This topic contains a solution. Click here to go to the answer

Author Question: The process of labor places significant metabolic demands on the obstetric client. Which physiologic ... (Read 78 times)

Melani1276

  • Hero Member
  • *****
  • Posts: 516
The process of labor places significant metabolic demands on the obstetric client. Which physiologic findings would be expected?
 
  a. Decreased maternal blood pressure as a result of stimulation of alpha receptors
  b. Uterine vasoconstriction as a result of stimulation of beta receptors
  c. Increased maternal demand for oxygen
  d. Increased blood flow to placenta because of catecholamine release

Question 2

A client in labor is approaching the transition stage and already has an epidural in place. An additional dose of medication has been prescribed and administered to the client.
 
  Which priority intervention should be done by the nurse to help evaluate clinical response to treatment?
 
  a. Obtain a pain scale response from the client based on a 0 to 10 scale.
  b. Document maternal blood pressure and fetal heart rates following medication administration and observe for any variations.
  c. Document intake and output on the electronic health record (EHR).
  d. Increase the flow rate of prescribed parenteral fluid to maintain hydration.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

Sassygurl126

  • Sr. Member
  • ****
  • Posts: 320
Answer to Question 1

ANS: C
With regard to labor, one would expect to see an increase in maternal blood pressure because of stimulation of alpha receptors. Uterine vasoconstriction would occur in response to stimulation of alpha receptors. One would expect to see a decrease in blood flow to the placenta. The maternal metabolic rate is increased during labor, along with an increase in maternal demand for oxygen.

Answer to Question 2

ANS: B
Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN) evidence-based practice guidelines note that maternal blood pressure and fetal heart tones should be assessed following any bolus of additional medication via the epidural route. Obtaining a pain scale response is not typically used for the laboring client but used for postoperative and/or chronic pain clients. Intake and output should be documented as part of the clinical record but is not the priority intervention based on this client's situation. Increasing the flow rate of parenteral fluids requires a physician's order, and there is no clinical evidence that this is needed. Giving parenteral fluids in excess can lead to fluid retention and fluid volume excess.





 

Did you know?

Though Candida and Aspergillus species are the most common fungal pathogens causing invasive fungal disease in the immunocompromised, infections due to previously uncommon hyaline and dematiaceous filamentous fungi are occurring more often today. Rare fungal infections, once accurately diagnosed, may require surgical debridement, immunotherapy, and newer antifungals used singly or in combination with older antifungals, on a case-by-case basis.

Did you know?

Every flu season is different, and even healthy people can get extremely sick from the flu, as well as spread it to others. The flu season can begin as early as October and last as late as May. Every person over six months of age should get an annual flu vaccine. The vaccine cannot cause you to get influenza, but in some seasons, may not be completely able to prevent you from acquiring influenza due to changes in causative viruses. The viruses in the flu shot are killed—there is no way they can give you the flu. Minor side effects include soreness, redness, or swelling where the shot was given. It is possible to develop a slight fever, and body aches, but these are simply signs that the body is responding to the vaccine and making itself ready to fight off the influenza virus should you come in contact with it.

Did you know?

Calcitonin is a naturally occurring hormone. In women who are at least 5 years beyond menopause, it slows bone loss and increases spinal bone density.

Did you know?

Medication errors are more common among seriously ill patients than with those with minor conditions.

Did you know?

Between 1999 and 2012, American adults with high total cholesterol decreased from 18.3% to 12.9%

For a complete list of videos, visit our video library