A low-risk patient calls the labor unit and says I need to come ...

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A low-risk patient calls the labor unit and says I need to come in to be checked right now, there were pink streaks on the toilet paper when I went to the bathroom. I think I'm bleeding. What response should the nurse say first?
 
  a. How much blood is there?
  b. You sound concerned, what other labor symptoms do you have?
  c. Don't worry that sounds like a mucus plug.
  d. Does it burn when you urinate?

Question 2

Mrs. H is telling you she feels the urge to push. This is most likely caused by what?
 
  a. Low fetal station triggering the Ferguson reflex
  b. A fetal position of occiput posterior (OP)
  c. The second stage of labor
  d. Transition phase

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Answer to Question 1

ANS: b
The nurse is using reflection to acknowledge the woman's concerns and asks for further assessment. The woman's fear must first be acknowledged and then other questions or comments can be made.

Answer to Question 2

ANS: a
Once the cervix is fully dilated and the vertex is low in the pelvis and the woman feels the urge to push, she will involuntarily bear down. This is activated when the presenting part as it descends stretches the pelvic floor muscles and triggers the Ferguson reflex.

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TYSM

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Gracias!