Author Question: A woman has been having contractions since 4 a.m. At 8 a.m., her cervix is dilated to 5 cm. ... (Read 54 times)

littleanan · **on:** Jun 27, 2018

A woman has been having contractions since 4 a.m. At 8 a.m., her cervix is dilated to 5 cm. Contractions are frequent, and mild to moderate in intensity. Cephalopelvic disproportion (CPD) has been ruled out.

After giving the mother some sedation so she can rest, the nurse would anticipate preparing for: 1. Oxytocin induction of labor.
2. Amnioinfusion.
3. Increased intravenous infusion.
4. Cesarean section.

Question 2

After assessing the data obtained from a pregnant teenager and her family, the nurse assigns the diagnosis of Ineffective Family Coping related to unanticipated pregnancy. Which goal would be appropriate?

1. The teenager and family will participate in discussions regarding pregnancy.
2. The teenager and family will develop skills for parenting the infant.
3. The teenager and family will develop a trusting relationship with the healthcare providers.
4. The teenager and family will develop self-care skills for the pregnancy.

ririgirl15 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

1
Rationale 1: Hypertonic labor patterns result in frequent ineffectual contractions that exhaust the mother. Sedation is used to let the mother rest and stop the ineffective contractions. If sedation does not stop the ineffective contractions, oxytocin may be used to establish more effective contractions.
Rationale 2: Amnioinfusion would not change the ineffective labor pattern.
Rationale 3: Increasing the IV infusion would not change the ineffective labor pattern.
Rationale 4: Because CPD has been ruled out, a cesarean section is not anticipated.

Answer to Question 2

1
Rationale 1: Communication between family members is essential for them to understand each other's viewpoints. Joining in a discussion facilitated by the nurse will help begin the communication process for the family. Once communication has been established, making plans for the future can take place, which in turn promotes family coping.
Rationale 2: Parenting the infant needs to be the responsibility of the teen, possibly with some assistance from her family.
Rationale 3: Although trust in the healthcare providers is essential for the teen to accept teaching and have effective communication with the providers, this is an individual intervention aimed only at the pregnant teen, and not at the entire family.
Rationale 4: Taking care of oneself or a newborn physically will not necessarily lead to family coping.