A woman who is 39 weeks pregnant expresses fear about her ...

[MGLQZ]

A woman who is 39 weeks pregnant expresses fear about her impending labor and how she will manage. The nurse's best response is:
 
  a. Don't worry about it. You'll do fine.
  b. It's normal to be anxious about labor. Let's discuss what makes you afraid.
  c. Labor is scary to think about, but the actual experience isn't.
  d. You can have an epidural. You won't feel anything.

Question 2

When assessing a multiparous woman who has just given birth to an 8-pound boy, the nurse notes that the woman's fundus is firm and has become globular in shape. A gush of dark red blood comes from her vagina. The nurse concludes that:
 
  a. The placenta has separated.
  b. A cervical tear occurred during the birth.
  c. The woman is beginning to hemorrhage.
  d. Clots have formed in the upper uterine segment.

[mammy1697]

Answer to Question 1

ANS: B
It's normal to be anxious about labor. Let's discuss what makes you afraid allows the woman to share her concerns with the nurse and is a therapeutic communication tool. Don't worry about it. You'll do fine negates the woman's fears and is not therapeutic. Labor is scary to think about, but the actual experience isn't negates the woman's fears and offers a false sense of security. It is not true that every woman may have an epidural. A number of criteria must be met for use of an epidural. Furthermore, many women still experience the feeling of pressure with an epidural.

Answer to Question 2

ANS: A
Placental separation is indicated by a firmly contracting uterus, a change in the uterus from a discoid to a globular ovoid shape, a sudden gush of dark red blood from the introitus, an apparent lengthening of the umbilical cord, and a finding of vaginal fullness. Cervical tears that do not extend to the vagina result in minimal blood loss. Signs of hemorrhage are a boggy uterus, bright red vaginal bleeding, alterations in vital signs, pallor, lightheadedness, restlessness, decreased urinary output, and alteration in the level of consciousness. If clots have formed in the upper uterine segment, the nurse would expect to find the uterus boggy and displaced to the side.

[MGLQZ]

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[xiaomengxian]

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