A patient at 40 weeks' gestation is to undergo stripping of the ...

[karlynnae]

A patient at 40 weeks' gestation is to undergo stripping of the membranes. The nurse provides the patient with information about the procedure.
 
  Which information is accurate? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Intravenous administration of oxytocin will be used to initiate contractions.
  2. The healthcare provider will insert a gloved finger into the cervical os and rotate the finger 360 degrees.
  3. The procedure will not cause discomfort, and is usually effective.
  4. Labor should begin within 2448 hours after the procedure.
  5. Uterine contractions, cramping, and a bloody discharge can occur after the procedure.

Question 2

The homecare nurse is seeing a patient at 6 weeks postpartum. Which statement by the patient indicates the need for immediate intervention?
 
  1. The baby sleeps 7 hours each night now.
  2. My flow is red, and I need to wear a pad.
  3. My breasts no longer leak between feedings.
  4. I started back on the pill 2 weeks ago.

[whitcassie]

Answer to Question 1

2,4,5
Rationale 1: Oxytocin is not used at this time. It may be used later if stripping of membranes is not effective.
Rationale 2: This motion separates the amniotic membranes that are lying against the lower uterine segment and internal os from the distal part of the lower uterine segment.
Rationale 3: The procedure does produce discomfort, and is not 100 effective.
Rationale 4: If labor is initiated, it typically begins within 2448 hours.
Rationale 5: Uterine contractions, cramping, and bloody discharge can occur after the procedure.

Answer to Question 2

2
Rationale 1: This is an expected finding, and does not require intervention.
Rationale 2: By 6 weeks postpartum, lochia should be absent or minimal in amount, requiring only a pantiliner. Red, heavy flow is not an expected finding, and requires intervention.
Rationale 3: This is an expected finding, and does not require intervention.
Rationale 4: This is an appropriate time frame for restarting birth control pills, and does not require intervention.

[karlynnae]

Excellent

[sailorcrescent]

TYSM