When planning care for a laboring woman whose membranes have ...

[OSWALD]

When planning care for a laboring woman whose membranes have ruptured, the nurse recognizes that the woman's risk for _____ has increased.
 
  a. Intrauterine infection
  b. Hemorrhage
  c. Precipitous labor
  d. Supine hypotension

Question 2

A child with sickle cell disease, in splenic sequestration crisis, is being admitted. The nurse should assign this patient to a:
 
  1. Semi-private room.
  2. Reverse isolation room.
  3. Contact isolation room.
  4. Private room.

[fur]

Answer to Question 1

A

Feedback
A When the membranes rupture, microorganisms from the vagina can ascend into the amniotic sac, causing chorioamnionitis and placentitis.
B Rupture of membranes (ROM) is not associated with fetal or maternal bleeding.
C Although ROM may increase the intensity of contractions and facilitate active labor, it does not result in precipitous labor.
D ROM has no correlation with supine hypotension.

Answer to Question 2

4
Rationale:
1. Splenic sequestration can be life-threatening, and there is profound anemia. The child does not need an isolation room but should not be placed in a room with any child who might have an infectious illness. The private room is appropriate for this child.
2. Splenic sequestration can be life-threatening, and there is profound anemia. The child does not need an isolation room but should not be placed in a room with any child who might have an infectious illness. The private room is appropriate for this child.
3. Splenic sequestration can be life-threatening, and there is profound anemia. The child does not need an isolation room but should not be placed in a room with any child who might have an infectious illness. The private room is appropriate for this child.
4. The private room is appropriate for this child. Splenic sequestration can be life-threatening, and there is profound anemia.