A client who wishes to have an unmedicated birth is in the ...

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A client who wishes to have an unmedicated birth is in the transition stage. She is very uncomfortable and turns frequently in the bed. Her partner has stepped out momentarily. How can the nurse be most helpful?
 
  1. Talk to the client the entire time.
  2. Turn on the television to distract the client.
  3. Stand next to the bed with hands on the railing next to the client.
  4. Sit silently in the room away from the bed.

Question 2

The client is at 6 weeks' gestation, and is spotting. The client had an ectopic pregnancy 1 year ago, so the nurse anticipates that the physician will order which intervention?
 
  1. A urine pregnancy test
  2. The client to be seen next week for a full examination
  3. An antiserumpregnancy test
  4. An ultrasound to be done

[AaaA]

Answer to Question 1

3
Explanation: 3. Standing next to the bed is supportive without being irritating. The laboring woman fears being alone during labor. The woman's anxiety may be decreased when the nurse remains with her.

Answer to Question 2

3
Explanation: 3. A -Subunit radioimmunoassay (RIA) uses an antiserum with specificity for the -subunit of hCG in blood plasma. This test may not only detect pregnancy but also detect an ectopic pregnancy or trophoblastic disease.