A client is having contractions that are lasting 2030 seconds and ...

[sjones]

A client is having contractions that are lasting 2030 seconds and occurring every 820 minutes. The client is requesting something to help relieve the discomfort of contractions. The nurse should suggest:
 
  1. That a mild analgesic be administered.
  2. An epidural.
  3. A local anesthetic block.
  4. Nonpharmacologic methods for pain relief.

Question 2

What information in a woman's health history would put her at an increased risk of developing heart disease?
 
  a. Smoked one pack of cigarettes for 2 years during youth but has not smoked for the last 20 years
  b. Drinks two glasses of red wine every day
  c. Currently is being treated for type 2 diabetes
  d. Currently is taking hormone replacement therapy for severe menopausal symptoms

[morganmarie791]

Answer to Question 1

4
Rationale:
1. The client does not have an established labor pattern, and analgesics given for pain relief could prolong labor or stop the process.
2. The client does not have an established labor pattern, and an epidural given for pain relief could prolong labor or stop the process.
3. A local anesthetic block is given during the delivery of the baby to numb the perineal area.
4. For this pattern of labor, nonpharmacological methods for pain relief should be suggested. These can include back rubs, showers, whirlpools, and the application of cool cloths.

Answer to Question 2

C
Clients with diabetes are at increased risk of heart disease due to vascular changes associated with diabetes. The important fact is that the client has not smoked for 20 years, the habit thus having little if any impact on her development of heart disease. Drinking two glasses of red wine every day or taking hormone replacement therapy for severe menopausal symptoms are not indicators of increased risk of heart disease.

[sjones]

TYSM

[yeungji]

Excellent