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University of Eldoret *

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6500

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Nursing

Date

Nov 24, 2024

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The perinatal nurse providing care to a laboring woman recognizes a Category Ilfetal heart rate tracing. The most appropriate initial action for uterine resuscitation is to: Select one: a. Assist the laboring woman to change her position b. Decrease the intravenous solution c. Request that the physician/certified nurse-midwife come to the hospital STAT d. Document the fetal heart rate and variability a Category Il tracings are indeterminate and call for increased vigilance. The initial step in intrauterine resuscitation is a change in maternal position. If no improvement is seen in the FHR tracing, other resuscitation measures are indicated such as IV fluid bolus and the use of oxygen. Following resuscitation, document all findings and interventions. Keep obstetric providers aware of nursing actions and results. Which of the following is not true regarding the use of Amnioinfusion as aresuscitative technique? Select one: a. Amnioinfusion has been shown to dilute thick meconium-stained amnioticfluid. b. Amnioinfusion has been shown to resolve variable decelerations due to oligohydramnios. c. Amnioinfusion is the first line of defense against meconium aspiration syndrome (MAS). Amnioinfusion consists of normal saline or lactated Ringer's infused into theuterus. C Amnioinfusion has been used to resolve variable decelerations by relieving umbilical cord compression due to oligohydramnios. Normal saline or lactated Ringer's solution is infused into Maternal-Newbom Nursing: The Critical Components Of Nursing Care, 3rd Edition, Roberta Durham, Linda Chapman the uterus by gravity or pump. Amnioinfusion dilutes thick meconium-stained amniotic fluid but does not appear to reduce the risk of moderate or severe meconium aspiration syndrome (MAS). As the tocodynamometer (Toco) is placed on the laboring patient's abdomen, thenurse explains that this monitoring device provides information on which of thefollowing? Select one: a. Fetal heart rate b. Frequency of contractions c. Intensity of contractions d. Progress of labor B Uterine contractions are measured via a tocodynamometer (Toco) which is an external uterine monitor. The Toco measures the frequency and duration of uterine contractions but cannot measure uterine pressure/intensity. Uterine pressure/intensity can be estimated by palpation during contractions or through the use of an internal monitor such as an intrauterine pressure catheter (IUPC).
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