The nurse knows that a urinary catheter is added to the ...

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The nurse knows that a urinary catheter is added to the instrument table if a forceps-assisted birth is anticipated. What is the correct rationale for this intervention?
 
  a. Spontaneous release of urine might contaminate the sterile field.
  b. An empty bladder provides more room in the pelvis.
  c. A sterile urine specimen is needed preoperatively.
  d. A Foley catheter prevents the membranes from spontaneously rupturing.

Question 2

Which intervention may be most helpful for the patient experiencing most of her labor pain in her back?
 
  a. Lying supine with head slightly elevated
  b. Having the support person apply firm pressure to the sacrum
  c. Sitting upright with the legs straight
  d. Having the nurse massage the upper back during a contraction

[Brummell1998]

Answer to Question 1

B
Feedback
A Urine is sterile.
B Catheterization provides room for the application of the forceps blades and limits
bladder trauma.
C A clean-catch urinalysis is usually sufficient for preoperative treatment.
D The membranes must be ruptured and the cervix completely dilated for a
forceps-assisted birth.

Answer to Question 2

B
Feedback
A This would put more pressure onto the lower back area and decrease placental
profusion.
B Firm pressure against the sacrum may be helpful in relieving the discomfort
associated with back labor.
C This position would put more pressure onto the lower back area.
D The massage should be in the lower back where the pain is located.