Intrauterine resuscitation for an evolving category II or category III tracing includes (Select all that apply):

Go to break

Apply 100% non-rebreather mask

Give an IV fluid bolus

Reposition the mother

Increase the oxytocin drip

Decrease or stop the oxytocin

Answer and Explanation

Correct Answer : B,C,D,F

Choice A: Go to break is not an appropriate action, as it can delay the necessary interventions and compromise the fetal well-beinG. The nurse should stay with the mother and monitor the fetal heart rate and the uterine activity continuously.

Choice B: Apply 100% non-rebreather mask is an appropriate action, as it can increase the maternal oxygenation and improve the fetal oxygen delivery. The nurse should place a mask with a reservoir bag over the mother's nose and mouth and adjust the flow rate to 10 to 15 L/min.

Choice C: Give an IV fluid bolus is an appropriate action, as it can increase the maternal blood volume and improve the uterine perfusion. The nurse should administer 500 to 1000 mL of isotonic crystalloid solution rapidly through a large-bore IV catheter.

Choice D: Reposition the mother is an appropriate action, as it can relieve the uterine or cord compression and improve the fetal circulation. The nurse should turn the mother to the left or right lateral position or place her in a knee-chest position.

Choice E: Increase the oxytocin drip is not an appropriate action, as it can increase the uterine contractions and reduce the uterine relaxation and blood flow. The nurse should decrease or stop the oxytocin infusion if it is causing tachysystole or hyperstimulation.

Choice F: Decrease or stop the oxytocin is an appropriate action, as it can decrease the uterine contractions and increase the uterine relaxation and blood flow. The nurse should decrease or stop the oxytocin infusion if it is causing tachysystole or hyperstimulation.

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Correct Answer is ["C","D"]

Explanation

Choice A: Applying lotion to the newborn's skin twice per day is not an appropriate action, as it can interfere with the effectiveness of phototherapy and increase the risk of skin irritation and infection. The nurse should avoid using any creams, oils, or lotions on the newborn's skin during phototherapy.

Choice B: Maintaining the newborn in a prone position is not an appropriate action, as it can increase the risk of suffocation and aspiration. The nurse should position the newborn on the back or the side and rotate the position every 2 to 4 hours to expose different areas of the skin to the light.

Choice C: Encouraging the newborn to breastfeed every 2 hours is an appropriate action, as it helps prevent dehydration and maintain adequate nutrition and hydration. The nurse should also monitor the newborn's weight, intake, and output and supplement with formula or intravenous fluids if needeD.

Choice D: Monitoring the newborn's blood glucose level hourly is an appropriate action, as it helps detect and treat hypoglycemia, which can occur due to increased metabolic rate and decreased caloric intakE. The nurse should also monitor the newborn's bilirubin level, hematocrit, and electrolytes and report any abnormal findings.

A. Administer phytonadione IM and erythromycin in both eyes B. Document the Apgar score. C. Apply identification bands. D. Dry and stimulate the newborn: position and open the airway, clear secretions if necessary

Correct Answer is D

Explanation

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Intrauterine resuscitation for an evolving category II or category III tracing includes (Select all that apply):

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is updating the plan of care for a newborn who is undergoing phototherapy. Which of the following actions should the nurse include in the plan? (Select all that apply):

Correct Answer is ["C","D"]

Explanation

A nurse is caring for a newborn immediately following delivery. Which of the following actions should be the nurse's priority in the resuscitation of this neonate?

Correct Answer is D

Explanation

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