The prenatal patient in her third trimester tells the clinic ...

[natalie2426]

The prenatal patient in her third trimester tells the clinic nurse that she works 8 hours a day as a cashier and stands when at work. What response by the nurse is best?
 
  1. No problem. Your baby will be fine.
  2. Do you get regular breaks for eating?
  3. Your risk of preterm labor is higher.
  4. Standing might increase ankle swelling.

Question 2

The nurse is caring for a client in active labor. The membranes spontaneously rupture, with a large amount of clear amniotic fluid. Which nursing action is most important to undertake at this time?
 
  1. Assess the odor of the amniotic fluid.
  2. Perform Leopold maneuvers.
  3. Obtain an order for pain medication.
  4. Complete a sterile vaginal exam.

[popopong]

Answer to Question 1

3
Rationale 1: Standing more than 5 hours a day increases the risk of preterm labor. To be therapeutic in communication, avoid false reassurance.
Rationale 2: Although breaks for eating, drinking, and toileting are important for pregnant employees, it is more important to tell the patient about the increased risks associated with standing more than 5 hours a day.
Rationale 3: Pregnant women who stand for more than 5 hours a day have an increased risk of preterm labor. Because preterm labor can put the infant's life at risk, this statement would be the best.
Rationale 4: Although this is true, it is less important than teaching the patient about the risks of preterm labor from standing more than 5 hours a day.

Answer to Question 2

4
Explanation: 4. Checking the cervix will determine whether the cord prolapsed when the membranes ruptured. The nurse would assess for prolapsed cord via vaginal examination.

[natalie2426]

Thanks for the timely response, appreciate it

[abro1885]

Great answer, keep it coming