Author Question: A pregnant woman is at 38 weeks of gestation. She wants to know if there are signs that indicate ... (Read 86 times)

nramada · **on:** Jun 27, 2018

A pregnant woman is at 38 weeks of gestation. She wants to know if there are signs that indicate labor is getting closer to starting.. The nurse informs the woman that which of the following is a sign that labor may begin soon?

1. Weight gain of 1.5 to 2 kg (3 to 4 lb)
2. Increase in fundal height
3. Urinary retention
4. Surge of energy

Question 2

When providing an infant with a gavage feeding, which of the following should be documented each time?

1. The infant's abdominal circumference after the feeding
2. The infant's heart rate and respirations
3. The infant's suck and swallow coordination
4. The infant's response to the feeding

Expo · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

4
1. Incorrect. The woman may lose 0.5 to 1.5 kg in weight, caused by water loss resulting from electrolyte shifts that in turn are produced by changes in estrogen and progesterone le-vels.
2. Incorrect. When the fetus descends into the true pelvis (called lightening), the fundal height may decrease.
3. Incorrect. There may be a return of urinary frequency preceding labor.
4. Correct. Women speak of having a burst of energy prior to labor.

Answer to Question 2

4
1. Incorrect. Abdominal circumference is not measured after a gavage feeding.
2. Incorrect. VS may be obtained prior to feeding. However, more important is the infant's response to the feeding.
3. Incorrect. Some older infants may be learning to suck, but the important factor to docu-ment would be the infant's response to the feeding (including attempts to suck)
4. Correct. Documentation of a gavage feeding should include the size of the feeding tube, the amount and quality of the residual from the previous feeding, the type and quantity of the fluid instilled, and the infant's response to the procedure.