Obstetrics Questions
Explore questions in the Obstetrics category that you can ask Spark.E!
which assessments and interventions are needed once an epidural catheter has been inserted?-maintain intravenous fluid admin-have oxygen available in case of hypotension-check the bladder for distention every 2 hours-position the client supine for ease of monitoring-monitor fetal heart rate and labor progress per hospital protocol-admin an oxytocin infusion to maintain the labor pattern.
a resident primary health care provider in the birthing unit asks for the nurse to prepare for a vaginal exam on a client with a partial placenta previa in early labor. which action would the nurse take at this time. -preparing an IV piggyback of oxytocin-explaining why a vaginal exam should not be performed-obtaining an internal monitor to be applied during the exam-having equipment ready for fetal scalp pH after the exam.
which clinical finding during labor induction requires the nurse to DC the oxytocin infusion?-contraction occurring every 3 mins lasting 60 seconds-elevations of BP from 110/70 to 135/85 over 30 mins-rupture of membranes with amitotic fluid that contains threads of blood and mucus-several late fetal heart rate declarations that return to baseline after contraction is over
a postpartum client receiving an infusion of oxytocin to stimulate labor asks the nurse why it is not being discontinued now that the baby is born. which response by the nurse is most appropriate?-it promotes the flow of lochia-the contractions prevent excessive bleeding-the oxytocin eases the discomfort of involution-the oxytocin enhances the healing of tissue in the uterus
which condition contraindicates oxytocin induction?-chorioamnionitis-post-term pregnancy-active genital herpes infection-hypertension associated with pregnancy
An oxytocin infusion is prescribed to augment labor for a client with mild contractions that last 30 seconds and are 3-5 mins apart. Which is the priority nursing intervention at this time?-checking cervical dilation every hour-keeping the labor environment dark and quiet-infusing oxytocin by piggybacking into the primary line-positioning the client of the left side throughout the infusion
which complication would the nurse be alert for in a client receiving an oxytocin infusion to induce labor?-intense pain-uterine tetany-hypoglycemia-umbilical cord prolapse
several minutes after a client receives an infusion of oxytocin for induction of labor the uterine monitor indicates contractions lasting 100 seconds with a frequency of 130 seconds. Which action would the nurse take next?- DC the infusion-checking the fetal heart rate-slowing down the oxytocin flow rate-turning the client on her left side.
immediately after the third stage of labor, the nurse admins the prescribed oxytocin infusion. Which explanation would the nurse give the client for the purpose of this medication?-it is used to help with uterus contract-it is given to decrease uterine discomfort-it assists in the separation of the placenta-it helps stimulate the production of your breast milk
which information about lactogenesis would the nurse provide to a new mother?-oxytocin stimulates milk production-suckling stimulates the release of oxytocin-estrogen stimulates the secretion of lactogenic hormones'-placental separation stimulates the release of progesterone
Which action would the nurse take first when a client receiving oxytocin to augment labor begins to moan loudly and her contractions become more intense and prolonged, with little or no rest period between them?-cont the fetal monitoring-DC the oxytocin infusion-notify the primary health care provider-place the client in the knee-chest position
which action would the nurse take on finding that a client receiving oxytocin IV has a soft, boggy fundus a half-hour after a cesarean birth?-elevate the client's legs-massage the client's fundus-increase the client's oxytocin drip rate-examine the client's perineum for bleeding
After delivery, a client who received oxytocin to induce labor complains of tiredness and a spinning sensation. Which effect of oxytocin would the nurse infer from these symptoms?-amenorrhea-hypotension-hypertension-uterine atony
which action identified by the student indicated to the nurse an understanding of oxytocin in a pregnant client at term?-ejection of milk-induction of labor-induction of abortion-control of uterine bleeding
A lactating mother is administered oxytocin. The nurse understands which to be the function of oxytocin in this client?-it helps with the ejection of milk-oxytocin is used to induce labor-it can induce abortion-it helps control uterine bleeding after delivery
For which adverse reaction caused by a prolonged oxytocin infusion to augment labor would the nurse monitor the client?-change in affect-hyperventilation-water intoxication-fever
a client in labor is receiving an oxytocin infusion. Which alteration in client status would the nurse recognize as an adverse reaction resulting from prolonged administration?-change in affect-hyperventilation-water intoxication-increased temperature.
which would the nurse identify as the most widely used off-label medication for cervical ripening and the enhancement of uterine muscle tone. -misoprostol-mifepristone-dinoprostone-methylergonovine
•A pregnant patient tells the nurse that the first day of her last menstrual period was September 21st. Using Nägele's rule, what is the estimated date of delivery (EDD)?A.June 21stB.July 28thC.June 28thD.May 21st
which situation is an indication for the nurse to anticipate admin an oxytocin infusion to a pregnant client?-hypertonic uterus-pelvic inflammatory disease-induction of labor at full term-cervical stenosis in a client who is in labor