While palpating contractions, the nurse determines that a client ...

[magmichele12]

While palpating contractions, the nurse determines that a client is in the latent phase of labor. What findings did the nurse use to make this determination? Select all that apply.
 
  1. Contractions rated as being moderate to strong
  2. Contractions rated as being mild to moderate
  3. Contractions occur every 6 minutes lasting for 40 seconds
  4. Contractions occur every 2 minutes lasting for 50 seconds
  5. Contraction occurs every 10 minutes lasting for 30 seconds

Question 2

During an antenatal examination the nurse becomes concerned that the client is at high risk. What findings did the nurse use to make this clinical determination? Select all that apply.
 
  1. Smokes one half pack per day of cigarettes
  2. Employer provides maternal leave of absence
  3. Is estranged from family and the baby's father
  4. Loss of 3 lb since last examination 1 month ago
  5. Treated for a sexually transmitted infection (STI) 2 months ago

[izzat]

Answer to Question 1

2, 3, 5
Explanation:
1. Contractions in the active phase are rated as being moderate to strong.
2. Contractions in the latent phase are rated as being mild to moderate.
3. In the latent phase contractions progress to occurring every 5 to 7 minutes and last for 30 to 40 seconds.
4. In the active phase contractions occur every 2 to 5 minutes and last for 40 to 60 seconds.
5. In the latent phase contractions occur every 10 to 30 minutes and last for 30 seconds.

Answer to Question 2

1, 3, 4, 5
Explanation:
1. Smoking while pregnant increases this client's risk during pregnancy.
2. Having an employer that provides maternal leave of absence would not increase this client's risks during pregnancy.
3. Lack of social support systems increases this client's risk during pregnancy.
4. A weight loss could indicate an eating disorder, which would make this client a high risk.
5. STIs increase this client's risk during pregnancy.