The perinatal nurse is providing care to a multiparous woman in labor. Upon arrival to the birthing suite, the cervix is 5 cm dilated and the patient is experiencing contractions every 1 to 2 minutes that she describes as "strong."
The patient states that she labored for 1 hour at home and is feeling some rectal pressure. The patient is most likely experiencing what condition?
A.
Hypertonic contractions
B.
Hypotonic contractions
C.
Precipitous labor
D.
Uterine hyperstimulation
ANS: C
Precipitous labor contractions produce very rapid, intense contractions. A precipitous labor lasts less than 3 hours from the beginning of contractions to birth. Patients often progress through the first stage of labor with little or no pain and may present to the birth setting already advanced into the second stage.
You might also like to view...
A client is admitted to the emergency department for treatment of a severe laceration. The type of assessment most likely to be performed by the nurse is
a. a comprehensive assessment c. an ongoing assess-ment b. a focused assessment d. an expansive assessment
The nurse teaches the teenager and parents that the signs of diabetic ketoacidosis (DKA) include which of the following? (Select all that apply.)
1. Tachycardia 2. Abdominal pain 3. Fruity breath odor 4. Change in mental status 5. Rapid, shallow respirations
To evaluate an obese patient for adverse effects of lorcaserin (Belviq), which action will the nurse take?
a. Take the apical pulse rate. b. Check sclera for jaundice. c. Ask about bowel movements. d. Assess for agitation or restlessness.
When delivering multiple babies, you should clamp and cut the umbilical cord:
A) after the placenta has delivered. B) only after the first baby delivers. C) following delivery of each baby. D) after all the babies have delivered.