The perinatal nurse is assessing a woman at 36 weeks' gestation. ...

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The perinatal nurse is assessing a woman at 36 weeks' gestation. Her fundal height measurement was last recorded at 34 cm. The patient's abdomen appears to be widest from side to side. The nurse suspects the possibility of which type of fetal presentation
 
  A.
  Breech
  B.
  Cephalic
  C.
  Face
  D.
  Shoulder

Question 2

The perinatal nurse knows that tocolytic agents are most often used to do which of the following? (Select all that apply.)
 
  A.
  Allow for transport of the woman to a tertiary care facility
  B.
  Facilitate administration of antenatal corticosteroids
  C.
  Prevent development of fetal respiratory distress syndrome
  D.
  Prevent maternal infection
  E.
  Prolong pregnancy as long as possible

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Answer to Question 1

ANS: D
The fetal presentation may be cephalic, breech, or shoulder. The part of the fetal body first felt by the examining finger during a vaginal examination is the presenting part. The shoulder presentation is a transverse lie. This presentation is rare and occurs in less than 1 of births. When a transverse lie is present, the maternal abdomen appears large from side to side rather than up and down. The fetal head is palpated on one maternal side and the breech is palpated on the other side. Additionally, the woman may demonstrate a lower-than-expected fundal height measurement for gestational age.

Answer to Question 2

ANS: A, B
Presently, it is believed that the best reason to use tocolytic drugs is to allow an opportunity to begin the administration of maternal antenatal corticosteroids to accelerate fetal lung maturity. In addition, delaying the preterm birth provides time for maternal transport to a facility that is equipped with a neonatal intensive care unit. Tocolytics themselves do not prevent the development of respiratory complications such as respiratory distress syndrome. Tocoytic agents do not prevent infection and are recommended for use only up to 48 hours.

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Gracias!

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TYSM