Answer to Question 1
ANS: C
Precipitous labor contractions produce very rapid, intense contractions. A precipitous labor lasts less than 3 hours from the beginning of contractions to birth. Patients often progress through the first stage of labor with little or no pain and may present to the birth setting already advanced into the second stage.
Answer to Question 2
ANS: A
This woman's labor is progressing precipitously. The nurse should instruct her to breathe through contractions to avoid pushing. Documentation should always be thorough, but further action is needed. The provider should be notified about a possible precipitous birth, but the woman needs assistance to control the bearing-down efforts. The nurse can delegate the notification task to someone else. Patients and their support persons always need information on their progress, but this is not the most important action.
A nurse shows empathy to a client.
Providing patient education
Nurse opens sterile package
Where is this woman starring?
Paul Colin, Figure of a Woman.
The nurse conveys attentive listening through a posture of involvement