Author Question: The nurse is caring for a patient in the transition phase of labor, and notes that the fetal monitor ... (Read 82 times)

mcmcdaniel · **on:** Jun 27, 2018

The nurse is caring for a patient in the transition phase of labor, and notes that the fetal monitor tracing shows average short-term and long-term variability with a baseline of 142 beats per minute.

What actions should the nurse take in this situation? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Provide caring labor support.
2. Administer oxygen via face mask.
3. Change the patient's position.
4. Speed up the patient's intravenous.
5. Reassure the patient and her partner that she is doing fine.

Question 2

On examination of the prenatal patient, the nurse is aware that she will assess for a bluish pigmentation of the vagina. This objective (probable) sign of pregnancy is also known as:

1. Hegar's sign.
2. Chadwick's sign.
3. Nightingale's sign.
4. Goodell's sign.

durant1234 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

1,5
Rationale 1: The tracing is normal, so the nurse can continue support of the labor.
Rationale 2: No oxygen face mask is needed at this time.
Rationale 3: There is no need to change the patient's position.
Rationale 4: There is no need to speed up the intravenous.
Rationale 5: The nurse can reassure the patient at this time, as the tracing is normal.

Answer to Question 2

2
Rationale 1: Hegar's sign is the softening of the uterus, felt on palpation.
Rationale 2: The bluepurple pigmentation of the vagina in pregnancy is Chadwick's sign.
Rationale 3: There is no such a thing as Nightingale's sign.
Rationale 4: Goodell's sign is the softening of the cervical lip.