The labor and delivery nurse is reviewing charts. The nurse ...

[rachel9]

The labor and delivery nurse is reviewing charts. The nurse should inform the supervisor about which client?
 
  1. Client at 5 cm requesting labor epidural analgesia
  2. Client whose cervix remains at 6 cm for 4 hours
  3. Client who has developed nausea and vomiting
  4. Client requesting her partner to stay with her

Question 2

The patient delivered by cesarean birth 3 days ago and is being discharged. Which statement should the nurse include in the discharge teaching?
 
  1. If your incision becomes increasingly painful, call the doctor.
  2. It is normal for the incision to ooze greenish discharge in a few days.
  3. Increasing redness around the incision is a part of the healing process.
  4. A fever is to be expected because you had a surgical delivery.

[Kaytorgator]

Answer to Question 1

2
Explanation: 2. Average cervical change in the active phase of the first stage of labor is 1.2 cm/hour; thus, this client's lack of cervical change is unexpected, and should be reported to the supervisor.

Answer to Question 2

1
Rationale 1: The patient should call the doctor if the incision becomes increasingly painful. Cesarean wound infections are characterized by fever, increased pain, increasing redness in the peri-wound area, and purulent drainage.
Rationale 2: Green drainage is not an acceptable symptom.
Rationale 3: The patient should call the doctor if the incision becomes increasingly painful. Cesarean wound infections are characterized by increasing redness in the peri-wound area.
Rationale 4: A fever could be a symptom of infection.