Practice Quiz

CNM Certified Nurse Midwife

Category - Intrapartum

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A nurse midwife is about to perform an amniotomy on a client who is in the active phase of labor. Before performing the procedure, the nurse midwife informs the client that after the amniotomy, she can expect:
  1. Increased efficiency of uterine contractions.
  2. Increased number of uterine contractions.
  3. Fluttery feeling in the chest.
  4. Decreased number of uterine contractions.
Explanation
Answer: A - The nurse midwife should inform the client that after amniotomy, she can expect increased efficiency of uterine contractions. Amniotomy is an artificial method of rupturing the membrane to induce labor. Rupturing of the membranes allows direct contact of the fetal head with the cervix, increasing the efficiency of the contractions. Fluttery feeling in the chest is expected after the administration of tertbutaline.
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