Question

answers a canent in the room of a woman who was just admitted in early atent labor.inc an is lying flat on her back on the bed. The twisband reports excitedly, "I think my wife is going k or something she was just lying there, and then she turned so pale, and her hands are my. She said she was dizzy and sick to her womach. The nurse notes on the norasive to ressure monitor that the woman's pulse is 58 beats/min and her blood prewure is 90/50 mm Surse interprets these findings as Indications that the woman is experiencing Dement, Anxiety related to the onset of labor Progression from latent to active first stage labor Hyperventilation related to excitement at her first labor experience Altered tissue perfusion related to hypotensive syndrome (vena cava syndrome) 90. A nurse is monitoring a fetal heart rate (FHR). The nurse documents a reassuring FHR pattern in the record on noting: 1218 Late decelerations Variability of 6 to 25 beats/min No change in FHR as a result of fetal activity An average baseline rate ranging between 80 and 100 beats/min 91. A pregnant woman at 38 weeks' gestation arrives at the emergency department, reporting bright red vaginal bleeding but denying pain. On the basis of this information, the nurse determines that the client may be experiencing: Placenta previa r Abruptio placentae r Passage of the mucus plug Rupture of the amniotic sac

Answer 1

89.latent phase is a stage where the cervix thins out and there is frequent contractions for the labour.Here blood pressure and heart rate increases .

Progression to early latent to active first stage labour occurs with continuous pain and contraction

An hyperventilation doesn't decrease the blood pressure or pulse rate not paleness of skin

In pregnant women the blood pressure may drop down when they lie on supine or at back due to compression of superior venacava.This is called as superior venacava compression ,This leads to decreased oxygen supply and causing paleness

Ans:Altered tissue perfusion related to hypertensive syndrome (vena cava syndrome)

90.late deceleration refers to the decrease in the FHR after the contraction

Generally the non reassuring patterns are late deceleration,and the no changes in fhr during activity.

The normal baseline range should be 110 to 160bpm

The normal variability of FHR is 6 to 25 bpm to its baseline heart raye

Ans:Variability of 6 to 25beats/min

91.Any bright red bleeding during pregnancy is a typical sign of placenta previa which needs immediate attention and care.

Abruption placenta is sudden rupture of placenta with severe pain and other critical symptoms

The passage of mucus plug will be slightly red with mucus

Rupture of amniotic sac can lead to a watery discharge

Ans:placenta previa