The laboring patient presses the call light and reports that her ...

[Capo]

The laboring patient presses the call light and reports that her water has just broken. The nurse's first action would be to:
 
  1. Check fetal heart tones.
  2. Encourage the mother to go for a walk.
  3. Change bed linens.
  4. Call the physician.

Question 2

A Navajo client who is 36 weeks pregnant meets with a traditional healer as well as her physician. What does the nurse understand this to mean?
 
  1. The client is seeking spiritual direction.
  2. The client does not trust her physician.
  3. The client will not adapt to mothering well.
  4. The client is experiencing complications of pregnancy.

[Joc]

Answer to Question 1

1
Rationale 1: Fetal heart tones should be checked after rupture of the membranes to assess for cord compression.
Rationale 2: If the presenting part is not engaged, the laboring patient should not be allowed to walk, because there is a risk of cord prolapse once the membranes have ruptured.
Rationale 3: The bed linens can be changed after assessing the heart rate.
Rationale 4: The physician does not need to be called after rupture of the membranes unless there is a change in the status of the fetus or patient.

Answer to Question 2

1
Explanation: 1. Navajo clients are aware of the mind-soul connection, and might try to follow certain practices to have a healthy pregnancy and birth. Practices could include focus on peace and positive thoughts as well as certain types of prayers and ceremonies. A traditional healer may assist them.