Author Question: Two hours ago, a client at 39 weeks' gestation was 3 cm dilated, 40 effaced, and +1 station. ... (Read 69 times)

Tirant22

  • Hero Member
  • *****
  • Posts: 532
Two hours ago, a client at 39 weeks' gestation was 3 cm dilated, 40 effaced, and +1 station. Frequency of contractions was every 5 minutes with duration 40 seconds and intensity 50 mmHg.
 
  The current assessment is 4 cm dilated, 40 effaced, and +1 station. Frequency of contractions is now every 3 minutes with 40-50 seconds' duration and intensity of 40 mmHg. What would the priority intervention be? 1. Begin oxytocin after assessing for CPD.
  2. Give terbutaline to stop the preterm labor.
  3. Start oxygen at 8 L/min.
  4. Have the anesthesiologist give the client an epidural.

Question 2

During the initial prenatal visit, the pregnant teenager states that she does not know how she got pregnant. The nurse can help to educate her regarding anatomy by doing what?
 
  1. Allowing her to witness a pelvic exam on another teenager
  2. Encouraging her to ask her mother about the physiology of pregnancy
  3. Including anatomic models and drawings in the teaching session
  4. Discussing the process of fetal development with the client



thall411

  • Sr. Member
  • ****
  • Posts: 332
Answer to Question 1

1
Explanation: 1. The client is having hypertonic contractions. Cephalopelvic disproportion (CPD) must be excluded. If CPD exists, oxytocin (Pitocin) augmentation should not be used. Oxytocin is the drug of choice for labor augmentation or labor induction.

Answer to Question 2

3
Explanation: 3. To teach the client about anatomy and physiology, use simple explanations and lots of audiovisuals.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
 

Did you know?

It is difficult to obtain enough calcium without consuming milk or other dairy foods.

Did you know?

A recent study has found that following a diet rich in berries may slow down the aging process of the brain. This diet apparently helps to keep dopamine levels much higher than are seen in normal individuals who do not eat berries as a regular part of their diet as they enter their later years.

Did you know?

Disorders that may affect pharmacodynamics include genetic mutations, malnutrition, thyrotoxicosis, myasthenia gravis, Parkinson's disease, and certain forms of insulin-resistant diabetes mellitus.

Did you know?

More than 34,000 trademarked medication names and more than 10,000 generic medication names are in use in the United States.

Did you know?

About one in five American adults and teenagers have had a genital herpes infection—and most of them don't know it. People with genital herpes have at least twice the risk of becoming infected with HIV if exposed to it than those people who do not have genital herpes.

For a complete list of videos, visit our video library