This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A woman at 39 weeks of gestation with a history of preeclampsia is admitted to the labor and birth ... (Read 131 times)

lak

  • Hero Member
  • *****
  • Posts: 546
on: Jun 28, 2018
A woman at 39 weeks of gestation with a history of preeclampsia is admitted to the labor and birth unit.
 
  She suddenly experiences increased contraction frequency of every 1 to 2 minutes; dark red vaginal bleeding; and a tense, painful abdomen. The nurse suspects the onset of:
  a. Eclamptic seizure. c. Placenta previa.
  b. Rupture of the uterus. d. Placental abruption.

Question 2

Your patient is being induced because of her worsening preeclampsia. She is also receiving magnesium sulfate. It appears that her labor has not become active despite several hours of oxytocin administration.
 
  She asks the nurse, Why is it taking so long? The most appropriate response by the nurse would be:
  a. The magnesium is relaxing your uterus and competing with the oxytocin. It may increase the duration of your labor.
  b. I don't know why it is taking so long.
  c. The length of labor varies for different women.
  d. Your baby is just being stubborn.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

jharrington11

  • Sr. Member
  • ****
  • Posts: 365
Reply #1 on: Jun 28, 2018
Answer to Question 1

ANS: D
Uterine tenderness in the presence of increasing tone may be the earliest finding of premature separation of the placenta (abruptio placentae or placental abruption). Women with hypertension are at increased risk for an abruption. Eclamptic seizures are evidenced by the presence of generalized tonic-clonic convulsions. Uterine rupture manifests as hypotonic uterine activity, signs of hypovolemia, and in many cases the absence of pain. Placenta previa manifests with bright red, painless vaginal bleeding.

Answer to Question 2

ANS: A
Because magnesium sulfate is a tocolytic agent, its use may increase the duration of labor. The amount of oxytocin needed to stimulate labor may be more than that needed for the woman who is not receiving magnesium sulfate. I don't know why it is taking so long is not an appropriate statement for the nurse to make. Although the length of labor does vary in different women, the most likely reason this woman's labor is protracted is the tocolytic effect of magnesium sulfate. The behavior of the fetus has no bearing on the length of labor.


lak

  • Hero Member
  • *****
  • Posts: 546
Reply #2 on: Jun 28, 2018
Thank you :)


jharrington11

  • Sr. Member
  • ****
  • Posts: 365
Reply #3 on: Jun 28, 2018
Happy to help you


« previous next »
 

Did you know?

If you use artificial sweeteners, such as cyclamates, your eyes may be more sensitive to light. Other factors that will make your eyes more sensitive to light include use of antibiotics, oral contraceptives, hypertension medications, diuretics, and antidiabetic medications.

Did you know?

Amphetamine poisoning can cause intravascular coagulation, circulatory collapse, rhabdomyolysis, ischemic colitis, acute psychosis, hyperthermia, respiratory distress syndrome, and pericarditis.

Did you know?

The FDA recognizes 118 routes of administration.

Did you know?

Patients who have undergone chemotherapy for the treatment of cancer often complain of a lack of mental focus; memory loss; and a general diminution in abilities such as multitasking, attention span, and general mental agility.

Did you know?

Earwax has antimicrobial properties that reduce the viability of bacteria and fungus in the human ear.

The nurse needs to note the source of the patient health history The nurse needs to note the source of the patient health history
In a developmental systems approach, the emergence of social smiling at 6 to 8 weeks of age is not ... In a developmental systems approach, the emergence of social smiling at 6 to 8 weeks of age is not ...
The History of Diagnosis Coding The History of Diagnosis Coding
Checklist of Developmental Skills: Birth to 5 years Checklist of Developmental Skills: Birth to 5 years
Assist recipient into side-lying position. Woman sits on edge of table holding drape to cover her ... Assist recipient into side-lying position. Woman sits on edge of table holding drape to cover her ...
Labor Labor
Video: Role of the respiratory system - effect of altered ventilation rates

For a complete list of videos, visit our video library