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Author Question: Maternal responses to the transition phase of labor include: a. Urge to push, apprehension, ... (Read 135 times)

nevelica

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Maternal responses to the transition phase of labor include:
 
  a. Urge to push, apprehension, desire for companionship
  b. Perineal bulging, increased strength, and frequency of contractions
  c. Restlessness, trembling of the legs, nausea, and vomiting
  d. Talkative, attempts to care for own needs, mild contractions

Question 2

Nursing care during the active phase of labor should include:
 
  a. Encouraging pushing with contractions
  b. Monitoring vital signs and fetal heart rate
  c. Administering a narcotic analgesic as ordered
  d. Asking visitors to leave the room so the patient can rest



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tranoy

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Answer to Question 1

ANS: C
Restlessness, trembling of the legs, nausea, and vomiting are common during transition. The other responses relate to other phases of labor.

Answer to Question 2

ANS: B
In the active phase, the maternal vital signs and fetal heart rate should be assessed every 30 minutes. Comfort measures should include nonpharmacologic interventions such as a back rub, a cool cloth to the head, and oral hygiene. The woman usually is somewhat fearful at this stage and will probably want a companion to remain with her.




tranoy

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