Which patient situation presents the greatest risk for the ...

[maegan_martin]

Which patient situation presents the greatest risk for the occurrence of hypotonic dysfunction during labor?
 
  a. A primigravida who is 17 years old
  b. A 22-year-old multiparous woman with ruptured membranes
  c. A multiparous woman at 39 weeks of gestation who is expecting twins
  d. A primigravida woman who has requested no analgesia during her labor

Question 2

What should the nurse identify as major fears in the preschool child who is hospitalized with a chronic illness? Select all that apply.
 
  a. Altered body image
  b. Separation from peer group
  c. Bodily injury
  d. Mutilation
  e. Being left alone

[popopong]

Answer to Question 1

C
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A A young primigravida usually will have good muscle tone in the uterus. This
prevents hypotonic dysfunction.
B There is no indication that this woman's uterus is overdistended, which is the
main cause of hypotonic dysfunction.
C Overdistention of the uterus in a multiple pregnancy is associated with hypotonic
dysfunction because the stretched uterine muscle contracts poorly.
D A primigravida usually will have good uterine muscle tone, and there is no
indication of an overdistended uterus.

Answer to Question 2

C, D, E
Feedback
Correct These are all major fears of the preschooler.
Incorrect These are major fears in the adolescent.