Author Question: A client is admitted to the labor and delivery unit in active labor. What nursing diagnoses might ... (Read 111 times)

jCorn1234 · **on:** Jun 27, 2018

A client is admitted to the labor and delivery unit in active labor. What nursing diagnoses might apply to the client with suspected abruptio placentae? Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Select all that apply. 1. Fluid Volume, Deficient, Risk for, related to hypovolemia secondary to excessive blood loss
2. Tissue Perfusion: Peripheral, Ineffective, related to blood loss secondary to uterine atony following birth
3. Anxiety related to concern for own personal status and the baby's safety
4. Knowledge, Deficient related to lack of information about inherited genetic defects
5. Alteration in Respiratory Function related to blood loss

Question 2

The nurse administered oxytocin 20 units at the time of placental delivery. This was done primarily to:

1. Contract the uterus and minimize bleeding.
2. Decrease breast milk production.
3. Decrease maternal blood pressure.
4. Increase maternal blood pressure.

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

Answer to Question 1

1, 2, 3
Explanation: 1. Maternal and perinatal fetal mortality are concerns due to hypoxia.
2. Maternal and perinatal fetal mortality are concerns due to blood loss.
3. This mother would be anxious for herself and her baby.

Answer to Question 2

1
Rationale 1: Oxytocin is given to contract the uterus and minimize bleeding.
Rationale 2: Oxytocin does not have an effect on breast milk production.
Rationale 3: Oxytocin does not have an effect on maternal blood pressure.
Rationale 4: Oxytocin does not have an effect on maternal blood pressure.