The multiparous client at 33 weeks has experienced an ...

[jCorn1234]

The multiparous client at 33 weeks has experienced an intrauterine fetal demise. What finding requires immediate intervention?
 
  1. Temperature 99F
  2. Fibrinogen level 50 mg/dL
  3. Platelet count 210,000/cmm
  4. Family refusing fetal autopsy

Question 2

For delivery, a client received a midline episiotomy, which extended into a third-degree laceration. What should the nurse include when explaining the location of the episiotomy to the client?
 
  1. Up near your urethra.
  2. Into the muscle layer.
  3. Through your rectal mucosa.
  4. Through your rectal sphincter.

[jesse.fleming]

Answer to Question 1

2
Explanation:
1. Women with intrauterine fetal demise can demonstrate signs of an infection; however, this temperature is not high enough to indicate this problem.
2. Intrauterine fetal demise can cause disseminated intravascular coagulopathy (DIC); the normal fibrinogen level is 200 to 400 mg/dL. This is a very low fibrinogen level and indicates that the client is in DIC.
3. Intrauterine fetal demise can lead to disseminated intravascular coagulopathy (DIC), but this is a normal platelet count.
4. Some religious traditions prohibit autopsy. Disseminated intravascular coagulopathy (DIC) is a higher priority.

Answer to Question 2

4
Explanation:
1. A periurethral laceration is near the urethra.
2. A first-degree laceration involves only the skin. A second-degree laceration involves skin and muscle.
3. A fourth-degree laceration is through the rectal mucosa.
4. A third-degree laceration includes the rectal sphincter.