A nurse is caring for a laboring client who has weak and infrequent uterine contractions. To improve the effectiveness of labor, the nurse expects the provider to order administration of ___________, a medication that stimulates stronger uterine contractions.
The Correct Answer is ["Oxytocin"]
Oxytocin is a uterotonic hormone commonly administered intravenously to stimulate uterine contractions and enhance labor progress. It increases the frequency, duration, and intensity of contractions, helping to correct hypotonic or weak labor patterns. Careful titration and continuous fetal and maternal monitoring are essential to prevent hyperstimulation, fetal distress, or uterine rupture.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Platypelloid pelvis: This pelvic type is characterized by a flattened inlet with a short anteroposterior diameter and a wide transverse diameter. These dimensions often lead to difficulty with fetal engagement and descent, increasing the likelihood of labor dystocia and the need for operative intervention.
B. Gynecoid pelvis: The gynecoid pelvis has a rounded inlet, wide cavity, and evenly proportioned diameters, allowing the fetal head to engage and rotate efficiently. It supports smooth labor progress, especially in a left occiput anterior position, which aligns well with this pelvic shape for spontaneous vaginal delivery.
C. Anthropoid pelvis: This pelvis is elongated anteroposteriorly and narrower transversely, predisposing the fetus to enter the pelvis in an occiput posterior position. Although vaginal birth can occur, it may be accompanied by prolonged labor or back pain due to fetal malrotation.
D. Android pelvis: The android pelvis resembles a male pelvis, with a heart-shaped inlet and narrow dimensions. These features can lead to poor fetal head engagement, deep transverse arrest, and increased need for cesarean or assisted delivery due to ineffective fetal descent.
Correct Answer is ["A","B","D","E"]
Explanation
A. Voluntary bearing down efforts: The strength, timing, and coordination of the mother's pushing efforts significantly affect fetal descent and the progress of the second stage of labor. Ineffective bearing down can delay birth, while effective efforts promote smoother fetal expulsion.
B. The shape of the woman's bony pelvis: Pelvic shape and dimensions determine how easily the fetal head can pass through the birth canal. A gynecoid pelvis is most favorable, whereas android or platypelloid types can impede progress and increase labor complications.
C. Antibiotic administration for a GBS + patient: While antibiotics are essential for preventing neonatal infection, they do not influence the physical mechanics or progression of labor. Their purpose is prophylactic rather than to affect the labor process itself.
D. Size of the fetal head: A large fetal head relative to the maternal pelvis can lead to cephalopelvic disproportion, slowing or arresting labor progress. Optimal fit between fetal head size and pelvic dimensions promotes efficient descent and delivery.
E. Presentation of the fetus: The way the fetus enters the pelvis—whether cephalic, breech, or face presentation—directly affects labor progression. Cephalic presentation, especially occiput anterior, allows for smoother navigation through the pelvis.
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