During labor, the patient at 4 cm suddenly becomes dyspneic, ...

[jc611]

During labor, the patient at 4 cm suddenly becomes dyspneic, cyanotic, and hypotensive. The nurse must prepare or arrange immediately for: Note: Credit will be given only if all correct choices and no incorrect choices are selected.
 
  Select all that apply. 1. CPR.
  2. Cesarean delivery.
  3. Immediate vaginal delivery.
  4. McRoberts maneuver.
  5. A crash cart.

Question 2

The client's Pap smear result is ASC-US. Which statement is the best way for the nurse to explain this ASC-US result?
 
  1. Abnormal squamous cells of undetermined significance.
  2. Cancer has invaded the upper cervix.
  3. High-grade squamous intraepithelial lesion (HSIL), which includes CIN.
  4. The focus of the Pap smear is the detection of high-risk pregnancy.
  5. The cervical cells are abnormal and the reason why is severe dysplasia and carcinoma in situ.

[cloudre37]

Answer to Question 1

1,2,5
Rationale 1: Dyspnea, cyanosis, and hypotension are symptoms of an amniotic fluid embolus, which necessitates immediate cesarean delivery and preparation for CPR, if indicated.
Rationale 2: Dyspnea, cyanosis, and hypotension are symptoms of an amniotic fluid embolus, which necessitates immediate cesarean delivery and preparation for CPR, if indicated.
Rationale 3: The patient is only 4 cm, so vaginal delivery will not take place immediately.
Rationale 4: McRoberts maneuver is used with shoulder dystocia.
Rationale 5: The chances of a code are high, so the crash cart needs to be available.

Answer to Question 2

1
Explanation: 1. ASC-US stands for abnormal squamous cells of undetermined significance. Preferred management is HPV testing; if positive, refer for colposcopy; if negative, repeat HPV co-testing in 3 years.

[jc611]

Thank you

[cloudre37]

Happy to help you