Signs and symptoms that a woman should report immediately to her ...

[Engineer]

Signs and symptoms that a woman should report immediately to her health care provider include which of the following? (Choose all that apply.)
 
  1. Vaginal bleeding
  2. Rupture of membranes
  3. Heartburn accompanied by severe headache
  4. Decreased libido
  5. Urinary frequency

Question 2

A primigravida at 40 weeks of gestation is having uterine contractions every 1 to 2 minutes and says that they are very painful. Her cervix is dilated 2 cm and has not changed in 3 hours. The woman is crying and wants an epidural.
 
  What is the likely status of this woman's labor? 1. She is exhibiting hypotonic uterine dysfunction.
  2. She is experiencing a normal latent stage.
  3. She is exhibiting hypertonic uterine dysfunction.
  4. She is experiencing pelvic dystocia.

[johnharpe]

Answer to Question 1

1, 2, 3
1, 2, 3. Correct. Vaginal bleeding, rupture of membranes, and severe headaches are all signs of potential complications in pregnancy. Clients should be advised to report these signs to their health care provider.
4, 5. Incorrect. Decreased libido and urinary frequency are common discomforts of pregnancy that do not require immediate health care interventions.

Answer to Question 2

3
1. Incorrect. With hypotonic uterine dysfunction, the woman initially makes normal progress into the active stage of labor, then the contractions become weak and inefficient or stop altogether.
2. Incorrect. The contraction pattern seen with this woman is signifying hypertonic uterine activity. Typically, uterine activity in this phase occurs at 4- to 5-minute intervals lasting 30 to 45 seconds.
3. Correct. The woman experiencing hypertonic uterine dysfunction, or primary dysfunc-tional labor, often is an anxious first-time mother who is having painful and frequent contrac-tions that are ineffective in causing cervical dilation or effacement to progress.
4. Incorrect. Pelvic dystocia can occur whenever there are contractures of the pelvic diame-ters that reduce the capacity of the bony pelvis, including the inlet, midpelvis, outlet, or any combination of these planes.