Author Question: A client is diagnosed with anaphylactoid syndrome. Which therapeutic intervention does the nurse ... (Read 31 times)

craiczarry · **on:** Jun 28, 2018

A client is diagnosed with anaphylactoid syndrome. Which therapeutic intervention does the nurse suspect will be included in the plan of care?

a. Normal amniotic fluid
b. Initiation of CPR and other life support measures
c. Respiratory treatments with nebulizers
d. Internal fetal monitoring

Question 2

A labor client has been diagnosed with cephalopelvic disproportion (CPD) following attempts at pushing for 2 hours with no progress. Based on this information, what birth method is available?

a. Vaginal birth with vacuum extraction
b. Augmentation of labor with oxytocin (Pitocin) to improve contraction pattern and strengthen contractions
c. Cesarean section
d. Insertion of Foley catheter into empty bladder to provide more room for fetal descent

flexer1n1 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: B
Anaphylactoid syndrome was previously known as amniotic fluid embolism. This is a rare complication that results in a medical emergency in which CPR measures are initiated and mechanical ventilation, correction of shock and hypotension, and blood component therapy are also begun. Meconium-stained fluid is associated with particulate matter that may be found in the maternal circulation. Internal fetal monitoring may provide a potential source of entry because it is an invasive procedure. The use of nebulizers is not indicated.

Answer to Question 2

ANS: C
The presence of CPD is a contraindication for vaginal birth. To prevent further complications, the client should be prepped for a cesarean section.