Author Question: The health care provider for a laboring patient makes the following entry into the patient's record: ... (Read 79 times)

yoroshambo · **on:** Jun 28, 2018

The health care provider for a laboring patient makes the following entry into the patient's record: 3/50/-1. What instruction will the nurse implement with the patient?

a. You will need to remain in bed attached to the electronic fetal monitor.
b. Breathe with me slowly, in through your nose and out through your mouth.
c. I will begin the administration of 1000 mL of IV fluid so you can have an epidural.
d. Your partner will need to change into scrub attire to attend the imminent birth.

Question 2

A father with an X-linked recessive disorder asks the nurse what the probability is that his sons will have the disorder. Which response should the nurse make?

a. Male children will be carriers.
b. All male children will be affected.
c. None of the sons will have the disorder.
d. It cannot be determined without more data.

lin77x · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: B
This client is in the latent phase of the first stage of labor. Use slow, deep chest breathing patterns early in labor to conserve energy for the upcoming process. There is no mention in the stem that the membranes are ruptured, which may prohibit the patient from ambulating. Ambulating during early labor uses gravity to facilitate fetal descent. This is desired because the head is at -1 station. Epidural placement during early labor may slow down the labor process. There is no indication that birth is imminent because the patient is 3 cm dilated.

Answer to Question 2

ANS: C
When a male has an X-linked recessive disorder, he has one copy of the allele on his X chromosome. The father passes only his Y chromosome (not the X chromosome) to his sons. Therefore, none of his sons will have the X-linked recessive gene. They will not be carriers or be affected by the disorder. No additional data are needed to answer this question.