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 52 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
:D TYSM


bbburns21

  • Member
  • Posts: 336
Reply 3 on: Yesterday
YES! Correct, THANKS for helping me on my review

 

Did you know?

The heart is located in the center of the chest, with part of it tipped slightly so that it taps against the left side of the chest.

Did you know?

The first monoclonal antibodies were made exclusively from mouse cells. Some are now fully human, which means they are likely to be safer and may be more effective than older monoclonal antibodies.

Did you know?

The human body produces and destroys 15 million blood cells every second.

Did you know?

More than 150,000 Americans killed by cardiovascular disease are younger than the age of 65 years.

Did you know?

Hippocrates noted that blood separates into four differently colored liquids when removed from the body and examined: a pure red liquid mixed with white liquid material with a yellow-colored froth at the top and a black substance that settles underneath; he named these the four humors (for blood, phlegm, yellow bile, and black bile).

For a complete list of videos, visit our video library