Author Question: A woman who is gravida 3 para 2 enters the intrapartum unit. The most important nursing assessments ... (Read 78 times)

mrsjacobs44 · **on:** Jun 27, 2018

A woman who is gravida 3 para 2 enters the intrapartum unit. The most important nursing assessments are

a. Contraction pattern, amount of discomfort, and pregnancy history
b. Fetal heart rate, maternal vital signs, and the woman's nearness to birth
c. Identification of ruptured membranes, the woman's gravida and para, and her
support person
d. Last food intake, when labor began, and cultural practices the couple desires

Question 2

An antagonist for narcotics must be readily available at delivery because

a. all clients receiving narcotics within 2 hours of delivery are given the antagonist
b. narcotics can potentially cause hypotension in the mother
c. narcotics can potentially depress the new-born's respiratory system
d. narcotics cannot be metabolized in the newborn's system

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

Answer to Question 1

B
Feedback
A This is an important nursing assessment, but does not take priority if the birth is
imminent.
B All options describe relevant intrapartum nursing assessments, but the focus
assessment has priority. If the maternal and fetal conditions are normal and birth
is not imminent, other assessments can be performed in an unhurried manner.
C This is an assessment that can occur later in the admission process if time
permits.
D This part of the assessment can occur later in the admission process if time
permits.

Answer to Question 2

C
Because of the immaturity of the fetal nervous system, respiratory depression can occur in the fetus prior to delivery and/or the neonate after delivery. The statement that all clients receiving narcotics within 2 hours of delivery are given the antagonist is not true. Hypotension in mothers is not a usual adverse effect of opioids and more likely a complication of supine positioning during labor. Narcotics can be metabolized, but not with efficiency, due to the immaturity of the neonate's systems.