Author Question: A patient in labor is found to have meconium-stained amniotic fluid upon rupture of membranes. At ... (Read 74 times)

armygirl · **on:** Jun 27, 2018

A patient in labor is found to have meconium-stained amniotic fluid upon rupture of membranes. At delivery, the nurse finds the infant to have depressed respirations and a heart rate of 80. The nurse anticipates:

1. Delivery of the neonate on its side with head up, to facilitate drainage of secretions.
2. Direct tracheal suctioning by specially trained personnel.
3. Preparation for the immediate use of positive pressure to expand the lungs.
4. Suctioning of the oropharynx when the newborn's head is delivered.

Question 2

The nurse assessing a 47-year-old client who is perimenopausal includes which important topics? Note: credit will be given only if all correct and no incorrect choices are selected. Select all that apply.

1. Vasomotor symptoms
2. A decrease in vaginal lubrication
3. Pregnancy not being an option
4. Mood changes that occur
5. An increase in the libido

lou · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

2
Rationale 1: The newborn is not delivered on its side.
Rationale 2: Direct tracheal suctioning by specially trained personnel is recommended for infants who experience absent or depressed respirations, heart rate slower than 80 beats/min, or poor muscle tone.
Rationale 3: Positive pressure is not used to expand the lungs.
Rationale 4: Intrapartum suctioning after the head is delivered is no longer recommended.

Answer to Question 2

1, 2, 4
Explanation: 1. Women need to know that vasomotor symptoms occur. It might be important to investigate other possible causes of the vasomotor symptoms.
2. Women need to know that a decrease in vaginal lubrication occurs, and that water-soluble lubricants should be used.
4. Mood changes and irritability occur, and the woman might experience more forgetfulness.