A client with a suspected small pelvis is dilated at 6 cm. The fetus has an estimated weight of 4200 g (9 lb, 4 oz). What is the most important action for the client at this time?
1. Encourage oral fluids and carbohydrate intake.
2. Assess the cervix for change every 8 hours.
3. Inform the couple that labor might be prolonged.
4. Assist the client to squat during the second stage.
Question 2
The charge nurse is reviewing charting completed on clients in the maternalchild triage unit. Which entry requires immediate intervention?
1. Multipara at 32 weeks: Oligohydramnios per ultrasound secondary to fetal renal agenesis.
2. Primipara at 41 weeks: Client reports leaking clear fluid from her vagina for 7 hours.
3. Primipara at 24 weeks diagnosed with polyhydramnios: Client reporting shortness of breath.
4. Multipara at 34 weeks diagnosed with oligohydramnios: Cervix 6 cm, 2 station, up to walk in hallway.
A nurse shows empathy to a client.
18 weeks old human fetus
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Building a Client Base Cont.
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Small Intestine (SI)