Exam 16: Intrapartum Complications

Which patient is most at risk for a uterine rupture?

A dose of dexamethasone 12 mg was administered to a patient in preterm labor at 0830 hours on March 12. The nurse knows that the next dose must be scheduled for

A patient is diagnosed with anaphylactoid syndrome of pregnancy. Which therapeutic intervention does the nurse expect will be included in the plan of care?

A labor patient has been diagnosed with cephalopelvic disproportion (CPD) following attempts at pushing for 2 hours with no progress. Based on this information, which birth method is most appropriate?

Emergency measures used in the treatment of a prolapsed cord include which of the following? (Select all that apply.)

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

Which nursing action should be initiated first when there is evidence of prolapsed cord?

Which is the priority nursing assessment for the patient undergoing tocolytic therapy with terbutaline (Brethine)?

The fetus in a breech presentation is often born by cesarean birth because

Which factor should alert the nurse to the potential for a prolapsed umbilical cord?

Which finding would be indicative of an adverse response to terbutaline (Brethine)?

During the course of the birth process, the physician suspects that a shoulder dystocia is occurring and asks the nurse for assistance. Which priority action should be taken in response to this request?

The labor nurse is providing care to a multigravida with moderate to strong contractions every 2 to 3 minutes, duration 45 to 60 seconds. On admission, her cervical assessment was 5 cm, 80%, and +2. An epidural was administered shortly thereafter. Two hours after admission, her contraction pattern remains the same and her cervical assessment is 5 cm, 90%, and +2. What is the nurse's next action?

Which assessment finding in the postpartum patient following a uterine inversion indicates normovolemia?

Which technique is least effective for the patient with persistent occiput posterior position?

Which presentation is least likely to occur with a hypotonic labor pattern?

When reviewing the prenatal record of a patient at 42 weeks' gestation, the nurse recognizes that induction of labor is based upon which indication

A pregnant patient with premature rupture of membranes is at higher risk for postpartum infection. Which assessment data indicates a potential infection?

Which presentation is most likely to occur with a hypertonic labor pattern? (Select all that apply.)

Which patient situation presents the greatest risk for the occurrence of hypotonic dysfunction during labor?