Once your client's amniotic membranes have ruptured you need to evaluate the amniotic fluid for the following. (please select all that apply)
(Select All that Apply.)
None of the above
Location
Amount
Odor
Correct Answer : C,D,E
A. None of the above: The evaluation of amniotic fluid is critical for assessing the health of the fetus and potential complications.
B. Location: The location of rupture is not a necessary part of the evaluation. The priority is assessing the fluid characteristics.
C. Amount: The amount of amniotic fluid can indicate whether there is oligohydramnios (low fluid) or polyhydramnios (excess fluid), which can affect labor and fetal health.
D. Odor: The odor of the amniotic fluid can suggest infection if it is foul-smelling, such as with chorioamnionitis.
E. Color: The color of amniotic fluid should be clear. If it is green or yellow, this can indicate the presence of meconium, which may cause complications during delivery.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Weakened uterine contractions: Terbutaline is a tocolytic medication used to relax the uterus and reduce or stop preterm uterine contractions.
B. Maternal glucose 63 mg/dL: Terbutaline can cause hyperglycemia, not hypoglycemia. Therefore, a glucose level of 63 mg/dL would not be an expected finding.
C. Enhanced fetal lung surfactant: Betamethasone, not terbutaline, is used to enhance fetal lung maturity by increasing surfactant production.
D. Fetal heart rate 100/min:Terbutaline can cause tachycardia, so a fetal heart rate of 100/min (bradycardia) would be unexpected.
Correct Answer is B
Explanation
A. Contraction lasting 85 seconds. While contractions longer than 90 seconds should be reported due to the risk of uterine hyperstimulation, an 85-second contraction is within normal limits.
B. Fetal heart rate 100/min for a 10-min period. A fetal heart rate of 100/min indicates bradycardia, which can signify fetal distress. Fetal bradycardia (below 110 beats per minute) lasting more than 10 minutes is an emergency.
C. Contraction resting period 35 seconds. A 35-second resting period between contractions is short but not abnormal enough to require immediate reporting unless accompanied by signs of fetal distress.
D. Four contractions in a 10-min period. Four contractions in 10 minutes is normal during active labor, where uterine activity is expected to increase.
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