A labor client who is 8 centimeters dilated suddenly starts to shake her arms and legs, and then vomits. She says, "I can't take it! Give me something for the pain!" What action should the nurse take?
a. Explain that these reactions are normal during the transition phase.
b. Give her an analgesic, and review relaxation and breathing techniques with her.
c. Notify her health care provider.
d. Take her vital signs.
A
The transition phase begins when the cervix is dilated 8 cm and ends when the cervix is 10 cm. The client becomes restless and has difficulty following directions. She has increasing rectal pressure, feels warm, and has perspiration on her upper lip. Nausea and vomiting are common during the transition phase.
You might also like to view...
The nurse discussing nutritional requirements with a rehabilitation patient emphasizes the need for additional protein in the diet. Which of the following is the rationale for additional protein in the diet?
A) Promotes collagen formation B) Promotes tissue repair C) Restores normal weight D) Maintains homeostasis
The nurse is caring for a patient with a tachydysrhythmia. The nurse would teach and prepare the patient for which of the following procedures?
A) Catheter ablation therapy B) Transubcutaneous pacemaker C) Cardioversion D) Implantable cardiac device
Which of the following are considered sexual response cycle disorders? Select all that apply
a. Arousal disorder b. Date rape c. Orgasmic disorder d. Low libido
Who provides physicians with the authority to admit and provide care to patients requiring hospitalization?
A) the healthcare institution itself C) American Medical Association B) Board of Healing Arts D) State Board of Nursing