Nokea
Patient Josephine asks why her labor is much shorter compared to previous deliveries. Which of the following is the BEST RESPONSE?
- A. Onset of contraction was gradual.
- B. Multigravida patient has shorter labor,
- C. Cervical lengthening was longer.
- D. Induction of labor was done.
Correct Answer: B
Rationale: The statement "Multigravida patient has shorter labor" is the best response to Patient Josephine's question about her shorter labor compared to previous deliveries. In obstetrics, it is commonly observed that labor tends to be shorter in patients who have had previous pregnancies (multigravida patients) due to factors such as prior cervical changes and previous stretching of the birth canal. This phenomenon is known as "multigravida cervical efficiency," and it can lead to faster and more efficient labors in subsequent pregnancies for women who have had previous deliveries.
You may also like to solve these questions
The BEST result of health education process is
- A. It influences and changes behavior
- B. It provides new input
- C. Update others
- D. Information transfer
Correct Answer: A
Rationale: The best result of a health education process is when it successfully influences and changes behaviors towards positive health outcomes. Providing new input, updating others, and information transfer are important components of health education, but the ultimate goal is to effect behavior change. When individuals are able to internalize and apply the knowledge gained from health education to make healthier choices in their daily lives, the process can be considered successful. Therefore, the most desirable outcome of health education is the behavioral change that leads to improved health and well-being.
It is important that Nurse Chona records accurately the restless caused by pain and that of hypoxia. Which of the following should be recorded as the restlessness caused by pain?
- A. Difficulty of breathing.
- B. Increased respiratory rate and blood pressure.
- C. Increased heart rate.
- D. Increased perspiration and change of position.
Correct Answer: D
Rationale: Restlessness caused by pain often manifests as increased perspiration and constant change of position. When a person is in pain, they may become sweaty or clammy due to increased sympathetic nervous system activity. Additionally, they may constantly shift or fidget in an attempt to find a more comfortable position that can alleviate the pain they are experiencing. Therefore, it is crucial for Nurse Chona to accurately document these behaviors as signs of pain-related restlessness. Difficulty of breathing (Option A), increased respiratory rate and blood pressure (Option B), and increased heart rate (Option C) are more indicative of hypoxia or respiratory distress rather than pain-related restlessness.
A postpartum client reports severe perineal pain and difficulty passing stools following a vaginal delivery. Which nursing intervention should be implemented?
- A. Administering a stool softener as ordered
- B. Encouraging the client to refrain from defecation until pain subsides
- C. Applying ice packs to the perineum for pain relief
- D. Providing education on proper perineal hygiene
Correct Answer: A
Rationale: Administering a stool softener as ordered is the most appropriate nursing intervention for a postpartum client experiencing severe perineal pain and difficulty passing stools following a vaginal delivery. Stool softeners help to soften the stool, making it easier for the client to pass without straining, which can exacerbate perineal pain. It is important to follow the healthcare provider's orders when administering medications to ensure proper dosing and effectiveness. Encouraging the client to refrain from defecation may lead to constipation and worsen the situation. Applying ice packs to the perineum can provide temporary pain relief, but addressing the underlying issue of constipation with a stool softener is more effective in the long term. Providing education on proper perineal hygiene is important for overall postpartum care, but addressing the immediate issue of constipation with a stool softener takes precedence in this scenario.
In planning their care Nurse Gina should consider _______.
- A. Socialization is more important
- B. holistic care
- C. Physically dependent
- D. Spiritually healing
Correct Answer: B
Rationale: In planning their care, Nurse Gina should consider holistic care, which emphasizes treating the patient as a whole person - including their physical, mental, emotional, and spiritual needs. By addressing all aspects of the patient's well-being, Nurse Gina can provide comprehensive care that promotes overall health and wellness. This approach recognizes that physical health is interconnected with other aspects of a person's life and aims to support the individual in achieving balance and harmony in all areas. Holistic care also encourages the patient to be actively involved in their own healing process, fostering a sense of empowerment and self-awareness.
One error in record-keeping is illegible handwriting. What is the APPROPRIATE action by the nurse in this situation?
- A. Request the senior nurse to read the order for you.
- B. Let the resident-on-duty in the nurses station interpret it.
- C. Call the physician who made the order.
- D. Report the lapse to the Quality Assurance Committee
Correct Answer: A
Rationale: The appropriate action for a nurse in this situation is to request the senior nurse to read the illegible order for clarification. It is essential to ensure accurate and safe patient care by confirming the correct interpretation of the order with a colleague familiar with the handwriting. This action helps prevent errors and misunderstandings that may occur due to illegible handwriting. Consulting with the senior nurse is a common practice in healthcare settings to maintain effective communication and avoid mistakes in patient care.