A nurse is assessing a newborn following a forceps assisted birth. Which of the following clinical manifestations should the nurse identify as a complication of the birth method?

Correct Answer: C

Rationale: Facial Palsy is a complication that may occur following a forceps-assisted birth. Forceps delivery carries the risk of exerting pressure on the infant's facial nerves, leading to temporary facial weakness or paralysis. This condition is known as facial palsy. It typically resolves on its own without long-term consequences, but careful monitoring and follow-up are necessary.

Correct Answer: A

Rationale: The correct answer is A) Amnionitis. Amnionitis, also known as chorioamnionitis, is a serious complication following an amniocentesis characterized by infection of the amniotic fluid. This condition can lead to maternal and fetal complications, making it crucial for the nurse to recognize and address promptly. Option B) Urinary tract infection is incorrect because it is not directly related to the amniocentesis procedure. While urinary tract infections are common in pregnancy, they are not a known complication of amniocentesis. Option C) Polyhydramnios is also incorrect as it refers to an excessive accumulation of amniotic fluid in the gestational sac, which is generally not associated with amniocentesis. Option D) Leakage of amniotic fluid is a potential immediate complication of amniocentesis, but it is not a recognized finding to be assessed post-procedure for complications related to infection like amnionitis. In the field of maternal newborn nursing, recognizing complications following procedures like amniocentesis is crucial for ensuring the well-being of both the mother and the fetus. Understanding these potential complications allows nurses to provide timely interventions and prevent further health issues.

Correct Answer: C

Rationale: Misoprostol is a prostaglandin E1 analog that is commonly used for labor induction. It is particularly useful in clients with a previous uterine incision, such as a cesarean section scar, because it helps soften the cervix and promote uterine contractions, which can lead to successful vaginal birth after cesarean (VBAC). Misoprostol can be an effective method for inducing labor in these clients while minimizing the risk of uterine rupture. However, it is important to closely monitor clients for signs of uterine hyperstimulation when using misoprostol for labor induction.

Correct Answer: D

Rationale: Blurred vision is a potential prenatal complication during the third trimester of pregnancy and can be a sign of conditions such as preeclampsia or gestational diabetes. It is important for the nurse to further assess this finding and consult with the healthcare provider to ensure appropriate management and monitoring of the client's condition. Periodic tingling of fingers, absence of clonus, and leg cramps are common discomforts during pregnancy and do not typically indicate a prenatal complication.

Correct Answer: C

Rationale: The major barrier to health care for adolescent mothers is seeing a different nurse and/or health care provider at every visit. Continuity of care is crucial for adolescent mothers as they need consistent support and guidance throughout their pregnancy and postpartum period. When they see different healthcare providers at each visit, it can lead to fragmented care, lack of trust in the healthcare system, and hinder the establishment of a therapeutic relationship. This barrier can impact the quality of care received and ultimately affect the health outcomes for both the adolescent mother and her baby.