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Author Question: During active labor, the nurse observes the patient crying during contractions and not using ... (Read 29 times)

yoooooman

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on: Jun 27, 2018
During active labor, the nurse observes the patient crying during contractions and not using breathing techniques learned during prenatal classes. Which nursing diagnosis would be appropriate for the patient at this time?
 
  A) Risk for fluid volume deficit
  B) Anxiety related to stress of labor
  C) Risk for ineffective breathing pattern related to breathing exercises
  D) Powerlessness related to duration of labor

Question 2

The nurse providing care to patients in the labor and delivery suite desires to support the 2020 National Health Goals to reduce maternal and infant mortality after labor and birth. Which action should the nurse perform to support these goals?
 
  A) Support laboring patients through the use of controlled breathing techniques.
  B) Encourage laboring patients to use analgesia to control painful contractions.
  C) Recommend the use of epidural and spinal anesthesia to aid in the labor process.
  D) Apply specific infection control practices during the labor and birthing processes.


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cadimas

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Reply #1 on: Jun 27, 2018
Answer to Question 1

C
Feedback:
Hyperventilation occurs when the patient exhales more deeply than inhaling. As a result, extra carbon dioxide is blown off, and respiratory alkalosis results. This can occur during actual labor. The best way to manage hyperventilation is to prevent it by coaching the patient to end all breathing sessions with a long cleansing breath to help restore carbon dioxide balance. Difficulty using breathing techniques will not cause a risk for fluid volume deficit, anxiety related to stress of labor, or powerlessness related to duration of labor.

Answer to Question 2

A
Feedback:
Nurses can help the nation achieve the 2020 National Health Goals for reducing maternal and infant mortality after labor and birth by teaching patients as much as possible about labor, so they are able to use as little analgesia and anesthesia as possible. The less anesthesia and analgesia used, the fewer the complications, which can result in fetal or maternal death. One approach would be to support laboring patients through the use of controlled breathing techniques. Infection control practices are not identified as strategies to reduce maternal and infant mortality after labor and birth.


yoooooman

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Reply #2 on: Jun 27, 2018
Correct answers!


cadimas

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Reply #3 on: Jun 27, 2018
Great! Please up vote :D


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