The labor and delivery unit nurse manager is incorporating ...

[theo]

The labor and delivery unit nurse manager is incorporating complementary and alternative therapies into the unit's policies and procedures.
 
  Which statement should the nurse manager make to the nursing staff during an in-service educational presentation? 1. Policies have been developed for using massage and aromatherapy.
  2. When patients ask questions you don't know, tell them to look online.
  3. Because herbs are dangerous during pregnancy, we will not use them.
  4. Be sure to ask patients what alternative therapies they have used.

Question 2

The laboring primiparous patient is at 7 cm, with the vertex at a +1 station. Her birth plan indicates that she and her partner took Lamaze prenatal classes, and they have planned on a natural, unmedicated birth.
 
  Her contractions are every 3 minutes and last 60 seconds. She has used relaxation and breathing techniques very successfully in her labor until the last 15 minutes. Now, during contractions, she is writhing on the bed and screaming. Her labor partner is rubbing the patient's back and speaking to her quietly. Which nursing diagnosis should the nurse incorporate into the plan of care for this patient? 1. Health-seeking Behaviors related to increased pain level
  2. Acute Pain related to contractions and the birth process
  3. Compromised Family Coping related to birth process
  4. Deficient Knowledge related to lack of information about relaxation

[verrinzo]

Answer to Question 1

1
Rationale 1: The development of written policies and procedures facilitates safe nursing practice, which in turn promotes patient safety.
Rationale 2: Online information can vary in its accuracy. Reputable sources (electronic or print) should be recommended for further patient education.
Rationale 3: This statement is false. Many herbs can be safely used during pregnancy.
Rationale 4: What the patient has used in the past does not predict what she is open to using at present.

Answer to Question 2

2
Rationale 1: The patient is not asking questions; therefore, this diagnosis does not fit.
Rationale 2: The patient is exhibiting signs of acute pain, which is both common and expected in the transitional phase of labor.
Rationale 3: There is no evidence regarding the family's coping, only the patient's coping with the pain.
Rationale 4: The patient used breathing and relaxation techniques earlier in labor, demonstrating a knowledge of these techniques.

[theo]

Excellent

[cici]

TYSM