Author Question: The nurse admits a laboring patient at term. On review of the prenatal record, the patient's ... (Read 48 times)

rachel9 · **on:** Jun 28, 2018

The nurse admits a laboring patient at term. On review of the prenatal record, the patient's pregnancy has been unremarkable and she is considered low risk.

In planning the patient's care, at what interval will the nurse intermittently auscultate (IA) the fetal heart rate during the first stage of labor?

a. Every 10 minutes
b. Every 15 minutes
c. Every 30 minutes
d. Every 60 minutes

Question 2

The nurse is planning pain control for a child. Which is the advantage of administering pain medication by the intravenous (IV) bolus route?

a. Less expensive than oral medications
b. Produces a first-pass effect through the liver
c. Does not need to be administered frequently
d. Provides most rapid onset of effect, usually in about 5 minutes

Meganchabluk · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: C
Evaluate the fetal monitoring strip systematically for the elements noted. The following are recommended assessment and documentation intervals for IA and EFM (although facility policies may be different): low-risk women, every 30 minutes during the active phase and every 15 minutes during the second stage.

Answer to Question 2

ANS: D
The advantage of pain medication by the IV bolus route is that it provides the most rapid onset of effect, usually in about 5 minutes. IV medications are more expensive than oral medications, and the IV route bypasses the first-pass effect through the liver. Pain control with IV bolus medication needs to be repeated hourly for continuous pain control.