The nurse is testing the client for graphesthesia and asks the ...

[jenna1]

The nurse is testing the client for graphesthesia and asks the client to close his eyes. Which of the following would the nurse have the client do?
 
  1. Identify three objects placed in the hand, one at a time.
  2. Identify three numbers or letters traced in the client's palm.
  3. Identify the smallest distance between two skin pricks after pricking the skin with two pins at varying distances.
  4. State whether one or two skin pricks are felt, after applying sharp stimuli bilaterally to symmetrical areas of the client's skin.

Question 2

The nurse is monitoring a client who is in the active phase of labor. The client has been experiencing contractions that are short, irregular, and weak. The nurse documents that the client is experiencing which type of labor dystocia?
 
  1. Hypotonic
  2. Precipitate
  3. Hypertonic
  4. Preterm labor

[blakcmamba]

Answer to Question 1

2

Rationale: Graphesthesia is the ability to recognize the form of written symbols. The nurse can assess for this by tracing symbols, such as numbers, in the client's palm. Identify three objects placed in the hand, one at a time tests for stereognosis, which is the ability to identify the form of common objects using the sense of touch. Identify the smallest distance between two skin pricks after pricking the skin with two pins at varying distances and state whether one or two skin pricks are felt, after applying sharp stimuli bilaterally to symmetrical areas of the client's skin test for extinction phenomenon and two-point stimulation, respectively.

Answer to Question 2

1

Rationale: Hypotonic labor contractions are short, irregular, weak, and usually occur during the active phase of labor. Hypertonic dysfunction usually occurs during the latent phase of labor. Precipitate labor is that which lasts in its entirety for 3 hours or less. Preterm labor is the onset of labor after 20 weeks of gestation and before the beginning of the 38th week of gestation.

[jenna1]

Excellent

Gracias!