The nurse knows that a urinary catheter is added to the instrument table if a forceps-assisted birth is anticipated. The correct rationale for this intervention is that:
a. a sterile urine specimen is needed preoperatively.
b. an empty bladder provides more room in the pelvis.
c. spontaneous release of urine might contaminate the sterile field.
d. a Foley catheter prevents the membranes from spontaneously rupturing.
ANS: B
Catheterization provides room for the application of the forceps blades and limits bladder trauma. A clean-catch urinalysis is usually sufficient for preoperative treatment. Urine is sterile. The membranes must be ruptured and the cervix completely dilated for a forceps-assisted birth.
You might also like to view...
The level of practice that a reasonably prudent nurse would provide is called:
1. the standard of care. 2. risk management. 3. a sentinel event. 4. failure to rescue.
A 35-year-old client had a normal, spontaneous vaginal delivery. The mother's social
history includes use of oral contraceptives and smoking. The physical appearance and chromosomal studies for the baby confirm Down syndrome. Which feature would be seen in the baby? A) Large, round head B) Big, pointed nose C) Small, high-set ears D) Small, low-set ears
The American Association of Colleges of Nursing (AACN) identified certain competencies essential for graduates of baccalaureate nursing programs to provide culturally competent care
Which statements reflect these competencies? (Select all that apply.) 1. Participate in continuous cultural competence development 2. Use relevant data sources and best evidence to provide culturally competent care 3. Reinforce health disparities among populations 4. Promote achievement of safe and quality outcomes of care for diverse populations 5. Defer use of best practice evidence to the case management teams
A patient with pneumonia is having difficulty maintaining a clear airway. Which actions should the nurse take to ensure this patient is adequately ventilated?
Select all that apply. 1. Assess skin color at least every four hours. 2. Assess breath sounds at least every four hours. 3. Assess oxygen saturation level at least every four hours. 4. Assess vital signs daily. 5. Assess respiratory rates every shift.