Obstetrics Questions
Explore questions in the Obstetrics category that you can ask Spark.E!
The first time parents of a newborn are concerned about red pinpoint dots on their infants face and neck. How would the nurse explain the finding?-the are obstucted sebaceous glands-they are excessive superficial capillaries-the cause is a decreased vit K level in the newborn-the cause is an increased intravascular pressure during birth.
which intervention will be delayed until the newborn is 36 to 48 hours old?-vit K injection-test for blood glucose level-screening for phenylketonuria-test for necrotizing enerocolitis
The nurse admins 2 serial intramuscular injections of betamethasone to a woman at 32 weeks gestation admitted for preterm labor. The nurse explains to the client the medication it given to accomplish which purpose?-stop the process of labor-increase placental perfusion-stimulate surfactant production-reduce intensity of contractions
betamethasone 12 mg is prescribed for a client at 32 weeks gestation in active labor. Which response would the nurse give the client when asked why the medication is being given?-it increases cervical dilation-fetal lung maturity is accelerated-the risk of a precipitous birth is reduced-the potential for maternal hypertension is minimized.
Which prescribed medication would the nurse admin to a woman who is 30 weeks pregnant to promote maturity of the lungs in the fetus?-clomiphene-dinoprostone-betamethasone-methylergonovine
which med is used to prevent preterm labor?-oxytocin-nifedipine-ralxifene-clomphene
a client who is having her labor induced with oxytocin has internal feta monitoring in place. Her contractions are occurring every 2 mins, are lasting 70 seconds and are reaching 65 mm HG on an intrauterine pressure catheter. The baseline fetal heart rate is 130 to 140 beats/min with variability of about 15 beats/min. The nurse notices that with the past two contractions the fetal heart rate began to drop during the peak of the contration to 110 beat/min where it remained for about 40 seconds before returning to baseline. What type of pattern is this?-bradycardia-late decelerations-early decelerations-variable decelerations
when discussing dietary needs during pregnancy a client tells the nurse that milk causes her to be constipated at times. Which would the nurse teach the client. -substitute a variety of cheeses for milk-replace fat-free or low fat milk for milk-increase intake of prenatal supplements and omit the milk-increase high fiber foods and water intake and cont drinking milk
The primary health care provider plans to perform a vaginal exam of a client with a partial placenta previa. Which would the nurse have available when the exam is performed?-one unit of freeze dried plasma-vit K and a syringe for injection-heparin sodium for IV infusion-2 units of typed and cross matched blood
which nursing intervention is appropriate to reduce the potentially harmful side effects of the phototherapy for a preterm neonate?-covering the trunk to prevent hypothermia-using shields on the eyes to protect them from the light-massging vit E oil into the skin to min drying-turning after each feeding to reduce exposure of each surface area.
When assessing a 7 month old infant the nurse advises the mother to avoid regular cow's milk. Which are valid reasons?-cows milk is not tolerated by infants-cows milk is a potential sourse of botulism toxin-cows milk increases the risk of milk product allergies-cows milk is a poor sourse of iron and vit C and E. -Cows milk is too concentrated for an infant's kidney's to manage
After the birth of her child, a mother tells the nurse I was told that my baby has to have an injection of vit K. Why is this necessary? Which response by the nurse is appropriate?-your baby needs the injection to promote development of red blood cells-an injection of vit K will help keep your baby from becoming jaundiced-newborns are deficient in vit K. This treatment will ensure adequate levels-a newborn's blood clots extremely rapidly this injection will help decrease the clotting time.
all women of childbearing age are advised to include at least 400 micrograms of folic acid in the daily diet to lessen the risk of neural tube defects in pregnancy. What should the nurse recommend to meet the recommendation? Select all that apply.-Vitamin A-Vitamin B6-Vitamin B9 -Vitamin B12-Legumes, dark-green leafy vegetables, and citrus fruits-Eggs, meat, and poultry
a pregnant client with iron deficiency anemia is prescribed iron supplements daily. To help the client increase iron absorption the nurse would suggest the client eat foods high in which substance?-vit C-fat content-water content-vit B complex
The nurse admins a medication to a pregnant woman to treat preterm labor: this medication requires an additional prescription for calcium gluconate to counter effects of the drug. Which med was admin?-nifedipine-indomethacin-betamethasone-magnesium sulfate
which common indication for a cesarean birth would the nurse discuss in a class for expectants parents?-placenta previa-primary uterine inertia-cervical insufficiency-cephalopelvic disproportion
An amniotomy is performed on a client admitted for labor augmentation with oxytocin. Immedicably after the amniotomy the nurse assesses the fetal heart rate for at least 1 full minute for signs of which complication?-infection-uterine atony-umbilical cord prolapse-maternal hypertension
The nurse is preparing an injection of vitamin K for the newborn. Which dosage and route will the nurse use?-1 to 1.5 mg given intramuscularly-.5 to 1 mg given intramuscularly-1 to 1.5 mg given subcutaneously-.5 to 1 mg given subcutaneously
a client's cervix is dilated 3 cm and 50% effaced. Her membranes have ruptured: the amniotic fluid is clear and the fetal heart rate is stable. Which outcome would the nurse anticipate?-a prolonged second stage of labor-a difficult birth resulting from delayed effacement-birth of the fetus within a day-the simulation of labor with an oxytocin infusion
a primipara about to be discharged with her newborn asks the nurse many questions regarding infant care. Which phase of maternal adjustment does this behavior illustrate?-let down-taking in-taking hold-early parenting