A new nurse is caring for a woman in the transition phase of ...

[ec501234]

A new nurse is caring for a woman in the transition phase of labor. The nurse attempts to engage the woman in conversation and chats even when the woman doesn't respond to these attempts. What action by the nurse's preceptor is most appropriate?
 
  A.
  Direct the nurse to attempt conversation with the support person.
  B.
  Encourage the nurse to keep attempting to engage the woman in conversation.
  C.
  Gently ask the nurse to refrain from unnecessary conversation.
  D.
  Tell the nurse not to take the woman's silence as a personal rejection.

Question 2

A woman is in the early latent phase of labor and is frustrated by the length of time this stage is taking. What action by the nurse is best?
 
  A.
  Administer 100 oxygen by face mask.
  B.
  Encourage frequent position changes or walking.
  C.
  Have the woman rest between contractions.
  D.
  Place the woman in a left side-lying position.

[Shshxj]

Answer to Question 1

ANS: C
During the more intense phases of labor, women may draw inward in an attempt to cope with the increasing demands of their labor. Also, there are cultural differences in the way people respond to silence and conversation. Because this woman appears to be concentrating on her own body and labor and not responding to the nurse, the preceptor should gently ask the new nurse to refrain from all but necessary communication. This shows respect for the work the woman is doing. It is also a good idea to let the new nurse know that this is probably not a personal rejection, but it is more important to respect the woman's need for quiet.

Answer to Question 2

ANS: B
Frequent position changes and walking are beneficial in helping to promote the descent of the fetus during labor. The nurse should encourage the woman to try several positions (squatting, leaning over a piece of furniture, hands and knees position) and walking to try to enhance the progression of her labor. The other actions are not warranted.

[ec501234]

Gracias!

[recede]

TYSM