Diagnosis and treatment
Total Questions : 10
Showing 10 questions, Sign in for moreA nurse is using a partograph to monitor a client in labor.
What is the main purpose of using a partograph?
Explanation
To record the maternal and fetal data during labor on a single sheet of paper.This is the main purpose of using a partograph, which is a tool for monitoring maternal and fetal wellbeing during the active phase of labor, and a decision-making aid when abnormalities are detected.
A nurse is assessing a client who has prolonged and obstructed labor.
Which of the following findings is a sign of obstructed labor?
Explanation
is a sign of obstructed labour, which occurs when the baby cannot pass through the birth canal due to a mismatch between the size or position of the baby and the pelvis.
Moulding is the process of overlapping of the skull bones to reduce the diameter of the head and facilitate its passage.However, excessive moulding can indicate that the head is too large or the pelvis is too small for a normal delivery.
A nurse is preparing to perform a vacuum extraction for a client who has prolonged and obstructed labor.
Which of the following criteria must be met before performing this procedure? (Select all that apply).
Explanation
1. The cervix must be fully dilated and effaced.
2. The fetal head must be engaged and well-flexed.
3. The maternal pelvis must be adequate for vaginal delivery.
These are the criteria that must be met before performing a vacuum extraction for a client who has prolonged and obstructed labor.
A nurse is caring for a client who has prolonged and obstructed labor.
The client develops signs of infection, such as fever, tachycardia, and foul-smelling lochia.
Which of the following interventions should the nurse implement?
Explanation
This is because the client has signs of infection, such as fever, tachycardia, and foul-smelling lochia, which can indicate endometritis or sepsis.Antibiotics can help treat the infection and prevent complications.
A nurse is educating a group of pregnant women about the risk factors for prolonged and obstructed labor.
Which of the following factors should the nurse include? (Select all that apply).
Explanation
Fetal presentation other than vertex, such as breech or transverse, and fetal size larger than average, such as macrosomia or hydrocephalus, are risk factors for prolonged and obstructed labor.
These factors can prevent the fetal head from descending into the pelvis or passing through the birth canal.
A nurse is caring for a client who has a history of risk factors for ruptured uterus.
What are some of the risk factors that the nurse should assess? (Select all that apply.).
Explanation
Previous cesarean section.
Uterine fibroids.
Multiparity.
Induced labor.
These are some of the risk factors that can weaken the uterine wall and increase the risk of rupture during labor or delivery.
A nurse is performing a physical examination of a mother and the fetus who are suspected to have a ruptured uterus.
What are some of the signs and symptoms that the nurse should look for? (Select all that apply.).
Explanation
A ruptured uterus is a serious complication where the uterus tears or breaks open, usually along the scar line of a previous cesarean delivery.
It can cause severe bleeding and fetal distress.Some of the signs and symptoms of a ruptured uterus are:
• Abdominal pain, tenderness, and rigidity: This is caused by the internal bleeding and the loss of uterine muscle tone.
• Vaginal bleeding and signs of shock: This is due to the hemorrhage from the rupture site and the hypovolemia (low blood volume) in the mother.
• Absent or decreased fetal movements: This is because the fetus may slip into the mother’s abdomen or lose oxygen due to the rupture.
A nurse is reviewing the laboratory tests of a client who has a ruptured uterus.
What are some of the tests that the nurse should expect to be ordered for this client?
Explanation
A client who has a ruptured uterus is at risk of severe hemorrhage and shock, so the following tests are necessary to assess the blood loss and prepare for possible transfusion:
• A complete blood count (CBC) can show the level of hemoglobin, hematocrit, red blood cells, white blood cells, and platelets.
A low hemoglobin and hematocrit indicates anemia due to blood loss.
A high white blood cell count indicates infection or inflammation.
A low platelet count indicates impaired clotting ability.
• A blood type and cross-match can determine the client’s blood group and Rh factor, and identify compatible blood units for transfusion if needed.
• A coagulation profile can measure the time it takes for the blood to clot and the activity of clotting factors.
A prolonged prothrombin time (PT), activated partial thromboplastin time (aPTT), or international normalized ratio (INR) indicates a bleeding disorder or anticoagulant use.
A low fibrinogen level indicates excessive bleeding or consumption of clotting factors.
A nurse is preparing a client who has a ruptured uterus for an emergency cesarean section.
What are some of the indications for this procedure?
Explanation
All of the above are indications for an emergency cesarean section in case of a ruptured uterus.A ruptured uterus is a serious complication where the uterus tears or breaks open, usually along the scar line of a previous C-section delivery.It can cause severe maternal hemorrhage or shock, fetal distress or demise, and complete uterine rupture or large uterine tear.
Therefore, an emergency cesarean section is needed to deliver the baby and repair the uterus as soon as possible.
A nurse is assisting a client who has an incomplete uterine rupture or small uterine tear with a vacuum extraction delivery.
What are some of the criteria for this procedure?
Explanation
All of the above are criteria for vacuum extraction delivery.Vacuum extraction is a method of assisted vaginal delivery that can help get the baby out when labor is stalled in the second stage.It involves applying a suction cup to the baby’s head and pulling while the mother pushes.
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