Author Question: The nurse is auscultating fetal heart tones in a patient who is 37 weeks' gestation. While in a ... (Read 73 times)

armygirl · **on:** Jun 28, 2018

The nurse is auscultating fetal heart tones in a patient who is 37 weeks' gestation. While in a supine position, the patient states, I'm getting lightheaded and dizzy, and I feel clammy. Which of the following nursing actions is most appropriate?

1. Place a wedge beneath the patient's right hip.
2. Prepare for administration of packed red blood cells (PRBCs).
3. Help the patient turn onto her right side.
4. Administer supplemental oxygen.

Question 2

A 29-year-old woman who is pregnant with her first child asks the nurse which childbirth preparation class is most highly recommended for couples. Which nursing response is best?

1. For couples, the International Childbirth Education Association (ICEA) recommends the Bradley method, which is a partner-coached childbirth.
2. Lamaze would be the ideal choice of preparation for you and your husband.
3. Ideally, you can learn about each method, and then choose the one that's best for you.
4. Any of the methods will work well, as long as you and your husband do not deviate from the instructions related to that specific method.

bassamabas · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

Correct Answer: 1
Rationale: The patient is verbalizing symptoms consistent with supine hypotension syndrome, in which compression of the vena cava by the uterus reduces right atrial blood flow. Signs and symptoms include decreased blood pressure, dizziness, pallor, and clamminess. Appropriate interventions include having the woman lie on her left side, or placing a pillow or wedge under her right hip as she lies in a supine position.

Answer to Question 2

Correct Answer: 3
Rationale 1: The International Childbirth Education Association (ICEA) does not advocate a particular method of childbirth preparation but rather promotes a philosophy of freedom of choice based on knowledge of alternatives.
Rationale 2: Education regarding the various childbirth preparation classes should be provided, and the woman should choose the option she deems best.
Rationale 3: Education regarding the various childbirth preparation classes should be provided, and the woman should choose the option she deems best.
Rationale 4: International Childbirth Education Association (ICEA) educators often teach a combination of techniques designed to meet individual needs and assist the partner in supporting the woman during labor and birth.