The client at 39 weeks' gestation is undergoing a cesarean birth ...

[luminitza]

The client at 39 weeks' gestation is undergoing a cesarean birth due to breech presentation. General anesthesia is being used. Which situation requires immediate intervention?
 
  1. The baby's hands and feet are blue at 1 minute after birth.
  2. The fetal heart rate is 70 prior to making the skin incision.
  3. Clear fluid is obtained from the baby's oropharynx.
  4. The neonate cries prior to delivery of the body.

Question 2

The pregnant patient at 41 weeks is scheduled for labor induction. She asks the nurse whether induction is really necessary. What response by the nurse is best?
 
  1. Babies can develop postmaturity syndrome, which increases their chances of having complications after birth.
  2. When infants are born 2 or more weeks after their due date, they have meconium in the amniotic fluid.
  3. Sometimes the placenta ages excessively, and we want to take care of that problem before it happens.
  4. The doctor wants to be proactive in preventing any problems with your baby if he gets any bigger.

[jordangronback]

Answer to Question 1

2
Explanation: 2. Fetal bradycardia occurs when the fetal heart rate falls below 110 beats/minute during a 10-minute period of continuous monitoring. When fetal bradycardia is accompanied by decreased variability, it is considered ominous and could be a sign of fetal compromise.

Answer to Question 2

1
Rationale 1: This statement is correct.
Rationale 2: Although this statement is partially true, meconium-stained amniotic fluid is not always present or the only complication of postmaturity syndrome.
Rationale 3: Although this statement is true, it is too vague. It is better to be specific and call postmaturity syndrome by its name.
Rationale 4: Although this is true, the answer is incomplete. The risk of postmaturity syndrome is also an issue.