The patient is experiencing uterine contractions lasting approximately 100 seconds each. What action by the nurse is most appropriate?
a. Notify the charge nurse.
b. Turn the patient onto her right side.
c. Administer oxygen by nasal cannula to the patient.
d. Help the patient go for a brief walk.
ANS: A
Uterine contractions lasting more than 90 seconds can decrease uteroplacental blood flow to the fetus, possibly causing fetal distress or hypoxia. The abnormal finding should be reported to the charge nurse.
You might also like to view...
The nurse is assessing the oral mucosa of a pregnant female and notes enlargement of the gums. The client states that regular oral hygiene is performed and that she does not understand why this has occurred
Which of the following is the nurse's best response? 1. "You may have oral cancer.". 2. "You are experiencing a normal change during pregnancy.". 3. "You may have leukoplakia.". 4. "You need to decrease the frequency of your oral hygiene.".
A nurse receives an order to administer castor oil to a patient. Which action by the nurse is correct?
a. Administer the medication at bedtime. b. Chill the medication and mix it with fruit juice. c. Provide teaching about home use of this medication. d. Teach the patient that the effects will oc-cur slowly.
A client with heart failure develops an increase in preload. What pathophysiologic process is responsible for these changes?
A. A reduction in sympathetic stimulation B. Stimulation of coronary baroreceptors C. Activation of the renin-angiotension-aldosterone system D. Arterial vasodilation and subsequent increase in oxygen consumption
A patient is being treated for an eye infection. Which instructions should the nurse provide the patient about self-care?
Select all that apply. 1. "You should wash your hands before cleansing your eye and putting in eyedrops." 2. "You can soak your lids with warm saline to soften crusts and exudates." 3. "You should not share towels, makeup, or contact lenses with anyone else." 4. "You can apply warm compresses to ease inflammation." 5. "You can rub your eyes with a clean, soft cloth for itching."