoring a patient who has been in prolonged labor. Which assessment finding will result in the nurse notifying the health care provider about the development of an emergent situation requiring a cesarean delivery?
- A. Maternal blood pressure indicative of hypotension
- B. Maternal exhaustion from prolonged uterine activity
- C. Recognition of a Category II fetal heart rate pattern
- D. Increased maternal temperature related to infection
Correct Answer: C
Rationale: The correct answer is C: Recognition of a Category II fetal heart rate pattern. This indicates fetal distress and potential compromise to the baby's well-being, necessitating immediate intervention like a cesarean delivery to prevent adverse outcomes. A: Maternal hypotension may require intervention but is not an emergent indication for a cesarean section. B: Maternal exhaustion can be managed with support and rest, not an immediate indication for cesarean delivery. D: Maternal fever may indicate infection but does not necessarily require cesarean delivery unless it poses a significant risk to the baby.
A 20-year-old gravida 1 para 0 presents to the prenatal clinic with a chief complaint that she feels like she is pregnant. Which are presumptive signs of pregnancy? Select all that apply.
- A. Linea nigra
- B. Breast tenderness
- C. Leukorrhea
- D. Chadwick’s sign
Correct Answer: A
Rationale: The correct answer is A: Linea nigra. Linea nigra is a presumptive sign of pregnancy, which refers to a dark line that appears on the abdomen. This sign is caused by hormonal changes during pregnancy. Breast tenderness (B) and leukorrhea (C) are actually probable signs of pregnancy, not presumptive signs. Chadwick's sign (D) is also a probable sign, not a presumptive sign. Presumptive signs are subjective symptoms reported by the patient and are not definitive indicators of pregnancy.