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
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. An inverted nipple is not indicative of mastitis.
B. Presence of breast milk is expected postpartum and does not specifically indicate mastitis.
C. A bruised area is not a common sign of mastitis.
D. Mastitis often presents with localized pain, redness, swelling, and a hardening of the affected area of the breast. Asking about the presence of a hardening will help assess for mastitis.
Correct Answer is ["A","B","D","E"]
Explanation
A. Preparing the client for emergency cesarean delivery is often necessary when a prolapsed umbilical cord is identified.
B. Positioning the client in a knee-chest position helps alleviate pressure on the umbilical cord, improving fetal oxygenation.
C. Inserting a vacuum suction catheter into the vagina and pushing the infant back into the uterus is not a recommended intervention for a prolapsed umbilical cord; this action may cause harm to the fetus.
D. Keeping a gloved hand in the vagina and pushing upward on the presenting part helps relieve pressure on the umbilical cord.
E. Contacting the provider and reporting a prolapsed umbilical cord is essential for prompt communication and decision-making.
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