The client in the prenatal clinic tells the nurse that she is ...

[xclash]

The client in the prenatal clinic tells the nurse that she is sure she is pregnant because she has not had a menstrual cycle for 3 months, and her breasts are getting bigger. What response by the nurse is best?
 
  1. Lack of menses and breast enlargement are presumptive signs of pregnancy.
  2. The changes you are describing are definitely indicators that you are pregnant.
  3. Lack of menses can be caused by many things. We need to do a pregnancy test.
  4. You're probably not pregnant, but we can check it out if you like.

Question 2

A patient is admitted to the labor unit with contractions 12 minutes apart lasting 6090 seconds. The patient is apprehensive and irritable. This patient is most likely in what phase of labor?
 
  1. Active
  2. Transition
  3. Latent
  4. Second

[mcomstock09]

Answer to Question 1

3
Explanation: 3. This is a true statement, and addresses that these changes could be caused by conditions other than pregnancy.

Answer to Question 2

2
Rationale 1: The active phase is characterized by contractions every 23 minutes and the cervix dilating from 4 to 7 centimeters.
Rationale 2: During the transition phase of labor, contractions have a frequency of about every 12 minutes with a duration of 6090 seconds. The woman might become apprehensive and irritable during this stage.
Rationale 3: The latent phase is characterized by mild contractions progressing from a frequency of 1020 minutes to 57 minutes. In the latent stage, the woman is excited that labor has begun.
Rationale 4: The second stage is the pushing stage, and the woman might feel relieved that the birth is near and she can push. There is no second phase of labor.