The vaginal examination is an essential component of labor ...

[melly21297]

The vaginal examination is an essential component of labor assessment. It reveals whether the patient is in true labor and enables the examiner to determine whether membranes have ruptured.
 
  This examination is often stressful and uncomfortable for the patient and should be performed only when indicated. Please match the correct step number, from 1 to 7, with each component of a vaginal examination of the laboring woman.
  a. After obtaining permission, gently insert the index and middle fingers into the vagina.
  b. Explain findings to the patient.
  c. Position the woman to prevent supine hypotension.
  d. Use sterile gloves and soluble gel for lubrication.
  e. Document findings and report to the provider.
  f. Cleanse the perineum and vulva if necessary.
  g. Determine dilation, presenting part, status of membranes, and characteristics of amniotic fluid.
 
   46. Step 1
 
   47. Step 2
 
   48. Step 3
 
   49. Step 4
 
   50. Step 5
 
   51. Step 6
 
   52. Step 7

Question 2

Women who have participated in childbirth education classes often bring a birth bag or Lamaze bag with them to the hospital. These items often assist in reducing stress and providing comfort measures.
 
  The nurse caring for women in labor should be aware of common items that a client may bring, including (Select all that apply):
  a. Rolling pin. d. Stuffed animal or photo.
  b. Tennis balls. e. Candles.

[morrie123456]

Answer to Question 1

46. ANS: D
47. ANS: C
48. ANS: F
49. ANS: A
50. ANS: G
51. ANS: B
52. ANS: E

Answer to Question 2

ANS: A, B, C, D
The rolling pin and tennis balls are used to provide counterpressure, especially if the woman is experiencing back labor. Although the facility has plenty of pillows, when the client brings her own, it is a reminder of home and provides added comfort. A stuffed animal or framed photo can be used to provide a focal point during contractions. Although many women find the presence of candles conducive to creating calm and relaxing surroundings, these are not suitable for a hospital birthing room environment. Oxygen may be in use, resulting in a fire hazard. Flameless candles are often sold in hospital gift shops. It is also important for the nurse to orient the patient and her family to the call bell and light switches to familiarize herself with the environment.