Author Question: A laboring patient asks the nurse, Why does the physician want to use an intrauterine pressure ... (Read 13 times)

sc00by25 · **on:** Jun 27, 2018

A laboring patient asks the nurse, Why does the physician want to use an intrauterine pressure catheter (IUPC) during my labor? The nurse would accurately explain that the best rationale for using an IUPC is:

1. The IUPC can be used throughout the birth process.
2. A tocodynamometer is subject to artifacts.
3. The IUPC provides more accurate data than does the tocodynamometer.
4. The tocodynamometer can be used only after the cervix is dilated 2 cm.

Question 2

A woman gave birth last week to a fetus at 18 weeks' gestation after her first pregnancy. She is in the clinic for follow-up, and notices that her chart states she has had one abortion. The client is upset over the use of this word.

How can the nurse best explain this terminology to the client? 1. Abortion is the obstetric term for all pregnancies that end before 20 weeks.
2. Abortion is the word we use when someone has miscarried.
3. Abortion is how we label babies born in the second trimester.
4. Abortion is what we call all babies who are born dead.

millet · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

3
Rationale 1: The IUPC is inserted only after membranes have ruptured.
Rationale 2: The tocodynamometer, if used correctly, is not subject to artifact.
Rationale 3: The IUPC, inserted only after membranes have ruptured, provides accurate measurement of uterine contraction intensity. The tocodynamometer does not accurately record the intensity of the uterine contraction.
Rationale 4: The tocodynamometer can be used at any time; it is not related to cervix dilatation.

Answer to Question 2

1
Explanation: 1. The term abortion means a birth that occurs before 20 weeks' gestation or the birth of a fetus-newborn who weighs less than 500 g. An abortion may occur spontaneously or it may be induced by medical or surgical means.