MATERNITY ATIVERSION41. A nurse in the labor and delivery unit receives a phone call from a client who reports that hercontractions started about 2 hr. ago, did not go away when she had two glasses of water andrested, and became stronger since she started walking. Her contractions occur every 10 minand last about 30 seconds. She hasn't had a fluid leak form her vagina. However, she saw someblood when she wiped after voiding. Based on this report, which of the following clinicalfindings should the nurse recognize that the client is experiencinga. Braxton hick's contractionsb. Rupture of membranesc. Fetal descentd. True contractionsD-true contractions2. A nurse in the labor and delivery unit is caring for a client in labor and applies an externalfetal monitor and tocotransducer. The FHR is around 140/min. contractions are occurring every8 min and 30 to 40 seconds in duration. The nurse performs a vaginal exam and finds the cervixis 2 cm dilated, 50% effaced, and the fetus is at a-2 station. Which of the following stages andphases of labor is the client experiencinga. First stage, latent phaseb. First stage, active phasec. First stage, transition phased. Second stageof laborA-first stage, latent phase3. A client experiences a large gush of fluid from her vagina while walking in the hallway of thebirthing unit. Which of the following actions should the nurse take first?a. Check the amniotic fluid formeconiumb. Monitor FHR for distressc. Dry the client and make her comfortabled. Monitor uterine contractionsB-monitor the fetal hear rate for distressPreview Mode
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