A diabetic patient goes into labor at 36 weeks' gestation. ...

[soccerdreamer_17]

A diabetic patient goes into labor at 36 weeks' gestation. Provided that tests for fetal lung maturity are successful, the nurse will anticipate: Note: Credit will be given only if all correct and no incorrect choices are selected.
 
  Select all that apply. 1. Administration of tocolytic therapy.
  2. Beta-sympathomimetic administration.
  3. Allowance of labor to progress.
  4. Hourly blood glucose monitoring.
  5. Cesarean birth if the HgbA1c is 7.

Question 2

The patient requires vacuum extraction assistance. To provide easier access to the fetal head, the physician cuts a mediolateral episiotomy. After delivery, the patient asks the nurse to describe the episiotomy.
 
  The nurse responds, The episiotomy: 1. Goes straight back toward your rectum.
  2. Is from your vagina toward the urethra.
  3. Is cut diagonally away from your vagina.
  4. Extends from your vagina into your rectum.

[kingfahad97]

Answer to Question 1

3,4
Rationale 1: Tocolytic therapy will not be used, as it can increase the maternal blood glucose.
Rationale 2: B-sympathomimetics will not be administered, as they can increase the maternal blood glucose.
Rationale 3: There will be no attempt to stop the labor, as this can compromise the mother and fetus.
Rationale 4: A euglycemic state is desirable to avoid fetal hypoglycemia.
Rationale 5: A cesarean birth would be considered if the HgbA1c were increasing, as this would indicate sustained hyperglycemia.

Answer to Question 2

3
Rationale 1: A midline episiotomy is straight back from the vagina toward the rectum.
Rationale 2: Episiotomies are not cut anteriorly toward the urethra unless the patient has had a female circumcision.
Rationale 3: A mediolateral episiotomy is angled from the vaginal opening toward the buttock.
Rationale 4: Extension into the rectum is a fourth-degree laceration.

[soccerdreamer_17]

TYSM

[bigsis44]

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