Maternal Newborn Proctored Exam 2
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Maternal Newborn Proctored Exam 2
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Question: 1 of 66Maternal newborn proctored exam 2
A nursing student asks her co-assigned nurse how to assess the frequency of a laboring client's contraction pattern. What is the nurse's best response?
Explanation
Effective nursing care during labor requires precise measurement of contraction patterns to ensure maternal and fetal safety. This scenario evaluates knowledge of obstetric monitoring, specifically differentiating between frequency, duration, and interval, which is essential for identifying labor progression and potential uterine tachysystole. Choice A rationale Uterine tightening to relaxation describes contraction duration. Duration indicates the length of time the muscle fibers are shortened. Normal active labor duration ranges between 45 to 90 seconds. Identifying duration is critical, but it does not measure frequency. Choice B rationale Frequency is the elapsed time from the beginning of one contraction to the beginning of the next. This measurement is necessary to assess the regularity of labor and ensures the uterus maintains a resting tone ≥ 60 seconds. Choice C rationale The acme represents the peak intensity of a contraction, while the decrement is the subsiding phase. Measuring this period only captures a portion of the contraction cycle and fails to provide clinical data regarding the frequency or duration. Choice D rationale Timing from the end of one contraction to the start of the next defines the resting interval. This period is vital for placental perfusion and fetal oxygenation, as blood flow to the placenta stops during uterine contractions.
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