Author Question: The nurse is monitoring a pregnant client in labor and palpates the abdomen until the end of the ... (Read 58 times)

amal · **on:** Jun 25, 2018

The nurse is monitoring a pregnant client in labor and palpates the abdomen until the end of the contraction. During end of shift report, the nurse states, Uterus rigidity is comparable to a nose.

This client may require an oxytocin drop. Based on this comment, which feature of the contract is the nurse describing?
1. Intensity.
2. Duration.
3. Frequency.
4. Length.

Question 2

The nurse is preparing to assess the fetal heart tones for a client whose fetus is in the LOA position. Which location will the nurse use to assess the fetal heart tones?

1. A.
2. B.
3. C.
4. D.

Bsand8 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 1
The intensity of the contraction refers to its strength. Assessing the intensity or strength of contractions is done by palpation and is described by comparing the rigidity of the uterus to the firmness of certain other body features such as the nose, the chin, and the forehead for mild, moderate, and hard. The duration, or length, of contractions is measured from the beginning of the contraction until the end of the contraction. The frequency of the contractions is determined by measuring the interval from the beginning of one contraction to the beginning of the next contraction.

Answer to Question 2

Correct Answer: 4
The position of the fetus can be used to ascertain the best location for listening for fetal heart tones. When the fetus is in the LOA (left occiput posterior) position, the head of the fetus is the presenting part. The occipital region of the fetal head and back will be facing the left anterior side of the mother. This will allow the assessment of heart tones in a region closest to the back of the fetus.