The nurse who performs vaginal examinations to assess a woman's ...

[future617RT]

The nurse who performs vaginal examinations to assess a woman's progress in labor should:
 
  a. Perform an examination at least once every hour during the active phase of labor.
  b. Perform the examination with the woman in the supine position.
  c. Wear two clean gloves for each examination.
  d. Discuss the findings with the woman and her partner.

Question 2

When planning care for a laboring woman whose membranes have ruptured, the nurse recognizes that the woman's risk for ___________________ ______ has increased.
 
  a. Intrauterine infection c. Precipitous labor
  b. Hemorrhage d. Supine hypotension

[ong527]

Answer to Question 1

ANS: D
The nurse should discuss the findings of the vaginal examination with the woman and her partner and report them to the primary care provider. A vaginal examination should be performed only when indicated by the status of the woman and her fetus. The woman should be positioned to avoid supine hypotension. The examiner should wear a sterile glove while performing a vaginal examination for a laboring woman.

Answer to Question 2

ANS: A
When the membranes rupture, microorganisms from the vagina can ascend into the amniotic sac and cause chorioamnionitis and placentitis. Rupture of membranes (ROM) is not associated with fetal or maternal bleeding. Although ROM may increase the intensity of contractions and facilitate active labor, it does not result in precipitous labor. ROM has no correlation with supine hypotension.

[future617RT]

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