Maternal-Newborn chapter 15 test bank

A 25-year-old primigravida patient is in the first stage of labor. She and her husband have been holding hands and breathing together through each contraction. Suddenly, the patient pushes her husband's hand away and shouts, "Don't touch me?" This behavior is most likely: A: a sign of abnormal labor progress B: an indication that she needs analgesia C: normal and related to hyperventilation D: common during the transition phase of labor - D: common during the transition phase of labor The transition phase of labor is often associated with an abrupt change in behavior, including increased anxiety and irritability. This change of behavior is an expected occurrence during the transition phase. If she is in the transitional phase of labor, analgesia may not be appropriate if the birth is near. Hyperventilation will produce signs of respiratory alkalosis. A nursing priority during admission of a laboring patient who has not had prenatal care is: A: obtaining admission labs B: identifying labor risk factors C: discussing her birth plan choices D: explaining importance of prenatal care - B: identifying labor risk factors When a patient has not had prenatal care, the nurse must determine through interviewing and examination the presence of any pregnancy or labor risk factors, obtain admission labs, and discuss birth plan choices. Explaining the importance of prenatal care can be accomplished after the patient's history has been completed. A patient at 40 weeks' gestation should be instructed to go to a hospital or birth center for evaluation when she experiences: A: increased fetal movement B: irregular contractions for 1 hour C: a trickle of fluid from the vagina D: thick pink or dark red vaginal mucus - C: a trickle of fluid from the vagina A trickle of fluid from the vagina may indicate rupture of the membranes, requiring evaluation for infection or cord compression. Decreased or the lack of fetal movement requires further assessment. Irregular contractions are a sign of false labor and do no