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

Answer and Explanation

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.

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Correct Answer is C

Explanation

The correct answer is choice C, "Increased muscle weakness." The nurse should instruct the client to report increased muscle weakness, as this can indicate toxicity from magnesium sulfate. Increased fetal movement is not an indication of toxicity from magnesium sulfate. Increased respiratory rate is a common side effect of magnesium sulfate and does not require intervention unless it is significantly increased. Increased urinary output is a normal effect of magnesium sulfate and does not require intervention.

Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"A"}

Explanation

The correct answer is Eating a well-balanced diet and exercising for 30 minutes per day.

Itcan help to reduce stress and improve mood, which can help to prevent postpartum depression. This provide the body with the essential nutrients it needs to function properly and maintain good health. Exercise can help to reduce stress and improve mood by releasing endorphins, which are hormones that can help to improve mood and reduce stress.

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A nurse is caring for a client who is in labor. Which of the following findings should prompt the nurse to reassess the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has preeclampsia and is receiving magnesium sulfate. Which of the following clinical findings should the nurse instruct the client to report?

Correct Answer is C

Explanation

A nurse is assessing a postpartum client during a follow-up visit. Exhibits The nurse is teaching the client about postpartum depression. The nurse should encourage the client to dropdown and dropdown to help prevent postpartum depression.

Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"A"}

Explanation

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