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 D
Explanation
Fetal position is typically determined by the relationship of the fetal presenting part (usually the back of the head, or occiput) to the maternal pelvis. The baby's head is presenting, and the occiput (the small, diamond-shaped posterior fontanelle) is pointed toward the front. The occiput is pointed toward the mother's left side, toward the anterior (front) quadrant of the mother's pelvis. Therefore, the position is Left Occiput Anterior (LOA)
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.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.