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 A
Explanation
A prolonged deceleration of the fetal heart rate to 90/min indicates acute fetal hypoxia/acidosis, which is a decrease in the blood flow to the placenta that reduces the amount of oxygen and nutrients transferred to the fetus.Fetal pH drops at a rate of 0.01/min during the deceleration.Causes of acute hypoxia include low maternal blood pressure, dehydration, anemia, rapid uterine contractions, placental abruption, and fetal hypoxia.
Correct Answer is B
Explanation
This is a rare but serious complication that occurs when the uterus tears during labor.
It can cause severe bleeding, fetal distress, and maternal shock.
It can also lead to hysterectomy or death.Uterine rupture is more likely to occur in women who have had previous cesarean sections or other uterine surgeries.
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