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A charge nurse is preparing to discuss actions to take for clients who require an amniotomy during labor with a newly licensed nurse.
Which of the following statements should the charge nurse include during the discussion?

A.

Check the client's temperature frequently following the procedure.

B.

Insert misoprostol rectally every 2 hours following the procedure.

C.

Obtain a biophysical profile during the procedure.

D.

Perform effleurage to the client's abdomen during the procedure.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Checking the client's temperature frequently following the procedure is crucial. An amniotomy increases the risk of infection, so frequent monitoring of temperature helps in early

detection and management of any potential infections.

 

Choice B rationale

Inserting misoprostol rectally every 2 hours following the procedure is not recommended. Misoprostol is a medication used for inducing labor or controlling postpartum hemorrhage,

not for routine use post-amniotomy.

 

Choice C rationale

Obtaining a biophysical profile during the procedure is not relevant. A biophysical profile is an assessment of fetal well-being and is not typically performed during amniotomy.

 

Choice D rationale

Performing effleurage to the client's abdomen during the procedure is not necessary. Effleurage is a massage technique used for pain relief during labor, but it is not related to the management of an amniotomy. .


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View Related questions

Correct Answer is B

Explanation

Choice A rationale

Preparing for a cesarean birth is not an immediate necessity unless there are complications that warrant such intervention. Cesarean births are typically reserved for situations where

vaginal delivery poses a risk to the mother or the baby.

Choice B rationale

Administering IV antibiotic prophylaxis is critical in preventing potential infections during the labor process, especially given the early gestation period. This helps in safeguarding both

the mother and the fetus from infections like group B streptococcus.

Choice C rationale

Obtaining a vaginal culture is generally done to check for infections such as bacterial vaginosis or sexually transmitted infections. However, it is not an immediate priority when the

patient is already in active labor.

Choice D rationale

Administering metronidazole orally is used to treat bacterial infections but is not an immediate action required in this scenario. Metronidazole may not be the most suitable choice

during labor as it does not provide immediate infection prevention.

Correct Answer is B

Explanation

Choice A rationale

The fetal heartbeat is typically detectable by Doppler around 10-12 weeks, not as early as 6 weeks.

Choice B rationale

Monthly prenatal visits up to 28 weeks are standard practice for monitoring pregnancy.

Choice C rationale

A complete blood count is not performed at every prenatal visit but at specific intervals.

Choice D rationale

The blood test for neural tube defects, such as AFP, is usually done around 16-18 weeks, not 32 weeks.

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