This topic contains a solution. Click here to go to the answer

Author Question: The nulliparous states, I have been in labor for 4 hours and I am still only 2 cm dilated. Why is ... (Read 112 times)

melly21297

  • Hero Member
  • *****
  • Posts: 565
The nulliparous states, I have been in labor for 4 hours and I am still only 2 cm dilated. Why is this happening? I feel like I should be ready to push by now. Which is the best response by the nurse?
 
  A) When your perineal body thins out, your cervix will begin to dilate much faster than it is now.
  B) The hormones that cause labor to begin are just getting to the levels that will change your cervix.
  C) What did you expect? You've only had contractions for a few hours. Labor takes time.
  D) Your cervix has also effaced, or thinned out, and that change in the cervix is also labor progress.

Question 2

The nurse is reviewing the immunization record for a client who just learned she is pregnant. Which vaccine is not safe to give during pregnancy?
 
  A) Pertussis
  B) Annual influenza
  C) Rubella
  D) Tetanus



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

chreslie

  • Sr. Member
  • ****
  • Posts: 307
Answer to Question 1

Answer: D

Cervical effacement must be nearly complete before cervical dilation takes place in primiparas. This is why the labor and birth of a first baby usually take much more time than for subsequent labor and births. The perineal body thinning primarily occurs during the second stage of labor; it is not expected early in labor. The reply what did you expect is not therapeutic. Although it is true that this client has only been in early labor for a short time, and it is true that labor for a nullipara averages 12-24 hours, the nurse must always be therapeutic in all communication. The hormones that cause labor contractions do not directly cause cervical change; the contractions cause the cervix to change.

Answer to Question 2

Answer: C

Rubella vaccine should never be given to pregnant women (or women trying to conceive) because the vaccine contains the attenuated live virus, which has teratogenic effects on the developing fetus. Pertussis, tetanus, and annual influenza vaccines can safely be given in pregnancy. Safe vaccine recommendations for pregnant women are available from the Centers for Disease Control and Prevention website (http://www.cdc.gov).




melly21297

  • Member
  • Posts: 565
Reply 2 on: Jun 25, 2018
Gracias!


juliaf

  • Member
  • Posts: 344
Reply 3 on: Yesterday
Wow, this really help

 

Did you know?

According to the FDA, adverse drug events harmed or killed approximately 1,200,000 people in the United States in the year 2015.

Did you know?

There are immediate benefits of chiropractic adjustments that are visible via magnetic resonance imaging (MRI). It shows that spinal manipulation therapy is effective in decreasing pain and increasing the gaps between the vertebrae, reducing pressure that leads to pain.

Did you know?

Computer programs are available that crosscheck a new drug's possible trade name with all other trade names currently available. These programs detect dangerous similarities between names and alert the manufacturer of the drug.

Did you know?

As of mid-2016, 18.2 million people were receiving advanced retroviral therapy (ART) worldwide. This represents between 43–50% of the 34–39.8 million people living with HIV.

Did you know?

Patients who have undergone chemotherapy for the treatment of cancer often complain of a lack of mental focus; memory loss; and a general diminution in abilities such as multitasking, attention span, and general mental agility.

For a complete list of videos, visit our video library