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. Flumazenil: Flumazenil is an antidote for benzodiazepine overdose, not for magnesium toxicity.
B. Calcium gluconate. Calcium gluconate is the antidote for magnesium sulfate toxicity and should be administered when signs of toxicity, such as respiratory depression, occur.
C. Naloxone: Naloxone is an antidote for opioid overdose, not magnesium toxicity.
D. Protamine sulfate: Protamine sulfate is the antidote for heparin overdose, not magnesium toxicity.
Correct Answer is A
Explanation
A. An episiotomy is an incision that is made by the provider to facilitate delivery of the fetus. An episiotomy is a surgical incision made in the perineum to enlarge the vaginal opening for delivery and reduce the risk of severe perineal tearing.
B. An episiotomy is a perineal tear that is created while pushing during labor. An episiotomy is an intentional incision, while a perineal tear is an unplanned, spontaneous laceration that occurs during pushing.
C. A mediolateral episiotomy is easier to repair than a median episiotomy. A median episiotomy is typically easier to repair and has less associated pain than a mediolateral incision, which is made at an angle.
D. A fourth-degree episiotomy is always needed. A fourth-degree episiotomy, which extends through the rectal mucosa, is rarely performed and is not always needed. Most episiotomies are less severe.
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