30 Questions
What is the most common cause of infection after childbirth?
Escherichia coli
Which of the following is NOT a danger sign of infection after childbirth?
Increased uterine contractions
What is the purpose of oral methylergonovine maleate (Methergine) after childbirth?
To aid uterine contraction
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
What is the correct technique for wiping the perineal area after voiding or defecation?
Wipe from front to back
Which of the following is NOT a complication of infection after childbirth?
Postpartum depression
What is the primary risk to the fetus during rapid labor?
Subdural hemorrhage
What is the most common reason for inducing labor before the natural onset of labor?
Pre-eclampsia
Which of the following conditions must be present before induction of labor is begun?
There is CPD (cephalopelvic disproportion)
What is the first step the uterus must complete in early labor?
Cervical ripening
What is the risk to the woman during forceful contractions from rapid labor?
Placental separation
Which of the following is NOT a primary reason for inducing labor?
Maternal fever
What is the main characteristic of hypertonic contractions?
The muscle fibers of the myometrium do not repolarize or relax after a contraction
What is a potential danger of hypertonic contractions?
They may not allow optimal uterine artery filling, leading to fetal anoxia
What is the first step in managing a woman with placental separation?
Insert a large-gauge intravenous catheter for fluid replacement
How do hypertonic contractions differ from hypotonic contractions?
Hypertonic contractions are more painful than hypotonic contractions
How should the maternal vital signs be monitored?
Every 5 to 15 minutes
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
What is the recommended position for a woman with placental separation?
Lateral position
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
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
What should be avoided in a woman with diagnosed or suspected placental separation?
Performing abdominal, vaginal, or pelvic examinations
What is the recommended method of delivery in cases of severe placental separation?
Cesarean delivery
What intervention may be necessary in cases of severe placental separation with disseminated intravascular coagulation (DIC)?
Hysterectomy
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
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
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
What is the purpose of determining the infant's blood type after birth?
To determine if the mother needs to receive RhIG
What is the purpose of intrauterine transfusion for the fetus?
To restore fetal red blood cells
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
Learn about the proper procedures and precautions for inserting a large-gauge intravenous catheter in pregnant women experiencing complications. Understand the importance of monitoring fetal heart sounds, recording maternal vital signs, and maintaining the woman in a lateral position to prevent further harm.
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