Question

Alice, a primigravida, calls the labor unit. She tells a nurse that she thinks she is in labor. “I have had some pains for about 2 hours. Should my husband bring me to the hospital now?” Provide EB rationale for all responses.

Describe how a nurse should approach this situation. Write several questions a nurse could use to elicit the appropriate information required to determine the course of action required. Based on the data collected during the telephone interview, the nurse determines that Alice is in very early labor. Because she lives close to the hospital, she is instructed to stay home until her labor progresses. Outline the instructions and recommendations for care Alice and her husband should be given for the nursing diagnosis: Readiness for enhanced knowledge of labor progression RT lack of exposure.

Part 2

Question: Answer the following questions and provide rationale for the answer choice:

A woman has just arrived at the labor and delivery suite. To report the client’s status to her primary health care provider, which of the following assessments should the nurse perform? Select all that apply.

a)      Fetal heart rate

b)      Contraction pattern

c)      Contraction stress test

d)      Vital signs

e)      Biophysical profile

Answer 1

1)First the nurse should ask Alice to be valm.And the nurse should ask Alice what makes her think she is in labour?.After Alice explains her condition.Then the nurse should ask about contractions whether they are mild,irregular and time apart between them.As Alice says that she is in pain for 2 hours and all the information provided by Alice the nurse can know if Alice is in labour.And if the contraction time apart is 15-30 minutes and mild and irregular contractions are explained then the nurse can know that Alicw in early labour.

2)Instructions include.

Rest between contractions,being calm and if the contractions are 5 minutes apart then the patient should admit to the hospital because she is located near the hospital.

Part 2.

Option A,B,D.

Fetal heart rate.

Contraction pattern.

Vital signs.

All the three are should be assessed before reporting the client status to the health care provider because these three will give a picture of health condition of mother and fetus.