This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: The nulliparous states, I have been in labor for 4 hours and I am still only 2 cm dilated. Why is ... (Read 105 times)

melly21297

  • Hero Member
  • *****
  • Posts: 565
on: Jun 25, 2018
The nulliparous states, I have been in labor for 4 hours and I am still only 2 cm dilated. Why is this happening? I feel like I should be ready to push by now. Which is the best response by the nurse?
 
  A) When your perineal body thins out, your cervix will begin to dilate much faster than it is now.
  B) The hormones that cause labor to begin are just getting to the levels that will change your cervix.
  C) What did you expect? You've only had contractions for a few hours. Labor takes time.
  D) Your cervix has also effaced, or thinned out, and that change in the cervix is also labor progress.

Question 2

The nurse is reviewing the immunization record for a client who just learned she is pregnant. Which vaccine is not safe to give during pregnancy?
 
  A) Pertussis
  B) Annual influenza
  C) Rubella
  D) Tetanus


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

chreslie

  • Sr. Member
  • ****
  • Posts: 307
Reply #1 on: Jun 25, 2018
Answer to Question 1

Answer: D

Cervical effacement must be nearly complete before cervical dilation takes place in primiparas. This is why the labor and birth of a first baby usually take much more time than for subsequent labor and births. The perineal body thinning primarily occurs during the second stage of labor; it is not expected early in labor. The reply what did you expect is not therapeutic. Although it is true that this client has only been in early labor for a short time, and it is true that labor for a nullipara averages 12-24 hours, the nurse must always be therapeutic in all communication. The hormones that cause labor contractions do not directly cause cervical change; the contractions cause the cervix to change.

Answer to Question 2

Answer: C

Rubella vaccine should never be given to pregnant women (or women trying to conceive) because the vaccine contains the attenuated live virus, which has teratogenic effects on the developing fetus. Pertussis, tetanus, and annual influenza vaccines can safely be given in pregnancy. Safe vaccine recommendations for pregnant women are available from the Centers for Disease Control and Prevention website (http://www.cdc.gov).


melly21297

  • Member
  • Posts: 565
Reply 2 on: Jun 25, 2018
YES! Correct, THANKS for helping me on my review

mcarey591

  • Member
  • Posts: 365
Reply 3 on: Yesterday
Great answer, keep it coming :)

« previous next »
 

Did you know?

Intradermal injections are somewhat difficult to correctly administer because the skin layers are so thin that it is easy to accidentally punch through to the deeper subcutaneous layer.

Did you know?

There are more bacteria in your mouth than there are people in the world.

Did you know?

Glaucoma is a leading cause of blindness. As of yet, there is no cure. Everyone is at risk, and there may be no warning signs. It is six to eight times more common in African Americans than in whites. The best and most effective way to detect glaucoma is to receive a dilated eye examination.

Did you know?

The Babylonians wrote numbers in a system that used 60 as the base value rather than the number 10. They did not have a symbol for "zero."

Did you know?

GI conditions that will keep you out of the U.S. armed services include ulcers, varices, fistulas, esophagitis, gastritis, congenital abnormalities, inflammatory bowel disease, enteritis, colitis, proctitis, duodenal diverticula, malabsorption syndromes, hepatitis, cirrhosis, cysts, abscesses, pancreatitis, polyps, certain hemorrhoids, splenomegaly, hernias, recent abdominal surgery, GI bypass or stomach stapling, and artificial GI openings.

Stages of Labor Stages of Labor
Personality differences in the United States Personality differences in the United States
The mortality rate in the United States increases with age and is lower for women than men at every ... The mortality rate in the United States increases with age and is lower for women than men at every ...
Men and women work the same number of hours a week, but men spend more time on paid work, and women ... Men and women work the same number of hours a week, but men spend more time on paid work, and women ...
The three states of matter: solid, liquid, and gas. The three states of matter: solid, liquid, and gas.
Importance of intermediate states Importance of intermediate states
Video: DNA Replication

For a complete list of videos, visit our video library