A healthy 18-year-old client who is at 40 weeks' gestation experiences vaginal expulsion of stringy mucus followed by blood-tinged secretions unaccompanied by discomfort or any other changes. Based upon these findings, what is most likely to occur within the next 24 to 48 hours?
1. Onset of labor
2. Cesarean section
3. Chorioamnionitis
4. Spontaneous abortion
1
Explanation:
1. Softening and effacement of the cervix is accompanied by expulsion of the mucous plug and a small amount of blood loss from the exposed cervical capillaries. The resulting pink-tinged secretions are called bloody show. Bloody show is considered a sign that labor will begin within 24 to 48 hours.
2. The client is describing pregnancy-related changes associated with imminent onset of labor. Based upon her report, there is no indication that cesarean section will be necessary.
3. Chorioamnionitis is associated with premature rupture of amniotic membranes (PROM). Based upon the client's report, she is demonstrating mucous plug expulsion and bloody show.
4. The client is most likely demonstrating expulsion of the mucous plug and bloody show, which is considered a sign that labor will begin within 24 to 48 hours.
You might also like to view...
Place the nursing activities in priority order for the preparation of a patient to ambulate
1 . Dangle the patient at the side of the bed. 2 . Apply a gait belt. 3 . Assist the patient to stand. 4 . Inform the patient of activity. 5 . Roll up the head of the bed. Put a comma between each answer choice (1, 2, 3, 4, etc.).
The nurse is preparing to reposition a patient. Before doing so, the nurse must
a. Assess the weight to be lifted and the assistance needed. b. Attempt to manually lift the patient alone before asking for assistance. c. Attempt a manual lift only when lifting most or all of the patient's weight. d. Not use the agency lift team if a mechanical lift is available.
A patient with heart failure is prescribed an angiotensin-converting enzyme inhibitor (ACEI). What should the nurse teach the patient about this medication? (Select all that apply.)
a. Prevents remodeling b. Reduces fluid volume c. Lowers blood pressure d. Reduces workload on the heart e. Decrease pulmonary venous pressure
The nurse is caring for a client diagnosed with chronic obstructive pulmonary disease (COPD) and experiencing respiratory acidosis. The client asks what is making the acidotic state
The nurse is most correct to identify which result of the disease process that causes the rise in pH? A) The lungs are unable to breathe in sufficient oxygen. B) The lungs are unable to exchange oxygen and carbon dioxide. C) The lungs have ineffective cilia from years of smoking. D) The lungs are not able to blow off carbon dioxide.