The nurse would expect which maternal cardiovascular finding ...

[moongchi]

The nurse would expect which maternal cardiovascular finding during labor?
 
  a. Increased cardiac output
  b. Decreased pulse rate
  c. Decreased white blood cell (WBC) count
  d. Decreased blood pressure

Question 2

The nurse has received report regarding her patient in labor. The woman's last vaginal examination was recorded as 3 cm, 30, and ?2-2. The nurse's interpretation of this assessment is that:
 
  a. The cervix is effaced 3 cm, it is dilated 30, and the presenting part is 2 cm above the ischial spines.
  b. The cervix is 3 cm dilated, it is effaced 30, and the presenting part is 2 cm above the ischial spines.
  c. The cervix is effaced 3 cm, it is dilated 30, and the presenting part is 2 cm below the ischial spines.
  d. The cervix is dilated 3 cm, it is effaced 30, and the presenting part is 2 cm below the ischial spines.

[heinisk01]

Answer to Question 1

ANS: A
During each contraction, 400 mL of blood is emptied from the uterus into the maternal vascular system. This increases cardiac output by about 51 above baseline pregnancy values at term. The heart rate increases slightly during labor. The WBC count can increase during labor. During the first stage of labor, uterine contractions cause systolic readings to increase by about 10 mm Hg. During the second stage, contractions may cause systolic pressures to increase by 30 mm Hg and diastolic readings to increase by 25 mm Hg.

Answer to Question 2

ANS: B
The correct description of the vaginal examination for this woman in labor is the cervix is 3 cm dilated, it is effaced 30, and the presenting part is 2 cm above the ischial spines. The sterile vaginal examination is recorded as centimeters of cervical dilation, percentage of cervical dilation, and the relationship of the presenting part to the ischial spines (either above or below).

[moongchi]

TYSM

[jamesnevil303]

Excellent