The labor process is an exciting and anxious time for the patient ...

[lunatika]

The labor process is an exciting and anxious time for the patient and her partner and family.
 
  In a relatively short period of time, they experience one of the most profound changes in their lives. Nursing care management focuses on assessment and support throughout labor and birth, with the goal of ensuring the best possible outcome for mother and newborn. Please match each nursing diagnosis with the appropriate intervention needed to achieve the expected outcome.
  a. Anxiety related to labor and the birthing process
  b. Acute pain related to contractions
  c. Risk for impaired urinary elimination
  d. Risk for impaired individual coping
  e. Fatigue related to energy expenditure during labor and birth
 
   53. Instruct the patient and partner in the use of specific relaxation techniques.
 
   54. Continue to provide comfort measures and minimize distractions.
 
   55. Group care activities as much as possible.
 
   56. Orient the patient and family to the labor and birth unit.
 
   57. Encourage frequent voiding and catheterize if necessary.

Question 2

At 1 minute after birth, the nurse assesses the newborn to assign an Apgar score. The apical heart rate is 110 bpm, and the infant is crying vigorously with the limbs flexed.
 
  The infant's trunk is pink, but the hands and feet are blue. What is the correct Apgar score for this infant?
  a. 7 c. 9
  b. 8 d. 10

[nanny]

Answer to Question 1

53. ANS: B
54. ANS: D
55. ANS: E
56. ANS: A
57. ANS: C

Answer to Question 2

ANS: C
The Apgar score is 9 because 1 point is deducted from the total score of 10 for the infant's blue hands and feet. The baby received 2 points for each of the categories except color. Because the infant's hands and feet were blue, this category is given a grade of 1.

[lunatika]

Excellent

[elyse44]

Gracias!