Which patient at term should go to the hospital or birth center ...

[OSWALD]

Which patient at term should go to the hospital or birth center the soonest after labor begins?
 
  a. Gravida 2 para 1 who lives 10 minutes away
  b. Gravida 1 para 0 who lives 40 minutes away
  c. Gravida 3 para 2 whose longest previous labor was 4 hours
  d. Gravida 2 para 1 whose first labor lasted 16 hours

Question 2

A postpartum client reports sharp, shooting pains in her nipple during breastfeeding, and flaky, itchy skin on her breasts. The nurse suspects:
 
  1. Nipple soreness.
  2. Engorgement.
  3. Mastitis.
  4. Letdown reflex.

[vish98]

Answer to Question 1

C
Feedback
A A gravida 2 is expected to have a longer labor than the gravida 3 . The fact that
she lives close to the hospital allows her to stay home for a longer period of time.
B A gravida 1 is expected to have the longest labor.
C Multiparous women usually have shorter labors than do nulliparous women. The
woman described in option c is multiparous with a history of rapid labors,
increasing the likelihood that her infant might be born in uncontrolled
circumstances.
D The gravida 2 is expected to have a longer labor than the gravida 3, especially
since her first labor was 16 hours.

Answer to Question 2

3
Rationale:
1. This is not a symptom of nipple soreness.
2. This is not a symptom of engorgement.
3. Mastitis is characterized by late-onset nipple pain, followed by shooting pains during and between feedings. The skin of the affected breast becomes pink, flaking, and pruritic.
4. This is not a symptom of the letdown reflex.

[OSWALD]

Gracias!

[Joy Chen]

TYSM