While assisting with a vacuum extraction birth, which should the ...

[D2AR0N]

While assisting with a vacuum extraction birth, which should the nurse immediately report to the physician?
 
  a. Maternal pulse rate of 100 bpm
  b. Maternal blood pressure of 120/70 mm Hg
  c. Persistent fetal bradycardia below 100 bpm
  d. Decreased intensity of uterine contractions

Question 2

Calculate the absolute neutrophil count for a child with a WBC = 15,000/mm3, neutrophils = 29, and nonsegmented neutrophils (bands) = 29. Record your answer in a whole number.
 
  _____________

[billybob123]

Answer to Question 1

ANS: C
Fetal bradycardia may indicate fetal distress and may require immediate intervention. Maternal pulse rate may increase due to the pushing process. Blood pressure of 120/70 mm Hg is within expected norms for this stage of labor. Decreased intensity of uterine contractions indicates the birth is imminent at this point.

Answer to Question 2

ANS:
8700

Perform the calculation
Determine the total percentage of neutrophils (polys, or segs, and bands).
Multiply white blood cell (WBC) count by percentage of neutrophils.
WBC = 3000/mm3, neutrophils = 10, and nonsegmented neutrophils (bands) = 10
Step 1: 29 + 29 = 58
Step 2: 0.58  15,000 = 8700/mm3 ANC

[D2AR0N]

Excellent

[debra928]

TYSM