The nurse knows that the occurrence of shoulder dystocia during labor is most likely related to
a. macrosomia c. polyhydramnios
b. preterm birth d. maternal age
A
A large-sized fetus is a common risk factor for shoulder presentation and dystocia. Shoulder dystocia occurs when the fetal shoulder width is so large that it is not deliverable beneath the maternal symphysis pubis without additional delivery interventions or fetal injury. Shoulder dystocia occurs when the anterior shoulder of the fetus is aligned with the anteroposterior line of the pelvis and becomes lodged behind the symphysis pubis; the alignment is appropriate but the size of the shoulders prevents anterior shoulder progression toward delivery; or the posterior shoulder becomes lodged behind the sacral promontory.
You might also like to view...
A public health nurse is visiting a family home where there is a newborn. Which assessment finding by the nurse warrants immediate intervention?
A. A cat is sitting on the kitchen counter by the stove. B. Roaches are evident in the kitchen and in the pantry. C. The baby is on a carpet that is stained and worn out. D. The crib has dirty bumper pads and a dirty comforter.
The clinic nurse teaches the older adult who is receiving the influenza vaccination. Which of the following statements, if made by the client, indicate the need for further teaching?
A) "I will call my health care provider if I develop a cough and fever.". B) "I will increase my intake of vegetables this flu season.". C) "I want the live attenuated nasal spray vaccine, not the shot.". D) "I will wash my hands before and after I urinate.".
The nurse is caring for a client who will be taking nystatin (Mycostatin) for treatment of oral candidiasis. Which instructions does the nurse provide for the client before administering the medication?
a. "Let the tablet dissolve slowly in your mouth." b. "Take the medicine with a snack or a light meal." c. "Swallow the pills whole, followed by a full glass of water." d. "Swish the liquid around your mouth be-fore swallowing it."
A client is recovering from a myocardial infarction and asks the nurse why the heart muscle is enlarged. The nurse explains which of the following to the client?
1. "The cells of the muscle experience hyperplasia with the prolonged need for oxygen.". 2. "The cells of the heart muscle have lost fluid.". 3. "The cells of the heart muscle are responding to metabolic needs.". 4. "The cells of the heart are metaplastic in response to muscle damage.".