The mother of a 14-year-old girl complains to the nurse that her ...

[colton]

The mother of a 14-year-old girl complains to the nurse that her daughter is moody, shuts herself in her room, and fights with her younger sister. Which of the following comments is most valuable to the mother?
 
  A) Calmly talk to her about your concerns.
  B) This is normal for her age.
  C) She may be hanging with a bad crowd.
  D) Set some rules for family etiquette.

Question 2

A client has not received any medication during her labor. She is having frequent contractions every 1 to 2 minutes and has become irritable with her coach and no longer will allow the nurse to palpate her fundus during contractions.
 
  Her cervix is 8 cm dilated and 90 effaced. The nurse interprets these findings as indicating: A) Latent phase of the first stage of labor
  B) Active phase of the first stage of labor
  C) Transition phase of the first stage of labor
  D) Pelvic phase of the second stage of labor

[Juro]

Answer to Question 1

A
Response:
Getting the mother and daughter talking and sharing information is the most valuable advice. Telling the mother that this is normal does nothing for the family situation. Setting rules will alienate the child. Suggesting an underlying problem can cause a rift between the mother and daughter.

Answer to Question 2

C
Response:
The transition phase is characterized by cervical dilation of 8 to 10 cm, effacement of 80 to 100, contractions that are strong, painful, and frequent (every 1 to 2 minutes) and last 60 to 90 seconds, and irritability, apprehension, and feelings of loss of control. The latent phase is characterized by mild contractions every 5 to 10 minutes, cervical dilation of 0 to 3 cm and effacement of 0 to 40, and excitement and frequent talking by the mother. The active phase is characterized by moderate to strong contractions every 2 to 5 minutes, cervical dilation of 4 to 7 cm and effacement of 40 to 80, with the mother becoming intense and inwardly focused. The pelvic phase of the second stage of labor is characterized by complete cervical dilation and effacement, with strong contractions every 2 to 3 minutes; the mother focuses on pushing.

[colton]

Excellent

[parshano]

TYSM