Author Question: The perinatal nurse is explaining to a nursing student that which of the following are problems more ... (Read 56 times)

neverstopbelieb · **on:** Jun 28, 2018

The perinatal nurse is explaining to a nursing student that which of the following are problems more frequently associated with twin gestation births? (Select all that apply.)

A.
Adherent placentas and bleeding
B.
Intrauterine growth restriction
C.
Long-term fetal disabilities
D.
Abnormal fetal presentations
E.
Requirement for cesarean delivery

Question 2

A woman is admitted to the birthing unit in her 42nd week of pregnancy. What interventions does the nurse plan for this patient?

A.
Frequent vaginal checks
B.
Care for the patient undergoing a labor induction
C.
Emotional support while awaiting delivery
D.
Preparation for cesarean delivery

katara · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: A, B, C, D
Twins and higher-order multiple-gestation births are associated with more maternal and fetal
complications, including excessive bleeding from adherent placentas, intrauterine growth restriction, long-term fetal disabilities such as cerebral palsy, and multiple fetal presentations. A woman with twins who presents at 38 weeks' gestation or later may be a candidate for a vaginal delivery.

Answer to Question 2

ANS: B
This woman is 2 weeks postterm and due to the deterioration of the placenta and subsequent fetal hypoxia, she has been admitted for induction. Emotional support is always necessary, but the nurse needs to be prepared to do more than just offer emotional support. Frequent vaginal checks are not indicated in the nonlaboring patient. This woman may or may not need a cesarean delivery