Maternal Child Chapter 12
A client arrives at the clinic in preterm labor, and terbutaline is prescribed. For what therapeutic effect should the nurse monitor the client?
Decreased frequency and duration of contraction
A client 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 most likely the reason for the cesarean birth?
Active genital herpes
Despite medication, a client't 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
During an emergency birth the fetal head is crowning on the perineum. How should a nurse support the head as it is being born?
Maintain pressure against the anterior frontal
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 is determined 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 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 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
An expectant couple asks the nurse about the cause of low back pain during labor. The nurse replies that this pain occurs most often when the position of the fetus is:
Occiput posterior
A client at 38 weeks' gestation is admitted for induction of labor. Her membranes ruptured 12 hours ago. There are no signs of labor. Which medication does the nurse anticipate will be prescribed?
Oxytocin
A client asks the nurse at the prenatal clinic whether she can continue to have sexual relations while pregnant. What is an indication that client should refrain from intercourse during pregnancy?
Premature rupture of membranes
A primigravida is concerned about the health of her baby and asks the nurse, "What is the most common death cause of death of babies?" The nurse explains the cause of more than half of neonatal deaths in the United States is due to what?
Preterm births
A client is admitted to the birthing unit in active labor. An amniotomy is performed. What physiologic change does the nurse expect to occur after the procedure?
Progressive dilation and effacement
A client is receiving an IV piggyback infusion of oxytocin to augment labor. The nurse identifies that there have 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 of nursing actions that should be taken.
Stop the piggyback infusion -----> Check the fetal heart rate ----> Determine whether the contractions have diminished -----> notify the health care provider -----> Administer oxygen via mask -----> Document maternal/fetal responses
What is the safest position for a woman in labor when a nurse observes a prolapsed cord?
Trendelenburg
A client has been receiving oxytocin to augment labor. For what adverse reaction caused by a prolonged oxytocin infusion should the nurse monitor the client?
Water intoxication
