Regina Smith is a 25-year-old primigravida in the first stage of labor. She and her husband have been holding hands and breathing together through each contraction.
Suddenly Regina pushes her husband's hand away and shouts, Don't touch me This behavior is most likely: a. normal and related to hyperventilation.
b. common during the transition phase of labor.
c. a sign that she needs analgesia.
d. indicative of abnormal labor.
Question 2
The nurse is caring for a child whose medical chart indicates a grade III murmur. Which of the following assessment findings would the nurse expect when auscultating heart sounds?
A) Loud without a thrill
B) Loud with a precordial thrill
C) Soft and easily heard
D) Loud, audible with a stethoscope