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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A rationale
Limited perception of bladder fullness can occur with epidural anesthesia, but it is not the most common or harmful complication. Patients should be monitored for urinary retention.
Choice B rationale
Severe afterbirth headache, or post-dural puncture headache, can result from epidural complications, but it is less common than hypotension.
Choice C rationale
Hypotension is the most common and potentially harmful complication of epidural anesthesia. It occurs due to sympathetic nerve blockade, leading to vasodilation and decreased cardiac output. Normal blood pressure ranges: systolic 90-120 mmHg, diastolic 60-80 mmHg.
Choice D rationale
Increased respiratory rate is not a common complication of epidural anesthesia. It is more likely related to anxiety or other factors and should be monitored accordingly.

A. The placenta is able to keep out most potentially harmful substances. B. As one of its early functions, the placenta acts as an endocrine gland. C. As the placenta widens, it gradually thins to allow easier passage of air and nutrients. D. Optimal blood circulation is achieved through the placenta during pregnancy.

Correct Answer is B

Explanation

Choice A rationale
Although the placenta acts as a partial barrier, it does not keep out all harmful substances, allowing some to cross and affect fetal development.
Choice B rationale
One of the placenta's early functions is producing hormones like human chorionic gonadotropin (hCG), estrogen, and progesterone, making it act as an endocrine gland.
Choice C rationale
The placenta does not thin out; it remains robust and increases in thickness to support the growing fetus and facilitate nutrient and gas exchange.
Choice D rationale
While optimal blood circulation through the placenta is crucial, this statement lacks detail on the specific structural and functional aspects of the placenta.

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When planning the care for a laboring woman whose membranes have ruptured, the nurse recognizes that the woman’s risk for has increased.

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Naxlex Comprehensive Predictor Exams

The nurse should realize that the most common and potentially harmful maternal complication of epidural anesthesia is:

Correct Answer is C

Explanation

As relates to the structure and function of the placenta, the nurse should be aware that.

Correct Answer is B

Explanation

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