A practical nurse is gathering data on how a client in labor is coping with labor.
Which of the following findings demonstrates the client is coping well?
Rhythmic respirations.
Crying.
Lack of concentration.
Perspiration.
The Correct Answer is A
Choice A rationale
Rhythmic respirations indicate the client is using controlled breathing techniques to manage labor pain, which demonstrates effective coping. This method helps maintain oxygen levels and can reduce the perception of pain through focused breathing.
Choice B rationale
Crying during labor may indicate emotional distress or pain, suggesting the client might be struggling to cope effectively with labor. While it is a natural response, it is not typically associated with controlled coping mechanisms.
Choice C rationale
Lack of concentration can indicate that the client is overwhelmed by pain or anxiety, which may hinder her ability to use coping strategies effectively. It suggests she might be struggling to manage her labor experience.
Choice D rationale
Perspiration is a common physiological response to the exertion and stress of labor, but it does not specifically indicate how well the client is coping with labor pain or stress. It is a normal part of the labor process but not a clear sign of effective coping.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Gestational hypertension is diagnosed when high blood pressure develops after 20 weeks of pregnancy without other symptoms of preeclampsia, such as proteinuria or end-organ dysfunction.
Choice B rationale
Preeclampsia with severe features includes high blood pressure, proteinuria, and symptoms like blurred vision and headaches. These indicate severe disease, which can endanger both the mother and the fetus if left untreated.
Choice C rationale
Preeclampsia without severe features involves high blood pressure and proteinuria but without the additional severe symptoms like blurred vision and headache.
Choice D rationale
Chronic hypertension refers to high blood pressure that was present before pregnancy or diagnosed before 20 weeks of gestation. It does not typically present with acute symptoms like blurred vision and headache that develop suddenly.
Correct Answer is A
Explanation
Choice A rationale
Checking the fetal heart rate pattern is the priority after an amniotomy. This procedure involves breaking the amniotic sac, which can lead to changes in the fetal heart rate. Immediate assessment ensures the fetus is not in distress.
Choice B rationale
Evaluating for signs of infection is essential post-procedure, but not the immediate priority. Infection signs develop over time, while fetal distress can occur immediately.
Choice C rationale
Observing the color and consistency of amniotic fluid is important for identifying meconium-stained fluid, but it is not as immediately crucial as ensuring fetal well-being.
Choice D rationale
Taking the client's temperature can help monitor for infection later, but it is not the immediate concern following amniotomy. The primary concern is the fetal response.
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