The primiparous patient in early labor asks the nurse what the ...

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The primiparous patient in early labor asks the nurse what the contractions are like as labor progresses. The nurse responds, In normal labor, as the uterine contractions become stronger, they usually also become:
 
  1. Less frequent.
  2. Less painful.
  3. Longer in duration.
  4. Shorter in duration.

Question 2

A new patient is having a preconception physical exam. During the exam, the clinic nurse assesses the patient for: Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply.
 
  1. Pattern of exercise.
  2. An acceptable birth plan.
  3. Body mass index over 30.
  4. Diarrhea.
  5. Hemoglobin under 12 g/dl.

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Answer to Question 1

3
Rationale 1: The uterine contractions of labor become more frequent as labor progresses.
Rationale 2: The uterine contractions of labor become more painful over time.
Rationale 3: The uterine contractions of labor achieve cervical change only as the contractions become longer, stronger, and thus more painful over time.
Rationale 4: The uterine contractions of labor do not become shorter in duration as labor progresses.

Answer to Question 2

3,4,5
Rationale 1: The pattern of exercise is important, and would be part of the history, not of the physical exam.
Rationale 2: An acceptable birth plan is important, but not until after conception has occurred.
Rationale 3: The prenatal physical must include the body mass index measurement to assess for obesity, which is indicated by a body mass index over 30.
Rationale 4: The prenatal physical must include data concerning diarrhea, which could indicate an intestinal infection.
Rationale 5: The prenatal physical must include a hemoglobin test to ensure that anemia is not present. Hemoglobin under 12 g/dl indicates anemia.

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Gracias!

[Alyson.hiatt@yahoo.com]

Excellent