The nurse is assisting a nurse-midwife with performing a ...

[Garrulous]

The nurse is assisting a nurse-midwife with performing a contraction stress test (CST) on a patient who is 30 weeks' gestation. The monitor reveals a hypersystole pattern. What order should the nurse expect to receive from the physician?
 
  1. Change the patient's position to Trendelenburg.
  2. Assist the patient with application of an electric breast pump.
  3. Obtain a 15-minute recording of uterine activity.
  4. Administer a tocolytic medication.

Question 2

Prior to performing amniocentesis, which nursing action is appropriate?
 
  1. Administering Rh immune globulin to a woman who is Rh-negative
  2. Prepping the abdominal skin with povidone-iodine (Betadine)
  3. Assisting the woman with assuming a right lateral position
  4. Providing non-sterile gloves for use by the physician performing the procedure

[sailorcrescent]

Answer to Question 1

Correct Answer: 4
Rationale 1: The patient is demonstrating hypersystole pattern of uterine contraction and would most likely receive a tocolytic medication.
Rationale 2: Breast stimulation may be used to produce uterine contractions during CST.
Rationale 3: While monitoring is appropriate, a hypersystole pattern of uterine contractions requires pharmacologic treatment with a tocolytic agent.
Rationale 4: During CST, development of a hypersystole pattern requires prompt administration of a tocolytic agent.

Answer to Question 2

Correct Answer: 2
Rationale 1: Rh immune globulin is administered prophylactically following an amniocentesis to prevent Rh sensitization in an Rh-negative woman.
Rationale 2: Prior to amniocentesis, current guidelines recommend prepping the abdominal skin with povidone-iodine (Betadine).
Rationale 3: The woman should be positioned supine for amniocentesis.
Rationale 4: When performing amniocentesis, sterile gloves are worn by the physician.

[Garrulous]

Thank you

[sailorcrescent]

Happy to help you