A Client at 39 Weeks' Gestation Was Assessed 2 Hours

question 5

Multiple Choice

A client at 39 weeks' gestation was assessed 2 hours ago as being 3 cm dilated, 40% effaced, and +1 station and experienced contractions every 5 minutes with duration 40 seconds and intensity 50 mmHg. Currently, the client is 4 cm dilated, 40% effaced, and +1 station with frequency of contractions every 3 minutes with 40 to 50 seconds' duration with intensity of 40 mmHg. What action should the nurse make a priority at this time?

• A) Start oxygen at 8 L/min.
• B) Give terbutaline to stop the preterm labor.
• C) Have anesthesia provider give the client an epidural.
• D) Begin oxytocin after assessing for cephalopelvic disproportion (CPD).

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Definitions:

Schizophrenia

A long-term mental disorder involving a breakdown in the relation between thought, emotion, and behavior, leading to faulty perception, inappropriate actions and feelings, withdrawal from reality and personal relationships into fantasy and delusion, and a sense of mental fragmentation.

Receptor Sites

Specific locations on the surface of a cell or within a cell that are sensitive to neurotransmitters or hormones.

Amygdala

A region of the brain involved in experiencing emotions, particularly fear and pleasure.

Thalamus

A major part of the brain acting as a principal relay station for sensory information flowing to the cortex.