Answer to Question 1
ANS: B
Although all nursing diagnoses are applicable in this situation, the potential for altered uterine tissue perfusion is the highest priority. During oxytocin administration, the nurse must carefully monitor frequency, duration, and intensity of uterine contractions because overstimulation can cause decreased uterine perfusion, jeopardizing fetal oxygenation.
Answer to Question 2
ANS: D
Perineal lacerations are categorized by the following:
First degree: extends through the skin and in the mucous membrane.
Second degree: extends through the skin and mucous membrane and into the muscles of the perineal body.
Third degree: involves the skin, mucous membrane, muscles of the perineal body, and the anal sphincter.
Fourth degree: extends through the rectal mucosa into the anterior wall of the rectum.
If lacerations of the perineum occur during delivery, they are classified in one of four degrees, depending on severity of the tear.
The tone of the nurse-patient introduction sets the stage for the patient interview and patient care
Taking a Patient’s Oral Temperature with an Electronic Thermometer
Care must be taken in handling bodily fluids to prevent the transfer of infectious agents through co
Stained section of cerebral cortex from autopsy of a patient with Creutzfeldt-Jakob disease
Pharmacology Connections to Nursing
ACCM Definitions of ICU Levels of Care