The nurse is assessing a patient who thinks she is in labor. ...

[xclash]

The nurse is assessing a patient who thinks she is in labor. Which findings would positively confirm the woman is in labor? Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply.
 
  1. She is contracting every 5 minutes for 60 seconds.
  2. Her cervix has dilated from 2 to 4 centimeters.
  3. Her membranes have ruptured.
  4. The fetal head is engaged.
  5. The contractions are starting in the back and radiating around to the front of the abdomen with uterine relaxation between contractions.

Question 2

The nurse is working with a client whose religious beliefs differ from those of the general population. What is the best nursing intervention to use to meet the specific spiritual needs of this family?
 
  1. Ask how important the client's religious and spiritual beliefs are when making decisions about health care.
  2. Show respect while allowing time and privacy for religious rituals.
  3. Ask for the client's opinion on what caused the illness.
  4. Identify healthcare practices forbidden by religious or spiritual beliefs.

[efwsefaw]

Answer to Question 1

2,5
Rationale 1: Women can have contractions without being in true labor.
Rationale 2: Once the cervix starts to dilate, the patient is in true labor.
Rationale 3: Membranes can rupture before true labor begins.
Rationale 4: Engagement can take place before true labor begins.
Rationale 5: It is usually a sign of true labor when contraction pains begin in the back and radiate to the front.

Answer to Question 2

2
Explanation: 2. Providing spiritually sensitive care involves determining the current spiritual and religious beliefs and practices that will affect the mother and baby, accommodating these practices where possible, and examining one's own spiritual or religious beliefs to be more aware and able to provide nonjudgmental care.

[xclash]

TYSM

[tranoy]

Excellent