Answer to Question 1
Correct Answer: 2
Rationale 1: The systolic blood pressure will change by up to 35 mm Hg during the first stage of labor and can increase further in the second stage of labor.
Rationale 2: A white count of 25,00030,000 is normal at the end of labor and during the early postpartum period. This white count is abnormally high and requires further assessment and provider notification.
Rationale 3: The respiratory rate increases during labor because uterine contractions increase oxygen requirements. This patient requires no further intervention.
Rationale 4: This is a normal urine output and requires no further intervention.
Answer to Question 2
Correct Answer: 1
Rationale 1: Softening and effacement of the cervix is accompanied by expulsion of the mucous plug and a small amount of blood loss from the exposed cervical capillaries. The resulting pink-tinged secretions are called bloody show. Bloody show is considered a sign that labor will begin within 24 to 48 hours.
Rationale 2: The patient is most likely demonstrating expulsion of the mucous plug and bloody show, which is considered a sign that labor will begin within 24 to 48 hours.
Rationale 3: The patient is describing pregnancy-related changes associated with imminent onset of labor. Based upon her report, there is no indication that cesarean section will be necessary.
Rationale 4: Chorioamnionitis is associated with premature rupture of amniotic membranes (PROM). Based upon the patient's report, she is demonstrating mucus plug expulsion and bloody show.
Nurses may collaborate with social workers, physicians, and other members of the health care team to
Electroencephalography (EEG). To perform the EEG, electrodes attached to the patient’s head pick up
A nurse communicates with her non–English-speaking patient through an interpreter
Patient wearing an abularm
Positioning the Patient in the Supine Position
Gingival enlargement in a patient taking nifedipine.