Answer to Question 1
Correct Answer: 1
Rationale 1: Improving uterine blood flow to increase fetal oxygenation is the top priority when fetal bradycardia is present. Left lateral position increases uterine blood flow.
Rationale 2: If a cesarean is needed, a Foley catheter will be needed. But at this time, this is a low priority.
Rationale 3: The decision to go to cesarean birth is a medical decision. The nurse may not make medical decisions.
Rationale 4: Increasing IV fluids will facilitate uterine blood flow and fetal oxygenation if the patient is hypotensive. Decreasing the IV rate will not improve fetal heart tones.
Answer to Question 2
Correct Answer: 4
Rationale 1: Artificial rupture of membranes is contraindicated with a transverse lie because of the high risk for prolapsed cord.
Rationale 2: An internal fetal scalp electrode cannot be applied until membranes have ruptured. Artificial rupture of membranes is contraindicated with a transverse lie because of the high risk for prolapsed cord.
Rationale 3: The fetus is at risk for hypoxia secondary to prolapsed cord if the membranes rupture. The maternal blood pressure is less important than getting the cesarean under way.
Rationale 4: This is the highest priority because of the transverse lie and the risk of fetal hypoxia secondary to prolapsed cord if the membranes rupture.
When using an interpreter, the nurse should pose questions directly to the patient, not the interpre
Patient Teaching Methods
Cyanosis as shown here at the patient’s fingertips results from a lack of oxygen in the tissues
Sodium’s chief role is regulation of fluid balance
Fluid Compartments and Fluid Homeostasis
Evolution of internal membranes