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ISPN考试复习一日一练(322)

发表日期:2017-07-06 | 来源 :国际护士网 | 作者 :www.the-nurses.com |点击数: 次 收听:
 

  A client who’s admitted to labor and delivery has the following assessment findings: gravida 2 para 1, estimated 40 weeks’ gestation, contractions 2 minutes apart, lasting 45 seconds, vertex +4 station. Which of the following would be the priority at this time?

  A. Placing the client in bed to begin fetal monitoring.

  B. Preparing for immediate delivery.

  C. Checking for ruptured membranes.

  D. Providing comfort measures.

  答案:B.

  This question requires an understanding of station as part of the intrapartum assessment process. Based on the client’s assessment findings, this client is ready for delivery, which is the nurse’s top priority. Placing the client in bed, checking for ruptured membranes, and providing comfort measures could be done, but the priority here is immediate delivery.

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