Author Question: The nurse is caring for a client who could be at risk for uterine rupture. The nurse is monitoring ... (Read 62 times)

biggirl4568 · **on:** Jun 27, 2018

The nurse is caring for a client who could be at risk for uterine rupture. The nurse is monitoring the fetus closely for which of the following? 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

Question 2

A child has been diagnosed with a Wilms' tumor; preoperative nursing care would involve

1. careful bathing and handling.
2. monitoring of behavioral status.
3. maintenance of strict isolation.
4. administration of packed
red-blood cells.

Missbam101 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

1, 2, 3
Explanation: 1. Late decelerations could be seen with uterine rupture.
2. Bradycardia is seen if there is uterine rupture.
3. The uterus is not holding the fetus in place anymore if the uterus ruptures.

Answer to Question 2

Answer: 1
Rationale: The tumor should never be palpated; careful bathing and handling are
an important nursing consideration.Palpa ting the tumor can cause a piece of the
tumor to dislodge. The child's behavior will not be affected with a Wilms' tumor.
The tumor does not cause excessive lowering of WBCs or RBCs, so strict isolation
or administration of packed red-blood cells is not usually a nursing intervention.