Author Question: A woman is admitted to the labor and delivery room in active labor; contractions are 4 to 5 minutes ... (Read 134 times)

joesmith1212 · **on:** Jun 27, 2018

A woman is admitted to the labor and delivery room in active labor; contractions are 4 to 5 minutes apart and last for 30 seconds. The nurse needs to perform a detailed assessment. What is the best time to ask questions or do procedures?

a. After the contraction is over
b. During increment of next contraction
c. After administration of analgesic/anesthetic
d. When it is okay with the coach

Question 2

When developing the plan of care for a child with burns requiring fluid replacement therapy, which of the following would the nurse expect to include?

A) Administration of colloid initially followed by a crystalloid
B) Determination of fluid replacement based on the type of burn
C) Administration of most of the volume during the first 8 hours
D) Monitoring of hourly urine output to achieve less than 1 mL/kg/hour

Joy Chen · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

A
Reduce intrusions as much as possible. Longer assessments may span several contractions.
The increment is the beginning of the next contraction. It is best to stop with questions and procedures during each contraction.
An analgesic or anesthetic may cause adverse reactions in the woman, preventing her from answering questions correctly.
The coach is the support person. The woman needs to feel confident in her ability to go through labor and delivery, and she should be encouraged to express her own needs and concerns.

Answer to Question 2

C