Answer to Question 1
2
Rationale 1: These are normal vital signs, indicating a hemodynamically stable client.
Rationale 2: Penetrating abdominal trauma has a 5980 fetal injury rate. This fetus is at great risk for injury.
Rationale 3: Positioning the client in a lateral tilt position prevents vena cava syndrome.
Rationale 4: Clear fluid from the vagina could be amniotic fluid from spontaneous rupture of the membranes. Although this is not a normal finding at 35 weeks, this fetus is near term, and would likely survive birth at this time.
Answer to Question 2
1
Explanation: 1. With each contraction, the muscles of the upper uterine segment shorten and exert a longitudinal traction on the cervix, causing effacement. Effacement is the taking up (or drawing up) of the internal os and the cervical canal into the uterine side walls.