Author Question: In which clinical situations would it be appropriate for an obstetrician to order a labor nurse to ... (Read 78 times)

penza · **on:** Jun 27, 2018

In which clinical situations would it be appropriate for an obstetrician to order a labor nurse to perform amnioinfusion? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

1. Placental abruption
2. Meconium-stained fluid
3. Polyhydramnios
4. Late decelerations
5. Early decelerations

Question 2

The postpartum patient has chosen to bottle-feed her infant. Nursing actions that aid in lactation suppression include:

1. Warm showers b.i.d.
2. Pumping milk t.i.d.
3. Ice packs to the axillary area of each breast q.i.d.
4. Avoiding wearing a bra for 57 days.

bassamabas · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

2,4
Rationale 1: It is not appropriate to perform amnioinfusion if there has been an abruption.
Rationale 2: The healthcare practitioner may order amnioinfusion for meconium-stained fluid.
Rationale 3: The patient already has too much fluid and does not need more.
Rationale 4: Amnioinfusion is sometimes done for late decelerations to prevent cord compression.
Rationale 5: Amnioinfusion is not done for early decelerations.

Answer to Question 2

3
Rationale 1: Warm showers b.i.d. increase the flow of breast milk.
Rationale 2: Pumping milk t.i.d. increases the flow of breast milk.
Rationale 3: Ice packs to the axillary area of each breast for 20 minutes, four times daily, should begin soon after birth. This provides mechanical inhibition of lactation.
Rationale 4: Not wearing a bra for 57 days increases the flow of breast milk.