The physician has ordered an amnioinfusion for the laboring client. What data supports the use of this therapeutic procedure?
a. Presenting part not engaged
b. +4 meconium-stained amniotic fluid on artificial rupture of membranes (AROM)
c. Breech position of fetus
d. Twin gestation
ANS: B
Amnioinfusion is a procedure used during labor when cord compression or the detection of gross meconium staining is found in the amniotic fluid. A saline solution is used as an irrigation method through the IUPC (intrauterine pressure catheter).
You might also like to view...
A client with an ileostomy who has been discharged from the hospital calls the clinic and asks the nurse if he should take another one of his "potassium pills" because there is a waxy coating on the ileostomy from the pill
What is the best response by the nurse? A) "You should take another pill because the residue means the potassium was not absorbed." B) "You will just have to omit the dose for today because we don't know how much of the medication was absorbed." C) "Some medications like this leave a "ghost" of the wax matrix coating, but it doesn't mean the drug wasn't absorbed." D) "There must have been a defect in the medication for it to leave the waxy coating."
A patient has just returned from surgery for removal of a cataract. Which nursing interventions are indicated? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Position the patient with the head of the bed up at 30 degrees. 2. Have the patient lie on the affected side. 3. Assess the operative eye for drainage. 4. Keep the eye patch in place. 5. Monitor the patient's pain level.
A nurse is implementing the harm reduction model. Which of the following will be the focus of nurse when using this approach?
a. Education b. Law enforcement c. Scare tactics d. Rehabilitation
A patient in the emergency department is demonstrating signs of sepsis
Which interventions will the nurse implement as part of the sepsis resuscitation bundle? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Draw blood for a serum lactate level. 2. Obtain blood cultures. 3. Provide a broad spectrum antibiotic. 4. Administer low dose steroids. 5. Provide insulin for blood glucose level 200 mg/dL.