The nurse is preparing to assist the nurse midwife with an amnioinfusion. The patient asks, "Why do I need this?" The best response by the nurse is:
"We need to decrease the fluid in your uterus."
The decreased fluid in the uterus is causing the baby to lie on the umbilical cord."
"You need extra amniotic fluid to prevent a dry birth."
This will replace fluid in your uterus to prevent an infection."
The Correct Answer is B
A. "We need to decrease the fluid in your uterus." An amnioinfusion adds sterile fluid to the uterus, not decreases it.
B. "The decreased fluid in the uterus is causing the baby to lie on the umbilical cord." Amnioinfusion is commonly performed when oligohydramnios (low amniotic fluid) is present, and it helps relieve pressure on the umbilical cord, which can result in fetal distress.
C. "You need extra amniotic fluid to prevent a dry birth." A "dry birth" is not a recognized medical term or condition related to amnioinfusion.
D. "This will replace fluid in your uterus to prevent an infection." Amnioinfusion is not used to prevent infection. Its purpose is typically to relieve umbilical cord compression or dilute meconium in the amniotic fluid.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "This is a cephalhematoma, which will resolve on its own in 3 to 5 days." A cephalhematoma is a collection of blood between the skull bone and periosteum, and it does not cross suture lines. Caput succedaneum, on the other hand, does cross suture lines.
B. "This is a caput succedaneum, which is a collection of fluid from pressure of the vacuum extractor." Caput succedaneum is swelling of the soft tissues of the scalp caused by pressure during birth, especially with vacuum extraction, and it crosses suture lines.
C. "This is erythema toxicum, which is a transient allergic reaction that causes edema in the skin." Erythema toxicum is a common newborn rash, but it does not cause swelling on the head or cross suture lines.
D. "This is a Mongolian spot, which is found on many newborns." Mongolian spots are bluish-gray marks usually found on the lower back or buttocks, not on the head, and they are not related to vacuum extraction or swelling.
Correct Answer is A
Explanation
A. Place the client in a lateral position. Hypotension is a common side effect of epidural anesthesia. Positioning the client laterally helps improve venous return and cardiac output, which can help raise blood pressure.
B. Elevate the legs. Elevating the legs can help improve circulation, but it is not the first action. The priority is to position the client laterally to improve venous return.
C. Notify the provider. While the provider should be notified, the first action is to take immediate corrective measures to address hypotension.
D. Increase IV fluid rate. Increasing IV fluids helps combat hypotension, but it is secondary to positioning the client laterally to improve blood flow.
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