Author Question: Your patient is a 28-year-old gravida 2 para 1 in active labor. She has been in labor for 12 hours. ... (Read 49 times)

sarasara · **on:** Jun 28, 2018

Your patient is a 28-year-old gravida 2 para 1 in active labor. She has been in labor for 12 hours.

Upon further assessment, the nurse determines that she is experiencing a hypotonic labor pattern. Possible maternal and fetal implications from hypotonic labor patterns are:
A) Intrauterine infection and maternal exhaustion with fetal distress usually occurring early in labor.
B) Intrauterine infection and maternal exhaustion with fetal distress usually occurring late in labor.
C) Intrauterine infection and postpartum hemorrhage with fetal distress early in labor.
D) Intrauterine infection and ruptured uterus and fetal death.

Question 2

If the umbilical cord prolapses during labor, the nurse should immediately:

A) Type and cross-match blood for an emergency transfusion.
B) Await MD order for preparation for an emergency cesarean section.
C) Attempt to reposition the cord above the presenting part.
D) Apply manual pressure to the presenting part to relieve pressure on the cord.

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

Answer to Question 1

B
Intrauterine infection and maternal exhaustion with fetal distress usually occurring late in labor.

Answer to Question 2

D
Apply manual pressure to the presenting part to relieve pressure on the cord.