Author Question: A primigravida woman at 42 weeks' gestation received Prepidil (dinoprostone) for induction 12 hours ... (Read 87 times)

asd123

  • Hero Member
  • *****
  • Posts: 557
A primigravida woman at 42 weeks' gestation received Prepidil (dinoprostone) for induction 12 hours ago. The Bishop score is now 3. Which of the following actions by the nurse is appropriate?
 
  a. Perform Nitrazine analysis of the amniotic fluid.
  b. Report the lack of progress to the obstetrician.
  c. Place the woman on her left side.
  d. Ask the doctor for an order for oxytocin.

Question 2

Your patient is a 28-year-old gravida 2 para 1 in active labor. She has been in labor for 12 hours. Upon further assessment, the nurse determines that she is experiencing a hypotonic labor pattern.
 
  Possible maternal and fetal implications from hypotonic labor patterns are:
  a. Intrauterine infection and maternal exhaustion with fetal distress usually occurring early in labor.
  b. Intrauterine infection and maternal exhaustion with fetal distress usually occurring late in labor.
  c. Intrauterine infection and postpartum hemorrhage with fetal distress early in labor.
  d. Intrauterine infection and ruptured uterus and fetal death.



mmpiza

  • Sr. Member
  • ****
  • Posts: 354
Answer to Question 1

ANS: b
Feedback
a. There is nothing in the scenario that implies that the membranes may have ruptured.
b. Little progress has taken place. The Bishop score of a primigravida will need to be 9 or higher before oxytocin will be effective.
c. There is nothing in the scenario that implies that the patient needs to be placed on her side.
d. The Bishop score of a primigravida will need to be 9 or higher before oxytocin will be effective.

Answer to Question 2

ANS: b
Feedback
a. The risk of hypotonic labor occurs later in labor.
b. Hypotonic labor patterns increase risk for infection and maternal exhaustion, with fetal distress occurring late in labor as hypotonic patterns prolong labor.
c. There is not an increased risk of postpartum hemorrhage or fetal distress in early labor.
d. Hypotonic patterns do not result in rupture of the uterus.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
 

Did you know?

According to research, pregnant women tend to eat more if carrying a baby boy. Male fetuses may secrete a chemical that stimulates their mothers to step up her energy intake.

Did you know?

Of the estimated 2 million heroin users in the United States, 600,000–800,000 are considered hardcore addicts. Heroin addiction is considered to be one of the hardest addictions to recover from.

Did you know?

In 2010, opiate painkllers, such as morphine, OxyContin®, and Vicodin®, were tied to almost 60% of drug overdose deaths.

Did you know?

In ancient Rome, many of the richer people in the population had lead-induced gout. The reason for this is unclear. Lead poisoning has also been linked to madness.

Did you know?

In the ancient and medieval periods, dysentery killed about ? of all babies before they reach 12 months of age. The disease was transferred through contaminated drinking water, because there was no way to adequately dispose of sewage, which contaminated the water.

For a complete list of videos, visit our video library