A nurse is teaching a group of pregnant women about the risk factors for prolonged and obstructed labor.
Which of the following statements by one of the women indicates a need for further teaching?
“I should avoid gaining too much weight during pregnancy.”
“I should take vitamin D supplements to prevent rickets.”
“I should deliver my baby before I turn 35 years old.”
“I should drink plenty of fluids to prevent polyhydramnios.”
The Correct Answer is D
This statement indicates a need for further teaching because drinking fluids does not prevent polyhydramnios, which is a condition of having too much amniotic fluid around the baby. In fact, drinking too much fluid may worsen the condition by increasing the blood volume and urine output of the mother.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A ruptured uterus can be prevented by avoiding induction or augmentation of labor.This is because induction or augmentation of labor can increase the pressure and stress on the uterine wall, especially if there is a previous C-section scar, and cause it to tear open.
The normal range for uterine rupture is less than 1 percent of pregnant women.It affects about 1 in 300 deliveries for women who have had one C-section delivery, and up to 9 in 300 deliveries for women who have had more than one C-section delivery.
Correct Answer is B
Explanation
Uterine tachysystole is a condition where the uterus contracts too frequently and intensely, which can reduce blood flow and oxygen to the fetus and increase the risk of uterine rupture, especially in women who have had previous uterine surgery.Oxytocin is a hormone that stimulates uterine contractions and can cause or worsen uterine tachysystole.Therefore, if oxytocin is being used to augment labor, it should be discontinued immediately to prevent further complications.
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