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5. A primigravida woman at 42 weeks’ gestation received Prepidil (dinoprostone) for induction 12 hours ago. The Bishop score is now 3. Which ofthe following actions by the nurse is appropriate? Perform Nitrazine analysis of the amniotic fluid. a. b. Report the lack of progress to the obstetrician. c. Place the woman on her left side. d. Ask the doctor for an order for oxytocin. ANS: b Feedback a. There is nothing in the scenario that implies that the membranes may haveruptured. b. Little progress has taken place. The Bishop score of a primigravida will needto be 9 or higher before oxytocin will be effective. c. There is nothing in the scenario that implies that the patient needs to beplaced on her side. d. The Bishop score of a primigravida will need to be 9 or higher beforeoxytocin will be effective. 6. The nurse is assisting a physician in the delivery of a baby via vacuum extraction. Which of the following nursing diagnoses for the gravida is appropriate at this time? a. Risk for injury b. Colonic constipation c. Risk for impaired parenting d. Ineffective individual coping ANS: a Feedback a. There is a risk for injury. For example, the patient could suffer a cervical,vaginal, or perineal laceration. Maternal-Newbom Nursing: The Crtical Components Of Nursing Care, 3rd Edition, Roberta Durham, Linda Chapman b. A diagnosis of colonic constipation is unrelated to the fact that the baby wasdelivered by forceps. c. There is nothing in the scenario that implies that the patient is at risk forimpaired parenting. d. There is nothing in the scenario that implies that the patient is ineffective individual coping. 7. Four women are close to delivery on the labor and delivery unit. The nurseknows to be vigilant to the signs of neonatal respiratory distress in which delivery? a 42-week-gestation pregnancy complicated by intrauterine growth restriction b. 41-week-gestation pregnancy with biophysical profile score of 10 thatmorning c. 40-week-gestation pregnancy with estimated fetal weight of 3200 grams d. 39-week-gestation pregnancy complicated by maternal cholecystitisANS: a Feedback a. A post-term baby with intrauterine growth restriction (IUGR) is high risk formeconium aspiration syndrome, cold stress syndrome, hypoglycemia, and acidosis. In each case, the baby may exhibit signs of respiratory distress. b. A biophysical profile (BPP) of 10 is a normal finding. c. The normal birth weight is between 2500 and 4000 grams. d. Maternal gallbladder disease does not place the baby in danger of developing respiratory distress. 8. You are caring for a primiparous woman admitted to labor and delivery forinduction of labor at 42 weeks’ gestation. She asks you to explain the factorsthat contribute to prolonged @ O 2