Maternal Childhood Chapter 12 Review
Despite medication, a client's preterm labor continues, her cervix dilates, and birth appears to be inevitable. Which medication does the nurse anticipate will be prescribed to increase the chance of the newborn's survival?
Betamethasone.
A client is admitted to the birthing unit in active labor. Cervical dilation has progressed from 2 to 3 cm during an 8-hour period. The health care provider determines that she has hypotonic, dystocia, and an infusion of oxytocin is prescribed to augment her contractions. What is the most important nursing action at this time?
Monitoring the duration and intensity of the contractions.
A pregnant client with severe abdominal pain and heavy bleeding is prepared for a cesarean birth. What is the priority nursing intervention?
Obtaining an informed consent and assessing for drug allergies.
A primigravida is concered about the health of her baby and asks the nurse, "What is the most common cause of death of babies?" The nurse expalins that the cause of more than half of the neonatal deaths in the Unites States is due to what?
Preterm births
What is the safest position for a woman in labor when a nurse observes a prolapsed cord?
Trendelenburg.
A client has been recieving oxyroxin to augment labor. For what adverse reaction caused bu a proloned oxytocin infusion should the nurse monitor the client?
Water intoxication.
A client is receiving an IV piggyback infusion of oxytocin to augment labor. The nurse identifies that there has been three contractions lasting 80 to 90 seconds that are less than 2 minutes apart. There is a specific protocol that is followed in response to this observation. List in order of priority the nursing actions that should be taken.
2. Stop the piggyback infusion. 1. Check the fetal heart rate. 6. Determine whether the contractions have diminished. 3. Notify the health care provider. 4. Administer oxygen via face mask. 5. Document maternal/fetal response.
A client in labor at 39 weeks' gestation is told by the health care provider that she will need a cesarean birth. The nurse reviews the client's prenatal history. What preexisting condition is the most likely reason for the cesarean birth?
Active genital herpes.
A client arrives at the clinic in perterm labor, and terbutaline is prescribed. For what therapeutic effect should the nurse monitor the client?
Decreased frequency and duration of contractions.
An expectant couple asks the nurse about the cause of low back pain in labor. The nurse replies that this pain occurs most often when the position of the fetus is what?
Occiput posterior.
A client at 38 weeks' gestation is admitted for induction of labor. Her membranes ruptured 12 hours ago. There is no other signs of labor. Which medication does the nurse anticipate will be prescribed?
Oxytocin
A client is admitted to the birthing unit in active labor. An amniotomy is performed. What physiologic changes does the nurse expect to occur after the procedure?
Progressive dilation and effacement
A client who is at 26 weeks' gestation tells a nurse at the prenatal clinic that she has pain when urinating, back tenderness, and pink-tinged urine. A diagnosis of pyelonephritis is made. What is the most important nursing intervention at this time?
Observing for signs of preterm labor.
A client asks the nurse at the prenatal clinic whether she can continue to have sexual relations while pregnant. What is an indication that the client should refrain from intercourse during pregnancy?
Premature rupture of membranes.
During an emergency birth the fetal head is croowning on the perineum. How should a nurse support the head as it is being born?
Distribute the fingers evenly around the head.
