Answer to Question 1
Correct Answer: 1
Rationale 1: Improving uterine blood flow to increase fetal oxygenation is the top priority when fetal bradycardia is present. Left lateral position increases uterine blood flow.
Rationale 2: If a cesarean is needed, a Foley catheter will be needed. But at this time, this is a low priority.
Rationale 3: The decision to go to cesarean birth is a medical decision. The nurse may not make medical decisions.
Rationale 4: Increasing IV fluids will facilitate uterine blood flow and fetal oxygenation if the patient is hypotensive. Decreasing the IV rate will not improve fetal heart tones.
Answer to Question 2
Correct Answer: 4
Rationale 1: Artificial rupture of membranes is contraindicated with a transverse lie because of the high risk for prolapsed cord.
Rationale 2: An internal fetal scalp electrode cannot be applied until membranes have ruptured. Artificial rupture of membranes is contraindicated with a transverse lie because of the high risk for prolapsed cord.
Rationale 3: The fetus is at risk for hypoxia secondary to prolapsed cord if the membranes rupture. The maternal blood pressure is less important than getting the cesarean under way.
Rationale 4: This is the highest priority because of the transverse lie and the risk of fetal hypoxia secondary to prolapsed cord if the membranes rupture.
The nurse can make observations about the patient's general appearance while talking with the p
Bronchoscopy. Figure illustrates physician using a bronchoscope to inspect the patient’s bronchial t
Electrocardiography. (a) Electrodes are placed on the patient’s chest to record the electrical event
THE DIMENSIONS OF PATIENT-CENTERED CARE
Fluid Balance during Exercise
Membranes