A client is admitted to the labor unit with contractions 1.5–2 minutes apart lasting 60–90 seconds. The client is apprehensive and irritable. This client is most likely in what phase of labor?
1. Active
2. Transition
3. Latent
4. Second
2
Rationale:
1. The active phase is characterized by contractions every 2–3 minutes; there is a sense of fear of loss of control during this phase, but it's not as pronounced as in the transition stage.
2. During the transition phase of labor, contractions have a frequency of about every 1.5–2 minutes with a duration of 60–90 seconds. The woman might become apprehensive and irritable during this stage.
3. The latent phase is characterized by mild contractions progressing from a frequency of 10–20 minutes to 5–7 minutes. In the latent stage, the woman is excited that labor has begun.
4. The second stage is the pushing stage, and the woman might feel relieved that the birth is near and she can push. The second stage is not a phase of labor.
You might also like to view...
The nurse is instructing the client who was newly diagnosed with peptic ulcers. Which of the following diagnostic studies would the nurse anticipate reviewing with the client?
A) A complete blood count including differential B) Serum antibodies for H. pylori C) A sigmoidoscopy D) Gastric analysis
How much greater is U.S. health-care spending compared to other nations?
1. About 2.5 times as high 2. About 4 times as high 3. About 7.5 times as high 4. About 10 times as high
Alkalosis causes increased protein binding of ionized ______, which results in tetany
1. Calcium 2. Iodine 3. Iron 4. Phosphorus
In which of the following activities will the home care nurse spend more time than the acute care nurse?
A) Direct patient care B) Medical management of acute disease processes C) Case management D) Interdisciplinary referrals