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The nurse reviews the contractile patterns seen during the client's latent phase of labor. Which of the following statements made by the patient indicates that she understood the teaching?
- "My contractions should be every 2 to 3 minutes, lasting for 60 to 90 seconds, and will be strong."
- "I should expect not to be able to feel my contractions during the early latent phase of labor."
- l expect to be in the latent phase of labor for only a short time."
- "My contractions will be mild, lasting for approximately 30 seconds, and occurring about every10 minutes."
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- A 24-year-old gravida 2, para 0 checks into the L&D triage area because she thinks that she is in labor. She states that she has felt the baby “drop” and has been having contractions for the last 2 hours every 15 minutes apart lasting 30 seconds, even with rest. How should the nurse answer the woman’s question about whether or not she is in labor?Mrs. Vanessa Narciso, in active labor has an external fetal monitor in place. Using the monitor strip, identify the correct assessment. Select all that apply. FHR variability is minimal Contractions are not sustained Contractions lasting 130 seconds FHR baseline at 150 beats/minA 24-year-old gravida 2, para 0 checks into the L&D triage area because she thinks that she is in labor. She states that she has felt the baby “drop” and has been having contractions for the last 2 hours every 15 minutes apart lasting 30 seconds, even with rest. How can the nurse determine whether or not this is true labor? What signs of true labor does this woman have? How should the nurse answer the woman’s question about whether or not she is in labor?
- Before performing Leopold's maneuvers, the nurse explains to the pregnant patient, what she will be doing. The nurse states the primary purpose of this assessment is to: a. Determined the length of the fetus b. Locate the head of the fetus c. Determine the station of the fetus d. Estimate the length of laborWith the cervix dilated to 8 cm, the client's contractions are stronger, and she becomes iritable towards her support person. She yells, "Don't touch me!" The best response by the nurse would be to EXCEPT: a. Position the client on her left side. b. Apply warm soaks or back rubs to the lower back. c. Ask the client to push actively since she is ready to deliver. d. Remind the support person that this is normal at this point in labor.MAKE A DECISION: Which approach would you recommend to Catarina during her pregnancy? Catarina should maintain a healthy diet and appropriate exercise regimen, and she should avoid unnecessary exposure to environmental contaminants. She should also keep taking her current antidepressants. Catarina should definitely address the issues of a healthy diet and environment as well as exercise, but her physician should also explore whether Catarina would require to change to another dose or type of antidepressant. Catarina has already exposed her unborn baby to some risk factors, so she should stop taking the antidepressant and try to control her depression through cognitive-behavioral therapy. Catarina should definitely clean up her diet but should continue taking her medication; the baby has already been exposed to antidepressants during critical periods. Think about the factors that influenced your recommendation for Catarina. Why did you choose the option that you did? Include these…
- The client arrives at the hospital and is admitted to the feto-maternal unit for labor monitoring. The client informs the nurse that she was admitted to the unit 3 days ago but that turned out to be a false labor. The nurse examines the client obtaining the vital signs. When is the most appropriate time to take the client’s vital signs? a. With the client positioned on her left side, between contractions b. With the client positioned on her right side, at the peak of a contraction c. With the client positioned on her left side, at the peak of contraction d. With the client positioned on her right side, between contractionsA nurse is performing Leopold maneuvers on a pregnant client presenting to the labor and delivery unit in active labor. The nurse notes the following findings: PMI rightThe nurse is preparing to assist in performing Leopold Maneuvers on a pregnant clientWhat are two ) actions that must be performed prior to this procedure
- Mrs. Vanessa Narciso, a 30 year old G1P0, is in active labor and Nurse Marina notes that the she is having contractions every 3 minutes that last 45 seconds. Nurse Marina notes that the fetal heart rate between contractions is 100 beats per minute. Labor monitoring was done. The nurse caring for the client in labor monitors the fetal heart rate patterns. The nurse notes the presence of episodic accelerations on the electronic fetal monitor tracing. Which of the following actions is most appropriate to be done by the nurse? Reposition the mother and check the monitor for changes in the fetal tracing Notify the physician of the findings Document the findings and tell the mother that the monitor indicates fetal well being Take the mother's vital signs and instruct the mother that bed rest is required to conserve oxygenThe characteristics of uterine contraction can help determine the client is experiencing preliminary signs of labor or she is already experiencing true labor. Mrs. Vanessa Narciso inquires about the difference of true from false laborand your response is “True contractions are relieved by ambulation while false contractions continue despite the level of activity” “False contractions are felt first abdominally while true contractions are felt in the first lowerback” “Fales contractions are regular and do not achieve cervical dilatation while true contractions begin irregularly but become regular and they achieve cervical dilatation” “True contractions sweep to the abdomen and groin while false contractions radiate to the lower back”A pregnant woman is discussing positioning and the use of leg stirrups for delivery with a labor nurse. Which of the following client responses indicates that the client understood the information? Select all that apply. 1. When the client states, “I am glad that deliveries can take place in a variety of places, including a Jacuzzi bathtub.” 2. When the client says, “I heard that for doctors to deliver babies safely, it is essential to have the mother’s legs up in stirrups.” 3. When the client states, “l understand that if the fetus needs to turn during labor, | may end up delivering the baby on my hands and knees.” 4. When the client says, “During difficult deliveries it is sometimes necessary to put a woman'’s legs up in stirrups.” 5. When the client states, “I heard that midwives often deliver their patients either in the side-lying or squatting position.”