Author Question: You are caring for a 32-year-old woman who has been in labor for over 24 hours. The physician wants ... (Read 117 times)

natalie2426 · **on:** Jun 27, 2018

You are caring for a 32-year-old woman who has been in labor for over 24 hours. The physician wants to schedule her for a cesarean section; however, your client wishes to continue with the labor process and have a vaginal delivery.

You attempt to support your patient while educating her on the possible consequences to the fetus if a cesarean section is not performed soon. This is an example of which of the following? a. Nurse-physician conflict
b. Maternal-fetal conflict
c. Lack of maternal education
d. Use of poor communication techniques

Question 2

After noting meconium-stained amniotic fluid, fetal heart rate decelerations, and a fetal blood pH of 7.20, the physician diagnoses a severely depressed fetus. The appropriate nursing action at this time would be to:

1. Increase the mother's oxygen rate.
2. Turn the mother to the left lateral position.
3. Prepare the mother for a forceps or cesarean birth.
4. Increase the intravenous infusion rate.

Eunice618 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

B
Maternal-fetal conflict occurs when a pregnant woman is being asked to modify behavior or to submit to treatment to benefit her developing fetus. The nurse and physician are not in conflict. While the nurse recognizes the woman's right to autonomy, the nurse has educated the woman on the consequences of her choice. There is no indication that the patient lacks education or that poor communication techniques have been implemented.

Answer to Question 2

3
Rationale:
1. Use of oxygen is not a nursing action that would change the status of the severely depressed fetus.
2. Position change to the left side is not a nursing action that would change the status of the severely depressed fetus.
3. Meconium-stained fluid, heart rate decelerations, and a pH of 7.20 are all indications that delivery must be done without delay.
4. Increasing the IV rate is not a nursing action that would change the status of the severely depressed fetus.