Which position would the nurse suggest for second stage labor if ...

[APUS57]

Which position would the nurse suggest for second stage labor if the pelvic outlet needs to be increased?
 
  1. Semi-recumbent
  2. Sitting
  3. Squatting
  4. Side-lying

Question 2

A premature infant with respiratory distress syndrome receives artificial surfactant. How would the nurse explain surfactant therapy to the parents?
 
  1. Surfactant improves the ability of your baby's lungs to exchange oxygen and carbon dioxide..
  2. The drug keeps your baby from requiring too much sedation..
  3. Surfactant is used to reduce episodes of periodic apnea..
  4. Your baby needs this medication to fight a possible respiratory tract infection..

[Yixagurpuldink]

Answer to Question 1

3
1, 2, 4. Incorrect. Kneeling or squatting moves the uterus forward and aligns the fetus with the pelvic inlet and can facilitate the second stage of labor by increasing the pelvic outlet.
3. Correct. This position may assist in increasing the pelvic outlet.

Answer to Question 2

1
1. Correct. Surfactant can be administered as an adjunct to oxygen and ventilation therapy. With administration of artificial surfactant, respiratory compliance is improved until the in-fant can generate enough surfactant on his/her own.
2. Incorrect. Surfactant has no bearing on the sedation needs of the infant.
3. Incorrect. Surfactant is used to improve respiratory compliance, including the exchange of oxygen and carbon dioxide. The goal of surfactant therapy in an infant with RDS is to stimulate production of surfactant in the type 2 cells of the alveoli.
4. Incorrect. The clinical presentation of RDS and neonatal pneumonia may be similar. The infant may be started on broad-spectrum antibiotics to treat infection.

[APUS57]

Excellent

[cpetit11]

TYSM