The OB-GYN nurse is evaluating patient satisfaction with her ...

[ETearle]

The OB-GYN nurse is evaluating patient satisfaction with her childbirth experience. The nurse looks at whether the nursing care included: Note: Credit will be given only if all correct and no incorrect choices are selected.
 
  Select all that apply. 1. Establishment of good rapport.
  2. Involvement of the patient in decisions.
  3. Provision of support to the patient.
  4. Visitors' not being allowed in the labor room.
  5. Keeping the patient bed-bound through labor.

Question 2

The client presents to the labor and delivery unit stating that her water broke 2 hours ago. Indicators of normal labor include which of the following? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
 
  Select all that apply. 1. Fetal heart rate of 130 with average variability
  2. Blood pressure of 130/80
  3. Maternal pulse of 160
  4. Protein of +1 in urine
  5. Odorless, clear fluid on underwear

[tuate]

Answer to Question 1

1,2,3
Rationale 1: Establishing rapport with the patient and her support systems is important in providing a satisfying childbirth experience.
Rationale 2: Involving the patient and her partner in the decision-making process is important in increasing satisfaction.
Rationale 3: The patient requires support not only from the nurse, but also from family or a doula.
Rationale 4: The patient needs to have family and/or friends with her during labor. The patient will limit visitors if needed.
Rationale 5: The patient needs to be allowed to walk, use the rocking chair, sit in a hot tub, etc., if she desires.

Answer to Question 2

1, 2, 5
Explanation: 1. Fetal heart rate (FHR) of 110-160 with average variability is a normal indication.
2. Maternal vital sign of blood pressure below 140/90 is a normal indication.
5. Fluid clear and without odor if membranes ruptured is a normal indication.

[ETearle]

TYSM

[patma1981]

Excellent