A nurse is caring for a client who is in labor. Which of the following findings should prompt the nurse to reassess the client?
Progressive sacral discomfort during contractions
Intense contractions lasting 45 to 60 seconds
An urge to have a bowel movement during contractions
A sense of excitement and warm, flushed skin
The Correct Answer is C
A. Discomfort in the lower back (sacral area) is common during labor, particularly during contractions. This is not an unusual finding that would require immediate reassessment.
B. Contractions lasting between 45 to 60 seconds are typical during the active phase of labor. This duration of contractions is expected as labor progresses, and does not require immediate reassessment.
C. This sensation can indicate that the fetus has descended into the birth canal and may be a sign that the client is entering the second stage of labor, or is close to delivery. This requires immediate reassessment by the nurse to check for full cervical dilation and fetal descent.
D. Emotional excitement and changes in skin temperature are typical responses during labor due to the physiological and emotional aspects of childbirth. This does not indicate the need for immediate reassessment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The nurse should explain to the client that amniocentesis is a diagnostic test that is performed between 15 and 20 weeks of gestation to determine if the fetus has genetic or congenital disorders. While the procedure can also determine the sex of the fetus, this is not typically the primary reason for the test. The nurse should clarify any misconceptions the client has about the procedure and provide education on its purpose, risks, and benefits. The nurse should also assess the client's understanding of the information provided and address any questions or concerns the client may have.
Correct Answer is B
Explanation
Perform vibroacoustic stimulation. A nonstress test is a prenatal test that is used to evaluate fetal well-being. It involves monitoring the fetal heart rate in response to fetal movement. The absence of accelerations for 20 minutes may indicate fetal distress. Vibroacoustic stimulation is a technique used to elicit fetal movement and accelerate the fetal heart rate. It involves applying a vibrating device to the mother's abdomen.
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