The nurse is caring for a client in the transition phase of labor ...

[washai]

The nurse is caring for a client in the transition phase of labor and notes that the fetal monitor tracing shows average short-term and long-term variability with a baseline of 142 beats per minute.
 
  What actions should the nurse take in this situation? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Provide caring labor support.
  2. Administer oxygen via face mask.
  3. Change the client's position.
  4. Speed up the client's intravenous.
  5. Reassure the client and her partner that she is doing fine.

Question 2

A patient tells you that her mother was a twin, two of her sisters have twins, and several cousins either are twins or gave birth to twins. The patient, too, is expecting twins.
 
  Because there is a genetic predisposition to twins in her family, there is a good chance that the patient will have: 1. Dizygotic twins.
  2. Monozygotic twins.
  3. Identical twins.
  4. Nonzygotic twins.

[fdliggud]

Answer to Question 1

1, 5
Explanation: 1. The tracing is normal, so the nurse can continue support of the labor.
5. The nurse can reassure the client at this time, as the tracing is normal.

Answer to Question 2

1
Rationale 1: A familial history of twins usually results in dizygotic (fraternal) twins, or twins that result from two separate ova.
Rationale 2: Monozygotic twins, known also as identical twins, are not familial.
Rationale 3: Identical twins, known also as monozygotic twins, are not familial.
Rationale 4: Nonzygotic twins do not exist.

[washai]

Excellent

[nyrave]

Gracias!