The nurse is caring for a client in labor. Which process will the nurse use to determine the duration of contractions?

Count the interval from the end of one contraction to the beginning of the next one

Count the interval from the beginning of one contraction to its end

Count the number of contractions that occur in 10 minutes

Count the interval between the acmes of two consecutive contractions

Answer and Explanation

The Correct Answer is B

A.   The interval from the end of one contraction to the beginning of the next one is the frequency, not the duration.
B.   Counting the interval from the beginning to the end of one contraction provides the duration of that contraction.
C.   Counting the number of contractions in 10 minutes gives the frequency, not the duration.

D. Counting the interval between the acmes (peaks) of two consecutive contractions is not a standard method for determining the duration of contractions. The duration is usually measured from the beginning to the end of a single contraction.

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Correct Answer is ["A","B"]

Explanation

A. Effacement refers to the thinning of the cervix, making it easier for the cervix to dilate during labor.
B. Effacement also involves the shortening of the cervix, contributing to the progressive dilation during labor.

C. Engagement refers to the descent of the fetal head into the pelvic inlet, not a part of effacement.
D. Effacement does not involve the cervix becoming wider; dilation refers to the opening of the cervix.
E. Effacement does not involve the cervix becoming lower; descent of the presenting part is associated with engagement.

A. Assist the client to change positions B. Promptly inform the primary care provider C. Advocate for the client to have a vaginal examination D. Continue to monitor the client and the fetal heart rate

Correct Answer is A

Explanation

A. Changing the client's position, especially if there's a cord compression causing variable decelerations, is a priority intervention to alleviate the decelerations.
B. Informing the primary care provider is important, but immediate action to address the decelerations should be taken first.
C. Vaginal examination is not the immediate priority when variable decelerations are observed; interventions to improve fetal oxygenation are more critical.
D. Continuous monitoring is essential, but addressing the cause of the variable decelerations by changing the client's position is the immediate action.

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The nurse is caring for a client in labor. Which process will the nurse use to determine the duration of contractions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse assesses a laboring client's cervix and states it is 6 cm dilated and 70% effaced. The client asks what it means to be effaced. Which descriptions will the nurse include when responding to the client? Select all that apply.

Correct Answer is ["A","B"]

Explanation

The nurse is caring for a laboring client. The nurse observes that there are variable decelerations. What is the nurse's priority action?

Correct Answer is A

Explanation

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