The nurse is making client assignments for the next shift. Which client is most likely to experience a complicated labor pattern?
1. 34-year-old gravida 6 at 39 weeks' gestation with twins
2. 22-year-old gravida 1 at 23 weeks' gestation with ruptured membranes
3. 30-year-old gravida 3 at 41 weeks' gestation and estimated fetal weight 7 pounds, 8 ounces
4. 43-year-old gravida 2 at 37 weeks' gestation with hypertension
1
Rationale:
1. Twins at term will cause overdistention of the uterus, putting the client at risk for development of a hypotonic labor pattern. Her high parity also increases the risk for a hypotonic labor pattern.
2. Although this client is high-risk, especially for infection, neonatal lung immaturity and respiratory distress syndrome, this client has no risk factors for an abnormal labor pattern.
3. This client has an average-sized fetus and no risk factors for either hypertonic or hypotonic labor pattern development.
4. Hypertension does not impact labor pattern; this client has no risk factors for either hypertonic or hypotonic labor pattern development.
You might also like to view...
The nurse is caring for a newborn and knows that his vision, unlike his hearing, is not fully developed. Which aspect of the child's vision would the nurse expect to be similar to his father's vision?
A) Adequate color detection B) Visual acuity of 20/100 C) Nearsightedness D) Monocular vision
A methodology for organizing patient care through an episode of illness so that specific clinical and financial outcomes are achieved within an allotted time frame describes
a. a critical pathway c. problem-oriented records b. case management d. source-oriented charting
A preschool-age boy presents to the outpatient clinic for a sore throat. In the child's mind, which is the most likely causative agent of the sore throat?
1. Being exposed to a classmate with strep throat 2. Yelling at sibling for being annoying 3. Not eating the right foods 4. Not taking daily vitamins
The patient is admitted to the ICU to rule out a myocardial infarction (MI)
During the admission process, the patient is noted to have a history of methicillin-resistant Staphylococcus aureus (MRSA) and is placed in isolation until cultures can be obtained and the patient declared noninfectious. During the isolation process, the nurse encourages family visits, realizing that which level of Maslow's hierarchy of needs is at risk? a. First level b. Second level c. Third level d. Fourth level e. Fifth level