A client has just been admitted to Labor and Delivery. She is ...

[silviawilliams41]

A client has just been admitted to Labor and Delivery. She is having mild contractions every 15 minutes lasting 30 seconds. The client wants to have a medication-free birth.
 
  When discussing medication alternatives, the nurse should be sure that the client understands that: 1. To respect her wishes, no medication will be given.
  2. Pain relief will allow a more enjoyable birth experience.
  3. The use of medications allows the client to rest and be less fatigued.
  4. Maternal pain and stress can have an adverse effect on the fetus.

Question 2

Which is true regarding day 1 of the menstrual cycle?
 
  a. Day 1 is considered the day menses begins.
  b. Day 1 is considered the day menses ends.
  c. Day 1 is considered the day of ovulation.
  d. Day 1 is considered the day after ovulation.

[Eunice618]

Answer to Question 1

4
Rationale:
1. Although pain relief can lead to a more enjoyable experience and allow the mother to be less fatigued, it might be the view of the nurse and not the mother. It is important to respect the client's wishes, when possible. The decision not to medicate should be an informed one, and it is possible that the client does not know about the effects pain and stress can have on the fetus. Once the effects are explained, it is still the client's choice whether to receive medication.
2. Although pain relief can lead to a more enjoyable experience and allow the mother to be less fatigued, it might be the view of the nurse and not the mother. It is important to respect the client's wishes, when possible. The decision not to medicate should be an informed one, and it is possible that the client does not know about the effects pain and stress can have on the fetus. Once the effects are explained, it is still the client's choice whether to receive medication.
3. Although pain relief can lead to a more enjoyable experience and allow the mother to be less fatigued, it might be the view of the nurse and not the mother. It is important to respect the client's wishes, when possible. The decision not to medicate should be an informed one, and it is possible that the client does not know about the effects pain and stress can have on the fetus. Once the effects are explained, it is still the client's choice whether to receive medication.
4. Although pain relief can lead to a more enjoyable experience and allow the mother to be less fatigued, it might be the view of the nurse and not the mother. It is important to respect the client's wishes, when possible. The decision not to medicate should be an informed one, and it is possible that the client does not know about the effects pain and stress can have on the fetus. Once the effects are explained, it is still the client's choice whether to receive medication.

Answer to Question 2

A
The first day of the menstrual bleeding is considered day 1 of the cycle. Ovulation occurs midcycle, or approximately day 14 . The day following ovulation is part of the secretory phase of the menstrual cycle.