A nurse is caring for a patient who is in labor and is placed on a monitor.How should the nurse determine the duration of contractions?
Count the time from the end of one contraction to the beginning of the next contraction.
Count the time from the middle of one contraction to the end of the same contraction.
Count the time from the beginning of one contraction to the end of the same contraction.
Count the time from the beginning of one contraction to the beginning of the next contraction.
The Correct Answer is C
The correct answer is choice C. Count the time from the beginning of one contraction to the end of the same contraction.
This is because the duration of a contraction is the length of time that the uterine muscle is tightening and relaxing.
The duration is measured from the start of one contraction until the end of that same contraction.
Choice A is wrong because it measures the frequency of contractions, not the duration.
The frequency is the time between the start of one contraction and the start of the next one.
Choice B is wrong because it measures only half of the duration of a contraction.
The middle of a contraction is when the uterine muscle reaches its peak intensity and then starts to relax.
Choice D is wrong because it measures both the duration and the interval of contractions.
The interval is the time between the end of one contraction and the start of the next one.
Normal ranges for contractions during labor are:
• Duration: 30 to 90 seconds
• Frequency: 2 to 5 minutes apart
• Interval: 30 to 120 seconds
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The correct answer is choice D. The fluid that the mother has in her breasts before the milk comes in is called colostrum, which is rich in antibodies and nutrients that the baby needs.
It also helps to prevent jaundice by stimulating the baby’s bowel movements.
Therefore, the nurse should encourage the mother to breastfeed as soon as possible after birth and explain the benefits of colostrum.
Choice A is wrong because it discourages breastfeeding and may interfere with milk production and bonding.
Choice B is wrong because it implies that breastfeeding is only a skill and not a natural process that benefits both the mother and the baby.
Choice C is wrong because it focuses on the emotional aspect of breastfeeding and not the physiological one.
While breastfeeding may enhance the closeness between the mother and the baby, it is not the only reason to breastfeed.
Correct Answer is C
Explanation
The correct answer is choice C. Caloric intake should be 300 calories above the suggested non-pregnant caloric intake.This is because women with gestational diabetes need to meet the nutritional needs of pregnancy and also control their blood glucose levels.
Choice A is wrong because carbohydrates should make up about 45% of the total dietary intake for women with gestational diabetes, not 25%.
Carbohydrates are important for providing energy and nutrients for the mother and the baby.
Choice B is wrong because animal protein can be included in the pre-bedtime snack as long as it is combined with some carbohydrates.
Protein can help prevent low blood glucose levels during the night.
Choice D is wrong because sugar substitutes do not help to control blood glucose levels.They may also have adverse effects on the baby’s development.Women with gestational diabetes should limit their intake of added sugars and choose foods with natural sugars instead.
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