Answer to Question 1
1
Rationale 1: Hypertonic labor patterns result in frequent ineffectual contractions that exhaust the mother. Sedation is used to let the mother rest and stop the ineffective contractions. If sedation does not stop the ineffective contractions, oxytocin may be used to establish more effective contractions.
Rationale 2: Amnioinfusion would not change the ineffective labor pattern.
Rationale 3: Increasing the IV infusion would not change the ineffective labor pattern.
Rationale 4: Because CPD has been ruled out, a cesarean section is not anticipated.
Answer to Question 2
1
Rationale 1: Communication between family members is essential for them to understand each other's viewpoints. Joining in a discussion facilitated by the nurse will help begin the communication process for the family. Once communication has been established, making plans for the future can take place, which in turn promotes family coping.
Rationale 2: Parenting the infant needs to be the responsibility of the teen, possibly with some assistance from her family.
Rationale 3: Although trust in the healthcare providers is essential for the teen to accept teaching and have effective communication with the providers, this is an individual intervention aimed only at the pregnant teen, and not at the entire family.
Rationale 4: Taking care of oneself or a newborn physically will not necessarily lead to family coping.
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