Author Question: The nurse is caring for laboring patients. Which women are experiencing problems related to a ... (Read 62 times)

@Brianna17 · **on:** Jun 27, 2018

The nurse is caring for laboring patients. Which women are experiencing problems related to a critical factor of labor? Note: Credit will be given only for all correct choices and no incorrect choices. Select all that apply.

1. Primip at 7 cm, fetus in military attitude
2. Multip at 3 cm, fetus in longitudinal lie
3. Primip at 4 cm, fetus with macrocephaly due to hydrocephalus
4. Multip at 6 cm, fetus at -2 station, mild contractions
5. Primip at 5 cm, fetal presenting part is right shoulder.

Question 2

The nurse is teaching a parenting class for pregnant couples who will deliver soon. Which statement by a mother-to-be indicates that additional information is needed?

1. Baby girls sometimes have a little bloody mucus in their diapers as a reaction to the high estrogen level in the mother.
2. Genitals of babies look swollen and enlarged at birth as a result of the hormones in the mother's circulation.
3. We can call the nurse help line any time of day or night if we have questions about our baby after we get home.
4. Car seats are installed the same way in different models of cars. Our friends can show us how to install it.

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

Answer to Question 1

1,3,4,5
Rationale 1: Attitude refers to the relationship of the fetal parts to one another. Military attitude is an unflexed neck; normal fetal attitude is flexion of the neck. Military attitude creates a larger head diameter fitting through the pelvis. This patient is experiencing a problem between the maternal pelvis and the presenting part.
Rationale 2: Lie refers to the relationship between the cephalocaudal axis of the mother and the cephalocaudal axis of the fetal body; longitudinal lie is normal.
Rationale 3: Hydrocephalus can lead to macrocephaly, or an abnormally large head. Macrocephalic babies might not fit through the bony pelvis, and could require birth by cesarean. This patient is experiencing a problem between the maternal pelvis and the presenting part.
Rationale 4: Station refers to how low in the pelvis the baby's presenting part is; -2 station is high in the pelvis. Contractions should be strong to cause fetal descent and cervical dilation. Mild contractions will not move the baby down or open the cervix. This patient is experiencing a problem between the maternal pelvis and the presenting part.
Rationale 5: The presenting part is the fetal part coming through the cervix. The occiput or back of the baby's head is the most common and most effective presenting part. A shoulder presentation cannot deliver vaginally, and will require a cesarean birth. This patient is experiencing a problem between the maternal pelvis and the presenting part.

Answer to Question 2

4
Rationale 1: This is a true statement. Parents might believe there is something wrong if they are not taught about pseudomenstruation.
Rationale 2: This is a true statement, and is often a concern of parents.
Rationale 3: Most pediatrician offices, HMOs, hospitals, and physician groups have a nurse line staffed 24 hours a day, 7 days a week, to respond to parents' questions and concerns. When this service exists, parents should be made aware of it and provided with the phone number.
Rationale 4: Each model of car seat is installed differently in different makes of car. Directions for car seats should be followed carefully. Car dealerships often offer a car seat-installation instruction service. Using a car seat that is installed incorrectly can be more dangerous than not using a car seat at all.