Author Question: A new patient and her partner arrive on the labor, delivery, recovery, and postpartum unit for the ... (Read 73 times)

jenna1 · **on:** Jun 27, 2018

A new patient and her partner arrive on the labor, delivery, recovery, and postpartum unit for the birth of their first child. You apply the electronic fetal monitor (EFM) to the woman.

Her partner asks you to explain what is printing on the graph, referring to the EFM strip. He wants to know what the baby's heart rate should be. Your best response is: a. Don't worry about that machine; that's my job.
b. The top line graphs the baby's heart rate. Generally the heart rate is between 110 and 160 . The heart rate will fluctuate in response to what is happening during la-bor.
c. The top line graphs the baby's heart rate, and the bottom line lets me know how strong the contractions are.
d. Your doctor will explain all of that later.

Question 2

An adolescent has systemic lupus erythematosus (SLE). An action by the adolescent that indicates acceptance of body changes with SLE would be that the teen:

1. Refuses to attend school.
2. Doesn't want to attend any social functions.
3. Discusses the body changes with a peer.
4. Discusses the body changes with health care personnel only.

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

Answer to Question 1

B

Feedback
A This discredits the partner's feelings and does not provide the teaching he is re-questing.
B This statement educates the partner about fetal monitoring and provides support and information to alleviate his fears.
C This statement provides inaccurate information and does not address the part-ner's concerns about the fetal heart rate. The EFM graphs the frequency and du-ration of the contractions, not the intensity.
D Nurses should take every opportunity to provide patient and family teaching, especially when information is requested.

Answer to Question 2

3
Rationale:
1. Refusing to go to school indicates nonacceptance of the changes to body image.
2. Not attending social functions indicates nonacceptance of the changes to body image.
3. Peer interaction is important to the teen. Being able to discuss the changes to his body with a peer indicates acceptance of the change in body image.
4. Discussing changes only with health care personnel does not indicate that the teen has adjusted to body image changes.