Author Question: A client has a strong urge to push and is 8 centimeters dilated. As the nurse, you should understand ... (Read 81 times)

bobthebuilder · **on:** Jun 27, 2018

A client has a strong urge to push and is 8 centimeters dilated. As the nurse, you should understand that pushing now may prolong the labor process because

a. the blood flow increases
b. the cervix becomes edematous
c. the client becomes exhausted
d. 4-degree tear of the perineumcould occur

Question 2

A newborn has been diagnosed with Hirschsprung's disease. The parents ask the nurse about the symptoms that lead to this diagnosis. The nurse should explain that common symptoms are:

1. Acute diarrhea; dehydration.
2. Failure to pass meconium; abdominal distention.
3. Currant jelly, gelatinous stools; pain.
4. Projectile vomiting; altered electrolytes.

dreamfighter72 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

B
With the added pressure of pushing prior to complete cervical dilation, the cervix becomes edematous, which may prolong the labor process and the fetal descent. A 4-degree tear of the perineum more commonly occurs during a nonsupported delivery. An increase in blood flow does not result from early pushing. Although client exhaustion is a concern, it is not the best answer to the question asked.

Answer to Question 2

2
Rationale:
1. Acute diarrhea and dehydration are symptoms characteristic of gastroenteritis.
2. Hirschsprung's disease is the absence of autonomic parasympathetic ganglion cells in the colon, which prevents peristalsis at that portion of the intestine. In newborns, the symptoms include abdominal distention and failure to pass meconium.
3. Currant jelly, gelatinous stools, and pain are symptoms of intussusception.
4. Projectile vomiting and altered electrolytes are symptoms of pyloric stenosis.