Exam 19: Nursing Care during Obstetric Procedures

Before the physician performs an external version,the nurse should expect an order for a

Approximately 60% to 80% of women with one low transverse uterine incision from a previous cesarean birth may have a successful vaginal delivery.Recommendations from ACOG related to VBAC risks include (select all that apply)

To monitor for potential hemorrhage in the woman who has just had a cesarean birth,the recovery room nurse should

The nurse practicing in a labor setting knows that the woman most at risk for a uterine rupture is a gravida

The birth attendant evaluates whether labor and birth are safer for the woman and her fetus than continuing the pregnancy.The Bishop Scoring System remains a popular tool to assist in this task.Is this statement true or false?

As an adjunct to inductions,a number of procedures to ripen the cervix are employed.One of these methods is the vaginal administration of preparations using prostaglandins.Before administering this medication,the nurse should be aware that this class of drug is an appropriate choice for women who have had a prior cesarean birth.Is this statement true or false?

The standard of care for obstetrics dictates that an internal version might be used to manipulate the

The nurse caring for a woman in labor understands that the primary risk associated with an amniotomy is

Surgical,medical,or mechanical methods may be used for labor induction.Which technique is considered a mechanical method of induction?

For which patient should the oxytocin (Pitocin)infusion be discontinued immediately?

A maternal indication for the use of vacuum extraction is

What is an appropriate response to a woman's comment that she is worried about having a cesarean birth?

The greatest risk to the newborn after an elective cesarean birth is

Immediately after the forceps-assisted birth of an infant,the nurse should

After a forceps-assisted birth,the mother is observed to have continuous bright red lochia but a firm fundus.What other data indicates the presence of a potential vaginal wall hematoma?

The nurse knows that a urinary catheter is added to the instrument table if a forceps-assisted birth is anticipated.What is the correct rationale for this intervention?

When preparing a woman for a cesarean birth,the nurse's care should include

The priority nursing intervention after an amniotomy is to

When positioning the Foley catheter before cesarean birth,the nurse knows that the catheter drainage tube and catheter bag should be

Induction of labor is considered an acceptable obstetric procedure if it is a safe time to deliver the fetus.The charge nurse on the labor and delivery unit is often asked to schedule patients for this procedure and therefore must be cognizant of the specific conditions appropriate for labor induction,including which of the following? Select all that apply.