Author Question: A client is having contractions that last 20-30 seconds and that are occurring every 8-20 minutes. ... (Read 70 times)

Destiiny22 · **on:** Jun 27, 2018

A client is having contractions that last 20-30 seconds and that are occurring every 8-20 minutes. The client is requesting something to help relieve the discomfort of contractions. What should the nurse suggest?

1. That a mild analgesic be administered
2. An epidural
3. A local anesthetic block
4. Nonpharmacologic methods of pain relief

Question 2

It is 1 week before a pregnant patient's due date. The nurse notes on the chart that the patient's pulse rate was 7480 before pregnancy. Today, the patient's pulse rate at rest is 90. What action should the nurse should take?

1. Chart the findings.
2. Notify the physician of tachycardia.
3. Prepare the patient for an electrocardiogram (EKG).
4. Prepare the patient for transport to the hospital.

bpool94 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

4
Explanation: 4. For this pattern of labor, nonpharmacologic methods of pain relief should be suggested. These can include back rubs, providing encouragement, and clean linens.

Answer to Question 2

1
Rationale 1: The pulse rate will increase 1015 beats per minute at term due to the increased blood volume during pregnancy. This is a normal response, and does not indicate a need for emergency measures or treatment.
Rationale 2: This pulse rate in a near-term patient is not considered to be tachycardia.
Rationale 3: This pulse rate in a near-term patient does not indicate a need for emergency measures or treatment.
Rationale 4: This patient does not need to go to the hospital.