A patient in the latent phase of labor begins to experience nausea, feelings of helplessness and has become very irritable. The nurse suspects that the patient is now in the
Not satisfied with the nonpharmacological comfort measures
active phase of labor
Going to require more pain medication
Going to have a long labor
The Correct Answer is B
A. Not satisfied with the nonpharmacological comfort measures. This describes dissatisfaction with pain management but does not specifically indicate a change in labor phase.
B. Active phase of labor. Nausea, irritability, and feelings of helplessness are classic signs of transitioning from the latent phase to the active phase of labor, when contractions become stronger and more intense.
C. Going to require more pain medication: Although the patient may need additional pain relief, the question is asking about labor progression, not pain management.
D. Going to have a long labor. Irritability and nausea are signs of labor progression, not necessarily an indicator of a long labor.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["6"]
Explanation
Using the formula:
Dose= (Prescribedamount ÷ Availablestrength) × Volume
= (300 mg ÷ 250 mg) × 5 mL
= 6mL
The nurse should administer 6 mL of the solution.
Correct Answer is B
Explanation
A. Presentation, latent phase, powers, position and attitude. While "presentation," "powers," and "position" are relevant, the "latent phase" is a stage of labor, not a factor that affects the labor process. "Attitude" refers to the fetal posture but does not cover the entire process.
B. Passenger, passageway, powers, position and psychological response: These five factors are key components that affect labor and birth: Passenger: The fetus and placenta. Passageway: The birth canal. Powers: The contractions. Position: The mother’s position during labor. Psychological response: The mother’s emotional state during labor.
C. Passenger, presentation, lie, attitude and station: These terms describe aspects of the fetus's position and movement, but they do not encompass all the factors affecting labor.
D. Passageway, presentation, powers, contractions and position: This is close, but "psychological response" is missing, which is one of the essential components affecting labor.
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