The nurse is assessing a woman in labor. What techniques are ...

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The nurse is assessing a woman in labor. What techniques are vital for the nurse to use during this assessment? (Select all that apply.)
 
  A.
  Auscultation
  B.
  Inspection
  C.
  Interviewing
  D.
  Percussion
  E.
  Palpation

Question 2

A young girl in active labor arrives at the hospital without having had any prenatal care. She is extremely anxious and crying out in pain.
 
  What would the nurse assess to best determine that goals for the diagnosis of knowledge deficit have been met? (Select all that apply.)
  A.
  Begs her mother to stay with her while giving birth
  B.
  Can describe expected labor progress and states she is in less pain
  C.
  Is able to cooperate with breathing instructions during contractions
  D.
  Is able to give a history of this pregnancy to the admitting nurse
  E.
  States that after this birth, she wants to learn about birth control

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Answer to Question 1

ANS: A, B, C, E
The nurse uses the skills of interviewing, inspection (observation), palpation, and auscultation to assess the woman in labor. Percussion is not generally used in this assessment.

Answer to Question 2

ANS: B, C
A lack of knowledge can lead to anxiety and increased perceived pain. When the patient understands labor progression and the events surrounding childbirth, she will be better able to cooperate with breathing instructions and hopefully will feel less pain as she feels more in control. The other actions do not show the benefit of an educated patient.

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