Author Question: The nurse assessing a patient in active labor notes that the patient's respiratory rate is 36 ... (Read 62 times)

tichca

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The nurse assessing a patient in active labor notes that the patient's respiratory rate is 36 breaths/min and shallow. From this information, what should the nurse determine as being the status of the patient's cervical dilation?
 
  A) 0 to 1 cm
  B) 2 to 3 cm
  C) 4 to 6 cm
  D) 7 to 10 cm

Question 2

A pregnant patient has chosen to give birth in a hospital that is designated as mother friendly. What information should the nurse teach the patient to expect when admitted for the birth of her baby? (Select all that apply.)
 
  A) Application of continuous fetal monitoring prior to delivery
  B) Routine policies for perineal shaving and admission enemas
  C) Accurate information about procedures, drugs, and tests
  D) Algorithm to determine when to artificially rupture the membranes
  E) Support for making informed choices about what is best for the baby



JaynaD87

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Answer to Question 1

C
Feedback:
Respirations up to 40 breaths/min and shallow is a level of breathing when cervical dilation is between 4 and 6 cm. Slow deep chest breathing of comfortable but full respirations at a rate of 6 to 12 breaths/min is used for early contractions in labor when the cervical dilation is between 0 and 3 cm. More rapid breathing at a rate of 50 to 70 breaths/min is used when cervical dilation is between 7 and 10 cm.

Answer to Question 2

C, E
Feedback:
Mother-friendly hospitals approach birth as a healthy and joyous experience. The patient should expect to receive accurate information about procedures, drugs, and tests and receive support for making informed choices about what is best for the baby. To qualify as a mother-friendly hospital, there should not be routine policies for fetal monitoring, perineal shaving, admission enemas, or artificial rupturing of the membranes.



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