In caring for the woman with disseminated intravascular coagulation (DIC), which order should the nurse anticipate?

Administration of steroids

Administration of blood

Restriction of intravascular fluids

Preparation of the client for invasive hemodynamic monitoring

Answer and Explanation

The Correct Answer is B

In DIC, there is widespread clotting that can lead to depletion of clotting factors and platelets, resulting in bleeding. The priority in the care of DIC is to correct the underlying cause and to replace lost blood products to prevent hypovolemia and hemorrhage. Therefore, the nurse should anticipate an order for the administration of blood products such as packed red blood cells, fresh frozen plasma, and platelets. Administration of steroids may also be ordered to reduce inflammation and stabilize cell membranes. Restriction of intravascular fluids may be necessary to prevent further bleeding, but it is not the first priority. Invasive hemodynamic monitoring may be used to assess the client's fluid and electrolyte status, but it is not typically the first intervention.

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Correct Answer is C

Explanation

Fetal well-being during labor is assessed by the response of the fetal heart rate (FHR) to uterine contractions (UCs). During labor, the fetal heart rate is monitored to assess the well-being of the fetus. The fetal heart rate should increase in response to fetal movement and contractions, which indicates that the fetus is receiving adequate oxygenation and blood flow. This response is called an "acceleration" in the FHR. However, accelerations alone are not enough to assess fetal well-being during labor. It is the combination of the FHR pattern with the uterine contractions pattern that provides the most information.

In addition to the FHR response to UCs, other factors that may be used to assess fetal well-being during labor include fetal scalp blood sampling, fetal pulse oximetry, and fetal ultrasound. Maternal pain control may help to decrease maternal stress and anxiety during labor, but it is not directly related to fetal well-being. An FHR above 110 beats/min is within the normal range for a fetal baseline heart rate, but it is not enough to assess fetal well-being during labor.

A. Cesarean section B. Methotrexate C. Bedrest D. Suction Dilation & Curettage (D&C)

Correct Answer is B

Explanation

Methotrexate is a medication that can be used to treat an ectopic pregnancy by stopping the growth of the developing embryo and allowing the body to absorb it.

Surgery, such as salpingostomy or salpingectomy, may be required in some cases. Bedrest and suction D&C are not typically part of the treatment plan for an ectopic pregnancy.

A cesarean section is a surgical procedure used for delivering a baby during a full-term pregnancy and is not related to an ectopic pregnancy.

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In caring for the woman with disseminated intravascular coagulation (DIC), which order should the nurse anticipate?

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Naxlex Comprehensive Predictor Exams

Fetal well-being during labor is assessed by:

Correct Answer is C

Explanation

The nurse is caring for a patient who has just been diagnosed with an ectopic pregnancy. Which of the following can the nurse anticipate as a part of the treatment plan for an ectopic pregnancy?

Correct Answer is B

Explanation

During labor a fetus with an average heart rate of 135 beats/min over a 10-minute period would be considered to have:

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