Author Question: The nurse is caring for a patient who is not certain if she is in true labor. How might the nurse ... (Read 31 times)

penza

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The nurse is caring for a patient who is not certain if she is in true labor. How might the nurse attempt to stimulate cervical effacement and intensify contractions in the patient?
 
  a. By offering the patient warm fluids to drink
  b. By helping the patient to ambulate in the room
  c. By seating the patient upright in a straight-back chair
  d. By positioning the patient on her right side

Question 2

The nurse formulates a nursing diagnosis for a woman in the fourth stage of labor. What is the most appropriate nursing diagnosis?
 
  a. Pain related to increasing frequency and intensity of contractions.
  b. Fear related to the probable need for cesarean delivery.
  c. Dysuria related to prolonged labor and decreased intake.
  d. Risk for injury related to hemorrhage.



JCABRERA33

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Answer to Question 1

ANS: B
Ambulation will stimulate effacement and intensify contractions if the patient is in true labor.

Answer to Question 2

ANS: D
In the fourth stage of labor, a priority nursing action is identifying and preventing hemorrhage.



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