rn 300 week 9 hw: intrapartum complications
Which measures should the nurse ensure are available and ready before a multiple gestation twin delivery?
a. An operating room set up for vaginal and cesarean delivery b. Neonatal health care providers capable of advanced resuscitation for each baby d. Two separate infant warmers with separate supplies for each baby e. A fetal monitor with the capacity to monitor two babies at the same time
A G4/P3 patient experiencing precipitate labor presents to the labor wing fully dilated and at +1 station stating that she feels a strong, involuntary urge to push. Which immediate intervention would the nurse take?
a. Encourage the patient to push in a side-lying position.
A G1/P0 gestational diabetic mother is undergoing induction of labor. She is in her 39th week of gestation, and she has been diagnosed with polyhydramnios. The nurse recognizes which patient cue as a risk factor for umbilical cord prolapse?
a. Polyhydramnios
Which conditions are possible causes of dysfunctional labor?
a. Psychological dysfunction and fear b. Absence of a void in 6 hours d. An abnormally shaped maternal pelvis
A nurse caring for a patient immediately postpartum after a precipitate labor would monitor the patient for which possible postpartum complication related to her precipitate labor?
a. Retained placenta
During an emergency cesarean section, which interventions can help minimize maternal risk?
b. Administering antibiotics before skin incision d. Performing an interdisciplinary time-out before skin incision
A nurse caring for a patient experiencing maternal exhaustion who desires a natural labor would implement which intervention to promote normal labor progress and decrease fatigue?
b. Encourage the patient to take a warm shower or bath.
In which situation is there an increased likelihood for prolonged labor?
b. The woman is nulliparous.
A G5/P4 laboring patient with suspected fetal intrauterine growth restriction has just experienced spontaneous rupture of membranes. On examination, the nurse notes that the cervix is dilated 3 cm and is 70% effaced and that the fetal station is 0. Fetal heart tracing shows recurrent and severe variable decelerations. Which explanation is the most likely cause for this change in fetal heart rate?
b. Umbilical cord prolapse
