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 B
Explanation
Choice A rationale
Occasional accelerations in fetal heart rate are generally reassuring, indicating fetal well-being and a positive response to movement or contractions.
Choice B rationale
Minimal or absent baseline variability is concerning because it can signal fetal hypoxia or central nervous system depression, indicating potential compromise in fetal oxygenation and well-being.
Choice C rationale
Early decelerations typically coincide with contractions and are often benign, resulting from fetal head compression that momentarily decreases heart rate but does not indicate distress.
Choice D rationale
A fetal heart baseline of 160 beats per minute is within the normal range (110-160 bpm), signifying an adequate fetal heart rate and not indicating immediate concern for the nurse.
Correct Answer is B
Explanation
Choice A rationale
While protein is essential, it is not primarily responsible for preventing anemia. Iron and folic acid play significant roles in preventing anemia by supporting red blood cell production.
Choice B rationale
Protein is crucial for fetal growth and development. It provides essential amino acids necessary for the synthesis of fetal tissues and organs, ensuring proper growth during pregnancy.
Choice C rationale
Protein intake alone does not prevent gestational diabetes. Carbohydrate metabolism and hormonal regulation are more directly related to the development and management of gestational diabetes.
Choice D rationale
Protein intake during pregnancy does not affect the development of strong teeth post-birth. Dental health is influenced by calcium, phosphorus, and other vitamins, not directly by protein consumption during pregnancy.
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