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PN 108 PREPU CHAPTER 11 EXAM QUESTIONS AND VERIFIED ANSWERS
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PN 108 PREPU CHAPTER 11 EXAM QUESTIONS AND VERIFIED ANSWERS...
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An elective induction is when the birth attendant and the pregnantwoman agree to the induction of labour without medical indications.
What should the birth attendant explain to the woman before she can
give informed consent to induce her labour? - ANSWER Induced labour
can result in higher costs for the delivery
Mrs. Atkins is 40 weeks pregnant by ultrasound, and the induction of
labour is being discussed by Mrs. Atkins and her birth attendant. The
birth attendant tells Mrs. Atkins, "I am going to do a pelvic exam so that I
can assess your readiness for labour. I will obtain what is known as a
Bishop Score, and it will tell me how ready you are to go into labour."
What Bishop Score would indicate a favorable response to oxytocin-
induced labour? - ANSWER 8 or above
It was once thought that an episiotomy made the birth less painful and
healed faster than a spontaneous laceration of the perineum. Research
has not shown these assumptions to be true. What is another finding in
the research on episiotomies? - ANSWER Increases risk of blood loss
immediately after delivery
A cesarean delivery is a major surgery and carries with it many risks for
complications. The most common complication is infection. At what site
is the infection likely to occur? - ANSWER Uterus
On the second day postpartum following a cesarean birth, at which of
the following locations would you expect to palpate the woman's fundus?
- ANSWER Two fingers below the umbilicus
A woman asks you if she will have any difficulty breastfeeding following
a cesarean birth. Which of the following would be your best response? -
ANSWER You will help her find a comfortable position for breastfeeding
her infant.
While caring for a woman who underwent a primary cesarean section for
a breech presentation, she states this baby seems to have so much
, more mucus than her first baby. Concerned, she asks why this has
happened. How should the nurse respond? - ANSWER "Babies born
by cesarean section have more respiratory complications because they
do not have the benefit of having the mucus in their lungs removed by
the pressure experienced in the birth canal."
A nurse assisting in a cesarean birth should essentially demonstrate
which of the following understanding of which of the following? -
ANSWER Skill in either a scrubbing or circulating role
A 35-year-old P1001 has been admitted for a scheduled repeat
cesarean. As the nurse prepares the patient for surgery, what is the best
way to begin preoperative teaching? Choose the best response. -
ANSWER Assess how much the woman already knows about
cesarean.
How should the nurse counsel a patient who has arrived for a scheduled
repeat cesarean? - ANSWER "An IV catheter will be placed, and we
will do some preoperative blood work. Then we will give you some
antibiotics."
A 24-year-old primigravida has been labouring longer than 24 hours.
She has entered the second stage of labour, and the baby is at +2
station. The fetal heart rate has been 90 bpm for the last 2 minutes. The
physician applies a Kiwi vacuum; after 3 attempts (pop-offs), the baby is
not delivered, and the fetal heart rate is still 90 bpm. What should the
nurse do next? Choose the best answer. - ANSWER Prepare for an
emergency cesarean delivery
A nursing student is asking the instructor how to assess whether a cervix
is ready and favorable for labour induction. The nurse informs the
student that a score is used known as which of the following? -
ANSWER Bishop score
A nursing student correctly identifies which of the following as the most
important predictor of fetal maturity: - ANSWER Fetal lung maturity
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