The client who experienced an emergency cesarean birth with her ...

[cnetterville]

The client who experienced an emergency cesarean birth with her first child expresses anxiety about her upcoming birth. How can the nurse teaching the client's prenatal classes help decrease her anxiety?
 
  1. Encourage muscle tightening with each contraction.
  2. Explain that patterned breathing increases anxiety, and should be avoided.
  3. Instruct the client to hire a therapeutic massage therapist for labor.
  4. Practice progressive relaxation, and encourage her to use the technique in labor.

Question 2

The nurse on the high-risk antepartal unit has received shift change report. Which client should the nurse see first?
 
  1. Primip at 26 weeks with prolonged premature rupture of membranes experiencing chills
  2. Multip at 28 weeks with premature rupture of membranes reporting leakage of clear vaginal fluid
  3. Primip at 30 weeks with premature rupture of membranes due for a betamethasone injection
  4. Multip at 32 weeks with prolonged premature rupture of membranes and a hemoglobin of 11.0

[bulacsom]

Answer to Question 1

4
Rationale:
1. Relaxation, not muscle tightening, should be encouraged. Some relaxation techniques teach clients to tighten and then release muscles to learn the difference between tension and relaxation, but the key is to be as relaxed as possible during contractions.
2. Patterned breathing techniques decrease, not increase, anxiety. Practice of patterned breathing prior to the onset of labor facilitates their use during labor.
3. Although some clients would enjoy a massage therapist during their labor, not all clients enjoy massage, and not all clients have the resources to hire this type of professional for their labor.
4. Progressive relaxation (and all relaxation techniques), when practiced prior to labor, is a valuable tool to facilitate relaxation and therefore decrease anxiety during labor.

Answer to Question 2

1
Rationale:
1. Chills indicate fever, which in turn indicates infection. Prolonged premature rupture of membranes increases the risk of maternal infection, specifically chorioamnionitis. Intrauterine infection can be life-threatening to the fetus or to a neonate. This client requires immediate intervention, including contacting the physician.
2. Premature rupture of membranes is the leakage of amniotic fluid; continued leaking of clear fluid does not indicate the development of further complications.
3. Scheduled medications are important, but when a client is experiencing complications, medications are less important.
4. Although this client has prolonged premature rupture of membranes, there is no indication of any further complications. This client is a low priority.

[cnetterville]

Correct answers!

[bulacsom]

Great! Please up vote