A woman has just given birth to an infant whose 1-minute Apgar ...

[abern]

A woman has just given birth to an infant whose 1-minute Apgar score was 9. Meconium-stained amniotic fluid was noted upon rupture of the membranes. What action by the nurse is most appropriate?
 
  A.
  Apply oxygen at 0.5 L/minute via face mask.
  B.
  Assess and document the infant's 5-minute Apgar score.
  C.
  Transfer the neonate to the intensive care unit.
  D.
  Vigorously suction the infant's trachea.

Question 2

A laboring woman complains of sudden, sharp, severe pain during a contraction, and when the contraction ceases, the pain is gone. What assessment by the nurse takes priority?
 
  A.
  Abdominal palpation
  B.
  Fetal heart tracing
  C.
  Maternal vital signs
  D.
  Intrauterine pressure

[Sassygurl126]

Answer to Question 1

ANS: B
Vigorous infants born in the presence of meconium-stained amniotic fluid do not need routine tracheal suctioning after birth. An Apgar score of 9 indicates that this baby is not depressed, so the nurse should continue to provide routine care for the infant and assess the 5-minute Apgar score. The other interventions are not warranted.

Answer to Question 2

ANS: B
A ruptured uterus is an obstetrical emergency. A classic sign is sudden pain during a contraction that ceases abruptly. Uterine rupture may be incomplete and the woman may be asymptomatic. Changes in fetal heart tracings (e.g., sudden bradycardia, prolonged late or variable decelerations) are the most common signs and symptoms and frequently precede the onset of maternal symptoms (i.e., pain, bleeding). Although all assessments are appropriate, the first thing the nurse should do is assess the fetal heart tracings.

[abern]

Excellent

[bimper21]

TYSM