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?
Administer antibiotics as prescribed.
Perform an episiotomy to facilitate delivery.
Increase the frequency of vaginal examinations.
Encourage oral fluids and nutrition.
The Correct Answer is A
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","D"]
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.
Correct Answer is D
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.
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