A nurse is assessing a client who has been in labor for 14 hours and has a fever of 38.2°C (100.8°F).
The nurse notes that the amniotic fluid is foul-smelling.
Which of the following actions should the nurse take first?
Administer antibiotics as prescribed.
Notify the provider.
Obtain a blood culture.
Increase the IV fluid rate.
The Correct Answer is B
The nurse should report the findings of a fever and foul-smelling amniotic fluid to the provider as soon as possible, as they may indicate an infection of the amniotic sac and fluid (chorioamnionitis) . Chorioamnionitis can cause serious complications for both the mother and the baby, such as sepsis, preterm birth, and neonatal pneumonia.
Therefore, notifying the provider is the priority action.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The nurse should report the findings of a fever and foul-smelling amniotic fluid to the provider as soon as possible, as they may indicate an infection of the amniotic sac and fluid (chorioamnionitis).Chorioamnionitis can cause serious complications for both the mother and the baby, such as sepsis, preterm birth, and neonatal pneumonia.
Therefore, notifying the provider is the priority action.
Correct Answer is C
Explanation
A sinusoidal pattern is a type of fetal heart rate (FHR) tracing that shows a smooth, undulating wave-like pattern with a fixed period of 3 to 5 cycles per minute and an amplitude range of 5 to 15 beats per minute.A sinusoidal pattern is associated with severe fetal anemia, hypoxia, or acidosis and indicates a poor prognosis for the fetus.
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