When planning the care for a laboring woman whose membranes have ruptured, the nurse recognizes that the woman’s risk for has increased.
Paceritation.
Shoulder dystocia.
Infection.
Meconium aspiration.
The Correct Answer is C
Choice A rationale
Paceritation is a term not commonly recognized in obstetrics. It lacks clinical relevance and does not correlate with increased risk during labor when membranes rupture.
Choice B rationale
Shoulder dystocia occurs during delivery when the baby's shoulder gets stuck after the head is delivered. It is unrelated to ruptured membranes and does not increase the associated risk.
Choice C rationale
Infection risk increases significantly after membranes rupture due to potential bacterial entry into the uterine cavity. Normal WBC count is 4,000-11,000 cells/mcL.
Choice D rationale
Meconium aspiration occurs when the newborn inhales meconium-stained amniotic fluid, typically in post-term pregnancies or fetal distress. It is not directly linked to ruptured membranes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Metal detectors at airport security checkpoints are considered safe and do not pose any risk of harm to the fetus.
Choice B rationale
Seat belts and shoulder restraints should always be used as they provide essential protection for both the mother and the fetus during travel.
Choice C rationale
Pregnant women are advised to walk around every hour during long periods of sitting to improve circulation and prevent blood clots, enhancing fetal health.
Choice D rationale
Prolonged sitting and crossing legs can impede circulation and increase the risk of venous thromboembolism, making it essential to avoid such practices.
Correct Answer is B
Explanation
Choice A rationale
Administering a Rhogam injection is not indicated because the patient is Rh-positive (blood type B) and Rhogam is for Rh-negative individuals to prevent sensitization.
Choice B rationale
Teaching about iron-rich foods is appropriate, given her hemoglobin level of 10.5 gm/dL and hematocrit of 32%, indicating mild anemia; iron-rich foods help increase hemoglobin.
Choice C rationale
Starting PO antibiotics for GBS is unnecessary at this stage; antibiotics are administered during labor to prevent neonatal infection, not during prenatal care.
Choice D rationale
Avoiding exposure to rubella is important, but there is no indication in her current prenatal labs that she needs immediate teaching about this infection.
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