The Nurse Examines a Primipara's Cervix at 8-9/100%/+2; It Is

question 11

Multiple Choice

The nurse examines a primipara's cervix at 8-9/100%/+2; it is tight against the fetal head. The patient reports a strong urge to bear down. What is the nurse's priority action?

• A) Palpate her bladder for fullness.
• B) Assess the frequency and duration of her contractions.
• C) Determine who will stay with the patient for the birth.
• D) Encourage the patient to exhale in short breaths with contractions.

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Definitions:

Downward

A direction of communication or authority that flows from higher levels of a hierarchy to lower levels within an organization.

Upward

in a higher position or direction; often used to describe movements within an organization's hierarchy from lower to higher levels.

Lateral

Pertaining to or situated at the side; often refers to relationships or movements that are not hierarchical.

Organization

An entity comprising multiple people, such as a company or society, structured to achieve specific goals.