Susan Wilson (2): A 26-year-old primigravida
during labor and delivery Comprehensive
Questions and Answer's LATEST 2025
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Based on Susan's D. Deficient Fluid Volume related to inadequate intake
assessment data and of liquids
history, you identify which
of the following as a (Susan has had little intake and has voided only once
priority nursing diagnosis in the past 12 hours. These suggest that she is fluid
for Susan at this time? deprived.)
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
With regard to Susan's suggest a breech presentation. Yellow-stained
rupture of membranes, amniotic fluid might be indicative of fetal infection or
which questions are fetal hemolytic disease. Port-wine colored fluid may
important? 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.)
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, 3/2/25, 1:16 PM Susan Wilson (2): A 26-year-old primigravida during labor and delivery Comprehensive Questions and Answer's LATEST 2025 Flash…
Based on your Vertex
assessment, you or
determine that the fetus is Cephalic
in a/an [blank] or
presentation Occiput
Based on your B. right lower quadrant
assessment, you position
the ultrasound transducer (The heart rate would be heard best through the fetal
on Susan's abdomen at back at this location.)
the:
Fetal heart rate increases A. maternal fever or infection
can be associated with a C. fetal anemia
variety of factors. These D. the mother receiving the drug Brethine (terbutaline)
include: E. the mother receiving the drug Yutopar (ritodrine)
A. Continue to monitor the fetal heart rate
Susan has been monitored
(Transitory accelerations up to 15 bpm with
for 15 minutes. Which of
contractions are reassuring. A maintained increase in
the following actions on
baseline fetal heart rate beyond 160 bpm would
your part is indicated?
suggest fetal hypoxia and require immediate
attention.)
C. determine the time from the beginning of one
To measure the frequency
contraction to the beginning of the next
of Susan's contractions
you examine a 10-minute
(You may also count from the peak of one contraction
strip and:
to the peak of the next to determine frequency.)
You perform a vaginal Effacement
exam to check for or
shortening and thinning of Effacing
Susan's cervix. This is
called
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