Intravenous Catheter Insertion in Pregnancy Complications
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Questions and Answers

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?

    <p>Caution the woman not to use tampons because they increase the risk of infection</p> Signup and view all the answers

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

    <p>Wipe from front to back</p> Signup and view all the answers

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

    <p>Postpartum depression</p> Signup and view all the answers

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

    <p>Subdural hemorrhage</p> Signup and view all the answers

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

    <p>Pre-eclampsia</p> Signup and view all the answers

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

    <p>There is CPD (cephalopelvic disproportion)</p> Signup and view all the answers

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

    <p>Cervical ripening</p> Signup and view all the answers

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

    <p>Placental separation</p> Signup and view all the answers

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

    <p>Maternal fever</p> Signup and view all the answers

    What is the main characteristic of hypertonic contractions?

    <p>The muscle fibers of the myometrium do not repolarize or relax after a contraction</p> Signup and view all the answers

    What is a potential danger of hypertonic contractions?

    <p>They may not allow optimal uterine artery filling, leading to fetal anoxia</p> Signup and view all the answers

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

    <p>Insert a large-gauge intravenous catheter for fluid replacement</p> Signup and view all the answers

    How do hypertonic contractions differ from hypotonic contractions?

    <p>Hypertonic contractions are more painful than hypotonic contractions</p> Signup and view all the answers

    How should the maternal vital signs be monitored?

    <p>Every 5 to 15 minutes</p> 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?

    <p>To ensure that the resting phase of the contractions is adequate and that the fetal pattern is not showing late deceleration</p> Signup and view all the answers

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

    <p>Lateral position</p> 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?

    <p>Cesarean birth may be necessary</p> Signup and view all the answers

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

    <p>Breathing exercises are not effective in managing the pain of hypertonic contractions</p> Signup and view all the answers

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

    <p>Performing abdominal, vaginal, or pelvic examinations</p> Signup and view all the answers

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

    <p>Cesarean delivery</p> Signup and view all the answers

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

    <p>Hysterectomy</p> Signup and view all the answers

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

    <p>To prevent the formation of natural Rh antibodies in the mother</p> Signup and view all the answers

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

    <p>To further prevent the formation of natural antibodies</p> Signup and view all the answers

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

    <p>They are destroyed, leaving only the natural antibodies formed during pregnancy</p> Signup and view all the answers

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

    <p>To determine if the mother needs to receive RhIG</p> Signup and view all the answers

    What is the purpose of intrauterine transfusion for the fetus?

    <p>To restore fetal red blood cells</p> 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?

    <p>The mother does not receive RhIG as no antibodies have formed</p> Signup and view all the answers

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