The perinatal nurse has assessed Neela, who has a twin pregnancy, and made the following determinations: blood pressure = 136/80; pulse rate = 84; fetal heart rates (FHRs) are between 138146 bpm and 132138 bpm; uterine contractions occur every
56 minutes, duration = 45 seconds, moderate strength. Neela's birth plan describes her wish to be involved in all decision-making throughout her labor and birth as well as her partner's wish to say a prayer in each infant's ear as soon after birth as possible (he is a Muslim). The perinatal nurse's appropriate actions would include a discussion with Neela and her partner about:
A) The need for Neela to have an intravenous infusion administered throughout labor
B) The emergent care the infants will require after birth that will not allow the time to pray
C) The need for epidural analgesia during labor because of Neela's multiple gestation
D) The gestational abilities of the twins at birth, the progress of Neela's labor and the nurse's ability to advocate for prayers if possible
Question 2
The perinatal nurse talks to the prenatal class attendees about guidelines for exercise in pregnancy. Recommended guidelines include:
Select all answers that apply:
A) Stopping if the woman is tired
B) Bouncing and slowly arching the back
C) Increasing fluid intake throughout the physical activity
D) Maintaining the ability to walk and talk during exercise
The nurse conducts the health history as the first step in the nursing assessment
The nurse assesses the patient's ability to use the walker correctly
The respiratory system is assessed for ventilatory changes.
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Integumentary changes in pregnancy: Striae