A client in labor with cervical dilation of 9 cm is experiencing contractions every 2 minutes that are 60 to 90 seconds in duration and is complaining of excruciating rectal pressure. How should the nurse interpret this complaint?
1. The client's complaint is congruent with her current stage of labor.
2. The client's complaint may indicate the need for delivery via cesarean section.
3. Based upon the client's complaint, she is experiencing the active phase of labor.
4. The client's complaint is consistent with placental separation, which is normal for her current stage of labor.
1
Explanation:
1. The objective findings and client's complaint are consistent with the transitional phase of labor, during which the client may experience increased rectal pressure as cervical dilatation approaches 10 cm (3.9 in.).
2. The objective findings and client's complaint of increased rectal pressure are consistent with the transitional phase of labor, during which the client may experience increased rectal pressure as cervical dilatation approaches 10 cm (3.9 in.).
3. The objective findings and client's complaint are consistent with the transitional phase of labor, during which the client may experience increased rectal pressure as cervical dilatation approaches 10 cm (3.9 in.).
4. Placental separation occurs after the infant is born.
You might also like to view...
Abnormal genes are called __________________
Fill in the blank(s) with correct word
A mother brings her 1-year-old child to the pediatric clinic and appears frustrated and stressed. During the assessment, the mother states she tries to give her child exposure to new situations and people several times a week, but the outings always end with the child screaming and crying. Which response by the nurse is the most appropriate?
A. "Keep trying; new situations are so stimulating for children." B. "Stop taking your child to new places and meeting new people." C. "Use an established routine and add new experiences slowly." D. "Your child will soon become used to such daily activity."
A disagreement has arisen between two staff nurses. Both have discussed the situation with the manager. The manager feels that that problem is likely self-solving
How should the manager approach this situation? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. Allow some time to pass to see if the situation resolves. 2. Support both nurses as they work through this issue. 3. Provide any resources the nurses may need to help solve the problem. 4. Intervene if the problem begins to impact client care. 5. Ignore the situation.
In healthy families, members can use communication to help meet the individual needs of all members. In addition, communication can provide support to others. Which of the following are traits and tendencies common to health functioning families?
a. passive listening e. openness b. honest, forthright communication f. respect for elders only c. flexibility g. sense of fairness d. active listening h. sense of trust