Exam 27: The Woman With an Intrapartum Complication

An important independent nursing action to promote normal progress in labor is

Infant mortality for late preterm infants (34 to 36 weeks)is three times the rate of mortality for term infants.Is this statement true or false?

The nurse should suspect uterine rupture if

With regard to the care management of preterm labor,nurses should be aware that

A nurse is caring for a patient in the active phase of labor.The woman's BOW spontaneously ruptures.Suddenly the woman complains of dyspnea and appears restless and cyanotic.Additionally,she becomes hypotensive and tachycardic.The nurse immediately suspects the presence of a(n)_____________.

A woman in labor at 34 weeks of gestation is hospitalized and treated with intravenous magnesium sulfate for 18 to 20 hours.When the magnesium sulfate is discontinued,which oral drug will probably be prescribed for at-home continuation of the tocolytic effect?

Birth for the nulliparous woman with a fetus in a breech presentation is usually by

The nurse has been caring for a primiparous patient who is suspected of carrying a macrosomic infant.Pushing appears to have been effective so far; however,as soon as the head is born,it retracts against the perineum much like a turtle's head drawing into its shell.In evaluating the labor progress so far,the nurse is aware that this is normal with large infants and extra pushing efforts by the mother may be necessary.Is this statement true or false?

Which nursing action must be initiated first when evidence of prolapsed cord is found?

Which actions by the nurse may prevent infections in the labor and delivery area?

After a birth complicated by a shoulder dystocia,the infant's Apgar scores were 7 at 1 minute and 9 at 5 minutes.The infant is now crying vigorously.The nurse in the birthing room should

__________ is defined as long,difficult,or abnormal labor.It is caused by various conditions associated with the five factors affecting labor.

In planning for home care of a woman with preterm labor,the nurse needs to address which concern?

A laboring patient in the latent phase is experiencing uncoordinated,irregular contractions of low intensity.How should the nurse respond to complaints of constant cramping pain?

A woman who is 32 weeks pregnant telephones the nurse at her obstetrician's office and complains of constant backache.She asks what pain reliever is safe for her to take.The best nursing response is

What is the priority nursing assessments for a woman receiving tocolytic therapy with terbutaline?

Rupture of the amniotic sac before the onset of true labor,regardless of length of gestation is called premature rupture of membranes (PROM).The first priority for the nurse is to determine whether membranes are truly ruptured.Other explanations for this increase in fluid discharge include all except

The causes of preterm labor are not fully understood although many factors have been associated with early labor.These include (select all that apply)

Why is adequate hydration important when uterine activity occurs before pregnancy is at term?

A woman in preterm labor at 30 weeks of gestation receives two 12 mg doses of betamethasone intramuscularly.The purpose of this pharmacologic treatment is to