This topic contains a solution. Click here to go to the answer

Author Question: The labor nurse is providing care to a multigravida with moderate to strong contractions every 2 to ... (Read 53 times)

amal

  • Hero Member
  • *****
  • Posts: 572
The labor nurse is providing care to a multigravida with moderate to strong contractions every 2 to 3 minutes, duration 45 to 60 seconds. On admission, her cervical assessment was 5 cm, 80, and -2. An epidural was administered shortly thereafter.
 
  Two hours after admission, her contraction pattern remains the same and her cervical assessment is 5 cm, 90, and -2. What is the nurse's next action?
 
  a. Palpate the patient's bladder for fullness.
  b. Contact the health care provider for a prescription to augment the labor.
  c. Obtain an order for an internal pressure catheter.
  d. Reassure the patient that she is making adequate progress.

Question 2

Which assessment finding in the postpartum client following a uterine inversion indicates normovolemia?
 
  a. Blood pressure of 100/60 mm Hg
  b. Urine output >30 mL/hr
  c. Rebound skin turgor <5 seconds
  d. Pulse rate <120 beats>



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

T4T

  • Sr. Member
  • ****
  • Posts: 348
Answer to Question 1

ANS: A
The fetal presenting part is expected to descend at a minimal rate of 1 cm/hr in the nullipara and 2 cm/hr in the parous woman. Despite an active labor pattern, cervical dilation and descent have not occurred for 2 hours. The nurse must consider the possibility of an obstruction. During labor, a full bladder is a common soft tissue obstruction. Bladder distention reduces available space in the pelvis and intensifies maternal discomfort. The woman should be assessed for bladder distention regularly and encouraged to void every 1 to 2 hours. Catheterization may be needed if she cannot urinate or if epidural analgesia depresses her urge to void. Even with a catheter, the nurse must assess for flow of urine and a distended bladder.

Answer to Question 2

ANS: B
In the presence of normal volume, urinary output will be equal to or greater than 30 mL/hr; blood pressure of 100/60 mm Hg, rebound skin turgor <5 seconds, and pulse rate <120 beats>




amal

  • Member
  • Posts: 572
Reply 2 on: Jun 28, 2018
YES! Correct, THANKS for helping me on my review


flexer1n1

  • Member
  • Posts: 373
Reply 3 on: Yesterday
:D TYSM

 

Did you know?

It is believed that the Incas used anesthesia. Evidence supports the theory that shamans chewed cocoa leaves and drilled holes into the heads of patients (letting evil spirits escape), spitting into the wounds they made. The mixture of cocaine, saliva, and resin numbed the site enough to allow hours of drilling.

Did you know?

Vaccines cause herd immunity. If the majority of people in a community have been vaccinated against a disease, an unvaccinated person is less likely to get the disease since others are less likely to become sick from it and spread the disease.

Did you know?

Nitroglycerin is used to alleviate various heart-related conditions, and it is also the chief component of dynamite (but mixed in a solid clay base to stabilize it).

Did you know?

A headache when you wake up in the morning is indicative of sinusitis. Other symptoms of sinusitis can include fever, weakness, tiredness, a cough that may be more severe at night, and a runny nose or nasal congestion.

Did you know?

Throughout history, plants containing cardiac steroids have been used as heart drugs and as poisons (e.g., in arrows used in combat), emetics, and diuretics.

For a complete list of videos, visit our video library