Author Question: The 26-year-old primiparous patient is having her initial prenatal appointment. The patient reports ... (Read 41 times)

cherise1989 · **on:** Jun 27, 2018

The 26-year-old primiparous patient is having her initial prenatal appointment. The patient reports to the nurse that she suffered a pelvic fracture in a car accident 3 years ago.

The patient asks whether her pelvic fracture might affect her ability to have a vaginal delivery. What response by the nurse is best? 1. It depends on how your pelvis healed.
2. You will need to have a cesarean birth.
3. Please talk to your doctor about that.
4. You will be able to delivery vaginally.

Question 2

The nurse is caring for a patient who could be at risk for uterine rupture. The nurse is monitoring the fetus closely for: Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

1. Late decelerations.
2. Bradycardia.
3. Loss of ability to determine fetal station.
4. Tachycardia.
5. Early decelerations.

Tonny · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

1
Rationale 1: Displaced pelvic fractures can heal in such a way that leads to a contracture or diminished diameter of the pelvis. Nondisplaced fractures can heal and maintain adequate diameters for birth.
Rationale 2: Not all patients will be able to deliver vaginally, but not all will need cesarean birth.
Rationale 3: It is not therapeutic to tell a patient to talk to someone else.
Rationale 4: Not all patients will be able to deliver vaginally, but not all will need cesarean birth.

Answer to Question 2

1,2,3
Rationale 1: This could be seen with uterine rupture.
Rationale 2: This is seen if there is uterine rupture.
Rationale 3: The uterus is not holding the fetus in place anymore if the uterus ruptures.
Rationale 4: The fetus does not have tachycardia.
Rationale 5: There are no early decelerations.