« previous next »

Author Question: Two hours ago, a client at 39 weeks' gestation was 3 cm dilated, 40 effaced, and +1 station. ... (Read 79 times)

Tirant22

  • Hero Member
  • *****
  • Posts: 532
on: Jun 27, 2018
Two hours ago, a client at 39 weeks' gestation was 3 cm dilated, 40 effaced, and +1 station. Frequency of contractions was every 5 minutes with duration 40 seconds and intensity 50 mmHg.
 
  The current assessment is 4 cm dilated, 40 effaced, and +1 station. Frequency of contractions is now every 3 minutes with 40-50 seconds' duration and intensity of 40 mmHg. What would the priority intervention be? 1. Begin oxytocin after assessing for CPD.
  2. Give terbutaline to stop the preterm labor.
  3. Start oxygen at 8 L/min.
  4. Have the anesthesiologist give the client an epidural.

Question 2

During the initial prenatal visit, the pregnant teenager states that she does not know how she got pregnant. The nurse can help to educate her regarding anatomy by doing what?
 
  1. Allowing her to witness a pelvic exam on another teenager
  2. Encouraging her to ask her mother about the physiology of pregnancy
  3. Including anatomic models and drawings in the teaching session
  4. Discussing the process of fetal development with the client


thall411

  • Sr. Member
  • ****
  • Posts: 332
Reply #1 on: Jun 27, 2018
Answer to Question 1

1
Explanation: 1. The client is having hypertonic contractions. Cephalopelvic disproportion (CPD) must be excluded. If CPD exists, oxytocin (Pitocin) augmentation should not be used. Oxytocin is the drug of choice for labor augmentation or labor induction.

Answer to Question 2

3
Explanation: 3. To teach the client about anatomy and physiology, use simple explanations and lots of audiovisuals.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

In the United States, congenital cytomegalovirus causes one child to become disabled almost every hour. CMV is the leading preventable viral cause of development disability in newborns. These disabilities include hearing or vision loss, and cerebral palsy.

Did you know?

Despite claims by manufacturers, the supplement known as Ginkgo biloba was shown in a study of more than 3,000 participants to be ineffective in reducing development of dementia and Alzheimer’s disease in older people.

Did you know?

Long-term mental and physical effects from substance abuse include: paranoia, psychosis, immune deficiencies, and organ damage.

Did you know?

Of the estimated 2 million heroin users in the United States, 600,000–800,000 are considered hardcore addicts. Heroin addiction is considered to be one of the hardest addictions to recover from.

Did you know?

If you could remove all of your skin, it would weigh up to 5 pounds.

The nurse applies a pulse oximeter sensor on the client’s finger. The nurse applies a pulse oximeter sensor on the client’s finger.
Cataract. When the pupil is dilated, an abnormal opacity or whiteness of the lens can be observed in Cataract. When the pupil is dilated, an abnormal opacity or whiteness of the lens can be observed in
Baby Station Baby Station
A mobile weather station that can be used to gather current weather data at the scene of hazardous ... A mobile weather station that can be used to gather current weather data at the scene of hazardous ...
The client is positioned for the examination The client is positioned for the examination
In situ hybridization of a zebrafish embryo 48 hours after fertilization In situ hybridization of a zebrafish embryo 48 hours after fertilization
Video: Neuron structure and function - sensory neurons, association neurons & motor neurons

For a complete list of videos, visit our video library