A patient's labor has progressed so rapidly that a precipitous ...

[bclement10]

A patient's labor has progressed so rapidly that a precipitous birth is occurring. The nurse should:
 
  1. Go to the nurse's station and immediately call the physician.
  2. Run to the delivery room for an emergency birth pack.
  3. Stay with the patient and ask for auxiliary personnel for assistance.
  4. Try to delay the delivery of the infant's head until the physician arrives.

Question 2

The prenatal client in her third trimester tells the clinic nurse that she works 8 hours a day as a cashier and stands when at work. What response by the nurse is best?
 
  1. No problem. Your baby will be fine.
  2. Do you get regular breaks for eating?
  3. Your risk of preterm labor is higher.
  4. Standing might increase ankle swelling.

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Answer to Question 1

3
Rationale 1: The nurse can direct auxiliary personnel to contact the physician.
Rationale 2: The nurse can direct auxiliary personnel to retrieve the emergency birth pack.
Rationale 3: If birth is imminent, the nurse must not leave the patient alone.
Rationale 4: The nurse should not hold the infant's head back from delivering, but should apply gentle pressure against the head to prevent it from popping out rapidly.

Answer to Question 2

3
Explanation: 3. Pregnant women who are employed in jobs that require prolonged standing (more than 3 hours) do have a higher incidence of preterm birth.