Chapter 23.docx

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Chapter 23 The nurse is scheduling a patient for an external cephalic version (ECV). Which finding in the patient’s chart requires immediate intervention? 3. “Multip, 32 weeks, complete breech.” Rationale 3: ECV is not attempted until 36 weeks. This patient is too early in her pregnancy for ECV. 2. The clinical nurse coordinator is meeting with a group of nursing students in post conference to teach about caring for women who undergo artificial rupture of membranes (AROM) by way of amniotomy. Which nursing student’s statement indicates that the teaching has been effective? 1. “For women who undergo artificial rupture of membranes, vaginal examinations should be limited.” Rationale 1: Following artificial rupture of membranes (AROM), because there is now an open pathway for organisms to ascend into the uterus, the number of vaginal exams must be kept to a minimum to reduce the chance of introducing an infection. 3. Induction of labor is planned for a 31-year-old primip due to insulin-dependent diabetes. The patient is 39 weeks’ gestation. She reports that she feels as though her baby has “flipped” in her abdomen. Which nursing action is most important? 4. Notify the patient’s physician that the patient feels as though her baby has changed position. Rationale 4: Because malpresentation, such as breech, is a relative contraindication to induction of labor, the patient will require additional evaluation by her physician before proceeding.
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