Author Question: The nurse is caring for a client in labor who is fearful and anxious. The nurse attempts to relieve ... (Read 16 times)

@Brianna17 · **on:** Jul 22, 2018

The nurse is caring for a client in labor who is fearful and anxious. The nurse attempts to relieve these feelings in order to prevent what effect on labor? Select all that apply. Standard Text: Select all that apply.

1. Prolonged labor
2. Increased pain with contractions
3. Abnormal fetal heart rate
4. Decreased effectiveness of contractions
5. Increased risk of pre-eclampsia

Question 2

The nurse is observing the client's rhythm strip on the cardiorespiratory monitor when suddenly the P wave disappears. The nurse interprets this to mean:

1. The ventricle is no longer contracting.
2. Only the left ventricle is contracting.
3. The atria are not contracting.
4. The client's heart is no longer ejecting blood.

frre432 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

1,2,4
Rationale: Fear and anxiety increase the time it takes to deliver, increase the pain experienced with each contraction, and decrease the effectiveness of contraction. Fear and anxiety do not increase the risk of pre-eclampsia or increase fetal heart rate.

Answer to Question 2

3
Rationale: The P wave is an indication of atrial contraction, and absence of this wave would mean that either the atria are not contracting or they are fibrillating, and the fibrillation wave is so small as to not be seen on that particular lead. The QRS reflects ventricular contraction.