The nurse assesses her client to have mild anxiety concerning the ...

[ap345]

The nurse assesses her client to have mild anxiety concerning the birth process. The client states that she is not interested in Lamaze classes because she is single, and does not want to have natural childbirth.
 
  The nurse's best response would be: 1. Lamaze classes promise painless childbirth. If you learn their methods, your pain is minimal.
  2. Lamaze classes can teach you relaxation methods, and also the benefits and risks of pain-relief methods. This assists you in making the best decision for you.
  3. You are very nervous. I think these classes would be best for you.
  4. Lamaze classes are geared toward couples. You might want to find a different class.

Question 2

A client has pre-eclampsia. She is 36 weeks pregnant, and comes to the high-risk screening center for a contraction stress test. The nurse should explain to the client that the contraction stress test is being done to determine:
 
  1. What effect her hypertension has had on the fetus.
  2. If the fetus will be able to tolerate labor.
  3. If fetal movement increases with contractions.
  4. What effect contractions will have on her blood pressure.

[reelove4eva]

Answer to Question 1

2

Rationale:
1. This choice is inappropriate because even with Lamaze, there could be some pain.
2. Lamaze teaches relaxation methods by utilizing patterned breathing. Those who are able to use the method require little if any anesthesia during delivery. The other choices are inappropriate.
3. Telling a client that she is nervous is not a reason to take the class. It would be better to encourage the client to take the class so she will be knowledgeable on the birth experience and it could reduce any anxiety she may have about the experience.
4. Lamaze classes are geared toward teaching about the breathing and relaxation during childbirth and often has single parents or non-couple participants.

Answer to Question 2

2
Rationale:
1. The fetal heart rate response to movement is assessed in a non-stress test.
2. Contraction stress tests are performed to assess the ability of the fetus to tolerate labor.
3. With contractions, the nurse is assessing for a heart rate response, not movement.
4. The effect of contractions on blood pressure would be noted, but this is not the purpose.

[ap345]

Excellent

[T4T]

TYSM