Question 1

What are the rationales for labor induction?

Accepted Answer

Maternal diabetes and placental insufficiency are rationales for induction.The other options are contraindications for labor induction.

Question 2

_____________________________ is a lower-than-normal amount of amniotic fluid.

Accepted Answer

The answer of _____________________________ is a lower-than-normal amount of amniotic...

Question 3

The nurse arrives at the start of a shift on the labor unit to find a census of four patients in active labor.Which laboring patient should the nurse attend to first?

Accepted Answer

A precipitate birth is completed in less than 3 hours.Labor often begins abruptly and intensifies quickly,rather than having a more subtle onset and gradual progression.Contractions may be frequent and intense,often from the onset.If the woman's tissues do not yield easily to the powerful contractions,she may have uterine rupture,cervical lacerations,or hematoma.Fetal breech presentation,history of cesarean section,and multifetal pregnancy have associated risk factors,but not as immediate as precipitate birth.

Question 4

What sign(s)of infection should the nurse assess for after an amniotomy?

Accepted Answer

Increase in the FHR above 160 beats/minute frequently precedes a woman's temperature elevation.All the other options are normal findings for late pregnancy.

Question 5

What does the nurse explain is used to soften the cervix with a "cervical ripening" agent?

Accepted Answer

Prostaglandin gel is inserted in the cervix and the woman remains in bed for 1 to 2 hours,being monitored for uterine contractions.

Question 6

Which interventions could a nurse apply to help stimulate contractions?

Accepted Answer

Sitting upright,ambulating,and stimulating the nipples may encourage progression of labor.Offering emotional support and allowing patient to vent frustration are supportive to the patient but do not stimulate more effective labor.

Question 7

How might the nurse instruct the patient to stimulate her nipples in an attempt to increase the quality of uterine contractions?

Accepted Answer

Brushing nipples with a dry washcloth,gently pulling nipples,and applying suction with a breast pump are all effective methods of nipple stimulation,which will increase the quality of uterine contractions.

Question 8

A(n)_______________ is a narrow cone inserted into the cervix to "ripen" the cervix to increase uterine contractions.

Accepted Answer

The answer of A(n)_______________ is a narrow cone inserted into...

Question 9

After an amniotomy,the umbilical cord becomes compressed.The nurse prepares the patient for an instillation of a bolus of warm sterile saline into the uterus,which is called ____________________.

Accepted Answer

The answer of After an amniotomy,the umbilical cord becomes compressed.The...

Question 10

The nurse is caring for a patient diagnosed with hypotonic labor dysfunction.What will the nurse expect when caring for this patient?

Accepted Answer

A woman with hypotonic labor dysfunction will be encouraged to change position frequently to enhance contractions.With hypotonic labor uterine resting tone is decreased and IV fluids are increased.Painful and poorly coordinated contractions occur with hypertonic labor.

Question 11

What complications of overstimulation of uterine contractions may occur?

Accepted Answer

The most common complications are impaired placental exchange and uterine rupture,but water intoxication can occur due to fluid retention.

Question 12

A woman is 37 weeks pregnant and questioning the nurse about possible induction of labor at term.What conditions would contraindicate labor induction?

Accepted Answer

Labor induction is contraindicated with placenta previa or a prolapsed umbilical cord.Gynecoid pelvis is the most favorable shape for vaginal delivery.Induction can be attempted as a VBAC after a horizontal cesarean incision but is contraindicated with a classic (vertical)incision.Gestational diabetes is not a contraindication for labor induction.

Question 13

The nurse is caring for a patient who is threatening preterm labor and has been given glucocorticoids.What is the purpose of glucocorticoid administration?

Accepted Answer

Glucocorticoids assist with improving the lung maturity of a fetus that is preterm.

Question 14

A woman is preparing for administration of a cervical ripening agent.What nursing actions will the nurse anticipate implementing?

Accepted Answer

The cervical ripening procedure should be explained to the woman and her family.A fetal heart rate baseline is recorded.An intravenous (IV)line with saline or heparin sodium (Hep-Lock)may be placed in case uterine tachysystole (hyperstimulation)occurs and IV tocolytics (drugs that reduce uterine contractions)are needed.After insertion of the prostaglandin gel,the woman remains on bed rest for 1 to 2 hours and is monitored for uterine contractions.Vital signs and fetal heart rate are also recorded.

Quiz 8: Nursing Care of Women with Complications During Labor and Birth