Author Question: By inquiring about the expectations and plans that a laboring woman and her partner have for the ... (Read 22 times)

sc00by25 · **on:** Jun 27, 2018

By inquiring about the expectations and plans that a laboring woman and her partner have for the labor and birth, the nurse is primarily:

1. Recognizing the patient as an active participant in her own care.
2. Attempting to correct any misinformation the patient might have received.
3. Acting as an advocate for the patient.
4. Establishing rapport with the patient.

Question 2

Which client would the nurse document as exhibiting signs and symptoms of primary dysmenorrhea?

1. 17-year-old, has never had a menstrual cycle
2. 16-year-old, had regular menses for 4 years, but has had no menses in 4 months
3. 19-year-old, regular menses for 5 years that have suddenly become painful
4. 14-year-old, irregular menses for 1 year, experiences cramping every cycle

jlaineee · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

1
Rationale 1: Understanding the couple's expectations and plans helps the nurse provide optimal nursing care and facilitate the best possible birth experience.
Rationale 2: Any misinformation the family has can be corrected, but that is not the primary focus.
Rationale 3: The nurse might use the information about plans and expectations to act as an advocate for the patient as the labor progresses, but this is not the primary rationale for inquiring about them.
Rationale 4: Rapport and a therapeutic relationship are important for all nursepatient interactions, but are not best addressed by asking about plans and expectations for the birth.

Answer to Question 2

4
Explanation: 4. Dysmenorrhea, or painful menstruation, occurs at, or a day before, the onset of menstruation and disappears by the end of menses. Primary dysmenorrhea is defined as cramps without underlying disease.