A woman is 37 weeks pregnant and questioning the nurse about possible induction of labor at term. What conditions would contraindicate labor induction? (Select all that apply.)
a. Maternal gynecoid pelvis
b. Placenta previa
c. Horizontal cesarean incision
d. Prolapsed cord
e. Gestational diabetes
ANS: B, D
Labor induction is contraindicated with placenta previa or a prolapsed umbilical cord. Gynecoid pelvis is the most favorable shape for vaginal delivery. Induction can be attempted as a VBAC after a horizontal cesarean incision but is contraindicated with a classic (vertical) incision. Gestational diabetes is not a contraindication for labor induction.
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The partners in a family practice clinic have elected to offer preconception health counseling. What would be the rationales for this decision?
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. Women are much more interested in the health of their babies than in previous generations. 2. Women may be pregnant for several weeks before recognizing it. 3. Many pregnancies are unplanned. 4. Preconception education could become a part of routine office visits. 5. Preconception screening would allow the client to make informed decisions about childbearing.
The nurse is caring for a client with respiratory alkalosis. Arterial blood gas results indicate a pH of 7.58 and a pCO2 of 28 mmHg. Which of the following additional laboratory values would the nurse would also expect to find?
a. sodium level, 145 mEq/L c. magnesium level, 2.4 mg/dL b. potassium level, 3.2 mEq/L d. phosphorus level, 4.0 mg/dL
The nurse auscultates a widely split S2 heart sound. Which is this assessment finding indicative of?
1) Atrial fibrillation 2) Left bundle branch block (LBBB) 3) Right bundle branch block (RBBB) 4) Ventricular fibrillation
During the initial visit with the nurse at the fertility clinic, the patient asks what effect cigarette smoking has on the ability to conceive. The nurse's best response is:
1. "Smoking has no effect." 2. "Only if you smoke more than one pack a day will you experience difficulty." 3. "After your first semen analysis, we will determine whether there will be any difficulty." 4. "Smoking can affect sperm motility."