The nurse is directing an unlicensed assistive personnel (UAP) to ...

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The nurse is directing an unlicensed assistive personnel (UAP) to take maternal vital signs between contractions. Which statement is the best rationale for assessing maternal vital signs between contractions?
 
  a. Vital signs taken during contractions are not accurate.
  b. During a contraction, assessing fetal heart rate is the priority.
  c. Maternal blood flow to the heart is reduced during contractions.
  d. Maternal circulating blood volume increases temporarily during contractions.

Question 2

Which situation denotes a nontherapeutic nursepatientfamily relationship?
 
  a. The nurse is planning to read a favorite fairy tale to a patient.
  b. During shift report, the nurse is criticizing parents for not visiting their child.
  c. The nurse is discussing with a fellow nurse the emotional draw to a certain patient.
  d. The nurse is working with a family to find ways to decrease the family's dependence on health care providers.

[31809pancho]

Answer to Question 1

ANS: D
During uterine contractions, blood flow to the placenta temporarily stops, causing a relative increase in the mother's blood volume, which in turn temporarily increases blood pressure and slows the pulse. Vital signs are altered by contractions but are considered accurate for a period of time. It is important to monitor the fetal response to contractions, but the question is concerned with the maternal vital signs. Maternal blood flow is increased during a contraction.

Answer to Question 2

ANS: B
Criticizing parents for not visiting in shift report is nontherapeutic and shows an underinvolvement with the parents. Reading a fairy tale is a therapeutic and age appropriate action. Discussing feelings of an emotional draw with a fellow nurse is therapeutic and shows a willingness to understand feelings. Working with parents to decrease dependence on health care providers is therapeutic and helps to empower the family