A patient is about to undergo an amniocentesis. tion on her postpartum clients. Which client has a Which procedures should the nurse perform? Select high risk for postpartum hemorrhage? Select all all that apply.

Correct Answer: A

Rationale: In this scenario, option A is the correct answer as having the patient give verbal consent for the procedure is a crucial step before conducting an amniocentesis. Verbal consent ensures the patient understands the procedure, risks, and benefits, and gives their permission willingly. This is ethically and legally necessary to respect the patient's autonomy. Option B is incorrect because the method of delivery and gestational age do not directly correlate with the risk of postpartum hemorrhage in the context of amniocentesis. Option C is incorrect as the mode of delivery does not inherently increase the risk of postpartum hemorrhage in this situation. Option D is also incorrect because assessing for bleeding disorders, while important in general maternal care, is not directly related to the immediate risk of postpartum hemorrhage post-amniocentesis. Educationally, this question highlights the importance of obtaining informed consent before any medical procedure. It emphasizes the nurse's responsibility to ensure the patient understands the procedure and consents to it voluntarily. Understanding this concept is crucial for providing patient-centered care and upholding ethical standards in healthcare practice.

Correct Answer: C

Rationale: In the context of Lamaze education, the correct response is option C: "What are the risks and benefits of breaking my water right now?" This response reflects an informed and empowered approach to decision-making during labor, which is a key principle of Lamaze education. Option A demonstrates a lack of consideration for the potential risks and benefits of the intervention, which goes against the principles of informed decision-making promoted in Lamaze education. Option B reflects blind trust in the healthcare provider without seeking necessary information to make an informed decision, which contradicts the emphasis on active participation in decision-making in Lamaze education. Option D focuses on a separate intervention (epidural) rather than addressing the immediate recommendation to break the bag of waters. This response indicates a misunderstanding of the situation at hand and does not align with the principles of informed decision-making and active participation in the birth process, which are central to Lamaze education. In an educational context, understanding the rationale behind each response helps individuals grasp the importance of informed decision-making, advocating for themselves during labor, and actively participating in the decision-making process regarding their care. This question highlights the significance of being well-informed and engaged in discussions with healthcare providers to make decisions that align with personal preferences and values during the childbirth experience.

Correct Answer: B

Rationale: One of the positive signs of pregnancy is the active fetal movements palpable by the examiner. This occurs when the examiner is able to feel the movements of the fetus inside the uterus. This sign usually becomes noticeable in the second half of pregnancy and is a clear indication that the pregnancy is progressing normally. It is a reassuring sign for both the pregnant individual and the healthcare provider that the fetus is active and healthy.

Correct Answer: C

Rationale: Shortness of breath is a potential danger sign that should be reported to the healthcare provider when taking oral contraceptives. It could indicate a serious side effect such as a blood clot in the lungs, also known as a pulmonary embolism, which can be a life-threatening condition. Therefore, it is important for the client to seek medical attention immediately if they experience sudden shortness of breath while on oral contraceptives. Reduced menstrual flow, breast tenderness, and headaches are common side effects of oral contraceptives and are not usually considered danger signs that require immediate medical attention.

Correct Answer: A

Rationale: Late decelerations on the fetal monitor strip indicate uteroplacental insufficiency. These decelerations occur after the peak of a contraction, and the fetus may not receive enough oxygen-rich blood during contractions. Uteroplacental insufficiency can lead to fetal hypoxia and acidosis if not addressed promptly. It is important for the nurse to take appropriate steps to improve fetal oxygenation, such as repositioning the mother, administering oxygen, and adjusting IV fluids. If late decelerations persist, further interventions may be necessary to ensure the well-being of the fetus.