Susan Wilson (2): A 26-year-old primigravida during labor and delivery (all questions solved)

Based on Susan's assessment data and history, you identify which of the following as a priority nursing diagnosis for Susan at this time? correct answers D. Deficient Fluid Volume related to inadequate intake of liquids (Susan has had little intake and has voided only once in the past 12 hours. These suggest that she is fluid deprived.) With regard to Susan's rupture of membranes, which questions are important? correct answers C. "What was the color of the fluid?" D. "What time did your 'water break'?" (Amniotic fluid is normally pale and straw-colored with whitish flecks. Greenish-brown (meconium-stained) fluid can indicate fetal distress, or may suggest a breech presentation. Yellow-stained amniotic fluid might be indicative of fetal infection or fetal hemolytic disease. Port-wine colored fluid may be associated with abruptio placentae. Thick, foul-smelling amniotic fluid indicates the presence of infection.) (The risk of perinatal infection is increased if delivery does not occur within 24 hours of membrane rupture. Susan says her membranes ruptured about 2 AM.) Based on your assessment, you determine that the fetus is in a/an [blank] presentation correct answers Vertex or Cephalic or Occiput Based on your assessment, you position the ultrasound transducer on Susan's abdomen at the: correct answers B. right lower quadrant (The heart rate would be heard best through the fetal back at this location.) Fetal heart rate increases can be associated with a variety of factors. These include: correct answers A. maternal fever or infection C. fetal anemia D. the mother receiving the drug Brethine (terbutaline) E. the mother receiving the drug Yutopar (ritodrine) Susan has been monitored for 15 minutes. Which of the following actions on your part is indicated? correct answers A. Continue to monitor the fetal heart rate