A nurse is caring for a client in pre-term labor.
Which intervention should the nurse prioritize to improve blood flow to the placenta and fetus?
Administering intravenous fluids
Administering tocolytics
Administering corticosteroids
Providing emotional support
The Correct Answer is B
The correct answer is choice B. Administering tocolytics. Tocolytics are drugs that inhibit uterine contractions and can delay preterm labor for a short time. This can allow time for the administration of antenatal corticosteroids and transfer to a tertiary care facility if necessary.
Choice A is wrong because administering intravenous fluids does not improve blood flow to the placenta and fetus. It may also increase the risk of pulmonary edema in women with preterm labor.
Choice C is wrong because administering corticosteroids does not improve blood flow to the placenta and fetus. Corticosteroids are given to enhance fetal lung maturity and reduce the risk of neonatal complications such as respiratory distress syndrome, intracranial hemorrhage, and necrotizing enterocolitis.
However, they do not stop preterm labor.
Choice D is wrong because providing emotional support does not improve blood flow to the placenta and fetus. Emotional support is important for women with preterm labor, but it is not a priority intervention to prevent fetal hypoxia or acidosis.
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Related Questions
Correct Answer is C
Explanation
Haemorrhage due to placental abruption.
Placental abruption is a serious complication of preterm labor that occurs when the placenta separates from the wall of the uterus before delivery.This can cause heavy bleeding and endanger the life of both the mother and the baby.
Choice A is wrong because increased fetal movement is not a complication of preterm labor.In fact, decreased fetal movement may indicate fetal distress.
Choice B is wrong because decreased uterine contractions are not a complication of preterm labor.Preterm labor is defined as regular contractions that result in the opening of the cervix before 37 weeks of pregnancy.
Choice D is wrong because increased cervical dilation is not a complication of preterm labor, but a sign of it.Cervical dilation indicates that the cervix is preparing for delivery and may lead to preterm birth.
Correct Answer is D
Explanation
Maintaining a neutral head position.This action can help reduce the client’s risk of intraventricular hemorrhage (IVH) by preventing fluctuations in intracranial pressure that could rupture blood vessels in the brain.
Choice A is wrong because encouraging early ambulation can increase the risk of IVH by causing changes in blood pressure and cerebral perfusion.
Choice B is wrong because administering medications to induce hypercoagulability can increase the risk of IVH by promoting thrombosis and impairing blood flow to the brain.
Choice C is wrong because monitoring the client’s blood glucose levels is not directly related to the prevention of IVH, although it may be important for other reasons such as avoiding hypoglycemia or hyperglycemia.
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