Intravenous Catheter Insertion in Pregnancy Complications

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What is the most common cause of infection after childbirth?

Escherichia coli (correct)
Streptococcus pneumoniae
Klebsiella pneumoniae
Staphylococcus aureus

Which of the following is NOT a danger sign of infection after childbirth?

Foul vaginal discharge
Fever
Abdominal pain or tenderness
Increased uterine contractions (correct)

What is the purpose of oral methylergonovine maleate (Methergine) after childbirth?

To prevent infection
To increase blood flow
To aid uterine contraction (correct)
To relieve pain

What is the nursing responsibility regarding the use of tampons after childbirth?

Caution the woman not to use tampons because they increase the risk of infection (B) Signup and view all the answers

What is the correct technique for wiping the perineal area after voiding or defecation?

Wipe from front to back (C) Signup and view all the answers

Which of the following is NOT a complication of infection after childbirth?

Postpartum depression (A) Signup and view all the answers

What is the primary risk to the fetus during rapid labor?

Subdural hemorrhage (D) Signup and view all the answers

What is the most common reason for inducing labor before the natural onset of labor?

Pre-eclampsia (A) Signup and view all the answers

Which of the following conditions must be present before induction of labor is begun?

There is CPD (cephalopelvic disproportion) (C) Signup and view all the answers

What is the first step the uterus must complete in early labor?

Cervical ripening (B) Signup and view all the answers

What is the risk to the woman during forceful contractions from rapid labor?

Placental separation (B) Signup and view all the answers

Which of the following is NOT a primary reason for inducing labor?

Maternal fever (B) Signup and view all the answers

What is the main characteristic of hypertonic contractions?

The muscle fibers of the myometrium do not repolarize or relax after a contraction (D) Signup and view all the answers

What is a potential danger of hypertonic contractions?

They may not allow optimal uterine artery filling, leading to fetal anoxia (D) Signup and view all the answers

What is the first step in managing a woman with placental separation?

Insert a large-gauge intravenous catheter for fluid replacement (C) Signup and view all the answers

How do hypertonic contractions differ from hypotonic contractions?

Hypertonic contractions are more painful than hypotonic contractions (A) Signup and view all the answers

How should the maternal vital signs be monitored?

Every 5 to 15 minutes (D) Signup and view all the answers

What is the purpose of applying a uterine and fetal external monitor for at least 15 minutes if a woman's pain seems out of proportion to the quality of her contractions?

To ensure that the resting phase of the contractions is adequate and that the fetal pattern is not showing late deceleration (A) Signup and view all the answers

What is the recommended position for a woman with placental separation?

Lateral position (C) Signup and view all the answers

What is the potential consequence of hypertonic contractions if they lead to fetal heart rate deceleration or an abnormally long first stage of labor?

Cesarean birth may be necessary (D) Signup and view all the answers

Why may a woman become frustrated or disappointed with her breathing exercises for childbirth when experiencing hypertonic contractions?

Breathing exercises are not effective in managing the pain of hypertonic contractions (A) Signup and view all the answers

What should be avoided in a woman with diagnosed or suspected placental separation?

Performing abdominal, vaginal, or pelvic examinations (C) Signup and view all the answers

What is the recommended method of delivery in cases of severe placental separation?

Cesarean delivery (B) Signup and view all the answers

What intervention may be necessary in cases of severe placental separation with disseminated intravascular coagulation (DIC)?

Hysterectomy (D) Signup and view all the answers

What is the purpose of administering Rh (D) immune globulin (RhIG) to Rh-negative pregnant women?

To prevent the formation of natural Rh antibodies in the mother (B) Signup and view all the answers

Why is RhIG administered again to the mother within 72 hours after birth of an Rh-positive child?

To further prevent the formation of natural antibodies (B) Signup and view all the answers

What happens to the passive antibodies provided by RhIG after a few weeks or months?

They are destroyed, leaving only the natural antibodies formed during pregnancy (C) Signup and view all the answers

What is the purpose of determining the infant's blood type after birth?

To determine if the mother needs to receive RhIG (B) Signup and view all the answers

What is the purpose of intrauterine transfusion for the fetus?

To restore fetal red blood cells (C) Signup and view all the answers

If the newborn's blood type is Rh-negative, what action is taken regarding RhIG administration to the mother?

The mother does not receive RhIG as no antibodies have formed (B) Signup and view all the answers