The charge nurse has received the shift change report. Which patient requires immediate intervention?

1. Multip at 6 cm undergoing induction of labor, strong contractions every 3 minutes
2. Primip at 4 cm whose fetus is in a longitudinal lie with a cephalic presentation
3. Multip at 10 cm and fetus at +2 station experiencing a strong expulsion urge
4. Primip at 3 cm screaming in fear because her mother died during childbirth


4
Rationale 1: Strong contractions every 3 minutes constitute an adequate labor pattern during induction of labor. This patient is experiencing no complications.
Rationale 2: Longitudinal lie with cephalic presentation is a head-down position. This is expected.
Rationale 3: Ten cm is fully dilated; a +2 station is low in the pelvis. A strong expulsion urge is the urge to push, which will facilitate the birth of the child. These are expected.
Rationale 4: This patient is most likely fearful that she will die during labor because her mother died during childbirth. This patient requires education and a great deal of support, and is therefore the top priority.

Nursing

You might also like to view...

A student nurse learns about changes that occur to the musculoskeletal system due to aging. Which changes does this include? (Select all that apply.)

a. Bone changes lead to potential safety risks. b. Increased bone density leads to stiffness. c. Osteoarthritis occurs due to cartilage degeneration. d. Osteoporosis is a universal occurrence. e. Some muscle tissue atrophy occurs with aging.

Nursing

The selection of a sample for a research study affects the study's:

A. replicability. B. interaction effects. C. internal validity. D. external validity.

Nursing

Some of the students in your research group argue about the necessity of knowing how to critically analyse and interpret research articles when they don't intend to conduct research. Explain to your peers why it is important that, as research consumers, they need to know how to critically read research articles

What will be an ideal response?

Nursing

Meningitis can be effectively treated with:

A. first-generation cephalosporins. B. third-generation cephalosporins. C. fourth-generation cephalosporins. D. second-generation cephalosporins.

Nursing