Safe Maternity Pediatric Nursing By Care Palmer Coats
Safe Maternity Pediatric Nursing By Care Palmer Coats
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Chapter 12: Birth-Related Procedures
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. Which patient does the nurse recognize as not an appropriate candidate for amniotomy?
| 1) | The woman who is at 41 weeks’ gestation |
| 2) | The woman with a fetus in the breech presentation |
| 3) | The woman with a history of hypertension |
| 4) | The woman with a history of precipitous delivery |
____ 2. Which assessment finding is most important for the nurse to report immediately after the performance of an amniotomy?
| 1) | Temperature of 37.6°C |
| 2) | Clear, odorless amniotic fluid |
| 3) | Abnormal fetal heart rate (FHR) pattern |
| 4) | Leakage of clear fluid from the vagina |
____ 3. Which patient does the nurse recognize as a candidate for an amnioinfusion?
| 1) | The woman who is postterm |
| 2) | The woman with multiple gestations |
| 3) | The woman with oligohydramnios |
| 4) | The woman carrying a fetus with a neural tube defect |
____ 4. After a successful external cephalic version, the patient says, “Oh good! Now I won’t have to worry about having a Cesarean section!” Which teaching should the nurse provide this patient in response to this comment?
| 1) | The fetus can drift back into an abnormal presentation. |
| 2) | There is no reason to worry about having a Cesarean section. |
| 3) | Potential complications following the procedure |
| 4) | Need to drink plenty of fluids for the next 24 hours |
Answer Section
MULTIPLE CHOICE
Chapter number and title: 12: Birth-Related Procedures
Chapter learning objective: Describe the amniotomy procedure and discuss nursing responsibilities.
Chapter page reference: 176
Heading: Amniotomy
Integrated processes: Clinical Problem-Solving Process
Client need: Health Promotion and Maintenance
Cognitive level: Application [Applying]
Concept: Pregnancy
Difficulty: Moderate
| Feedback | |
| 1 | A woman who is past her due date is a candidate for an amniotomy to promote labor. |
| 2 | The fetus in a breech position requires a Cesarean section if it cannot be repositioned; in addition, amniotomy could result in a prolapsed cord, so this patient is not a candidate for an amniotomy. |
| 3 | Hypertension is not a contraindication for amniotomy. |
| 4 | A history of precipitous delivery may make an amniotomy unnecessary, but it is not a contraindication. |
PTS: 1 CON: Pregnancy
Chapter number and title: 12: Birth-Related Procedures
Chapter learning objective: Describe the amniotomy procedure and discuss nursing responsibilities.
Chapter page reference: 176
Heading: Amniotomy
Integrated processes: Clinical Problem-Solving Process
Client need: Health Promotion and Maintenance
Cognitive level: Application [Applying]
Concept: Pregnancy
Difficulty: Moderate
| Feedback | |
| 1 | A slight increase in temperature is expected during labor and does not need to be reported unless it exceeds 38°C. |
| 2 | Clear, odorless amniotic fluid is expected and does not need to be reported. |
| 3 | An abnormal FHR pattern can indicate a compressed umbilical cord and should be reported immediately. |
| 4 | Leakage of clear fluid from the vagina is expected and will continue because amniotic fluid continues to be produced. |
PTS: 1 CON: Pregnancy
Chapter number and title: 12: Birth-Related Procedures
Chapter learning objective: Explain the purpose of an amnioinfusion.
Chapter page reference: 177
Heading: Amnioinfusion
Integrated processes: Clinical Problem-Solving Process
Client need: Health Promotion and Maintenance
Cognitive level: Application [Applying]
Concept: Pregnancy
Difficulty: Moderate
| Feedback | |
| 1 | A woman past her due date is not a candidate for amnioinfusion. |
| 2 | A woman carrying multiple gestations is not a candidate for amnioinfusion and would receive no benefit from the procedure. |
| 3 | The woman with oligohydramnios, or a reduction in amniotic fluid, is the best candidate for an amnioinfusion. |
| 4 | A woman carrying a fetus with a neural tube defect is not a candidate for amnioinfusion, and it is contraindicated for this woman. |
PTS: 1 CON: Pregnancy
Chapter number and title: 12: Birth-Related Procedures
Chapter learning objective: Prepare patient teaching for the patient undergoing an external cephalic version.
Chapter page reference: 177
Heading: External Cephalic Version
Integrated processes: Teaching and Learning
Client need: Health Promotion and Maintenance
Cognitive level: Application [Applying]
Concept: Pregnancy
Difficulty: Moderate
| Feedback | |
| 1 | It is important to explain that while the fetus has been repositioned, it is possible for fetal movement to cause repositioning to the breech position. |
| 2 | This is false reassurance and does not provide the most important information the woman needs. |
| 3 | Although the woman should be taught what to watch for and what to report, this is not the best response to her statement. |
| 4 | There is no need for the woman to increase fluid intake following this procedure. |
PTS: 1 CON: Pregnancy
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