A patient in early labor has mild contractions seven to nine minutes apart and blood pressure of 130/80 mm Hg
Maternal–fetal monitoring is started and the nurse engages the patient in conversation as a distraction technique. At first she seems happy, excited, and confident, but eventually she becomes introverted and restless. Her pulse is rapid, her blood pressure is now 137/85 mm Hg, and she is hyperventilating. The fetal monitor shows no variability for almost 20 minutes; variability then becomes evident but there are no late decelerations. What should the nurse do?
A) Notify the physician of the patient's blood pressure increase
B) Notify the physician about the lack of FHR variability
C) Help the patient regain control of her breathing technique
D) Assist the patient into a squatting position
Ans: C
You might also like to view...
The nurse admits a client to the medical unit for a urinary disorder. Which questions are appropriate for the nurse to include when assessing the client's voiding pattern?
Select all that apply. A) How many times do you urinate in a 24-hour period? B) Has your pattern of urination changed recently? C) How often do you get out of bed at night to urinate? D) What color is your urine? E) Does your urine have any type of odor?
Inclusion criteria differ from sample characteristics. Which of the following are inclusion criteria for a study conducted on an acute care ward of a major hospital? (Select all that apply.)
a. Mean age 62, with range from 37 through 87 b. Twenty-four male, twelve female c. Glasgow Coma Scale of at least 14 d. Twenty-one post hip replacement, fifteen post knee replacement e. Able to read and write English
The nurse should examine the newborn during which behavioral state to obtain the most accurate information? (Select all that apply.)
a. Deep sleep d. Quiet alert b. Light sleep e. Crying c. Drowsy f. Considerable motor activity
Homosexuality is thought to be:
1. the result of a variation on the Y chromosome. 2. possibly the result of a genetic predisposition; the data are insufficient to make this determination. 3. the result of a psychiatric disorder. 4. curable.