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Alow-risk patient calls the labor unit and says "I need to come in to be checkedright now, there were pink streaks on the toilet paper when | went to the bathroom. I think I'm bleeding." What response should the nurse say first? Select one: a. "How much blood is there?" b. "You sound concerned, what other labor symptoms do you have? c. "Don't worry that sounds like a mucus plug." d. "Does it bum when you urinate?" B The correct answer is: "You sound concerned, what other labor symptoms do you have? The nurse is using reflection to acknowledge the woman's concerns and asks for further assessment. The woman's fear must first be acknowledged and then other questions or comments can be made. You are in the process of admitting a multiparous woman to labor and deliveryfrom the triage area. One hour ago her vaginal exam was 7 cm dilated/70% effaced/0 station. While completing your review of her prenatal record and completing the admission questionnaire, she tells you she has an urge to have a bowel movement and feels like pushing. Your priority nursing intervention is to:Select one: a. Reassure the patient and rapidly complete the admission. b. Assist your patient to the bathroom to have a bowel movement. c. Assess the fetal heart rate and uterine contractions. d. Perform a vaginal exam as delivery may be imminent. D Maternal-Newbom Nursing: The Crtical Components Of Nursing Care, 3rd Edition, Roberta Durham, Linda Chapman Mutiparous women can move from active labor to transition within 1-2 hours; an urge to have a bowel movement may indicate the fetal head has descended rapidly and delivery is imminent. Performing a sterile vaginal exam (SVE) will assess how quickly delivery might be anticipated and allow appropriate preparations to be made. The provision of support during labor has demonstrated that women experiencea decrease in anxiety and a feeling of being in more control. In clinical situations,this has resulted in: Select one: a A decrease in interventions b. Increased epidural rates c. Earlier admission to the hospital d. Improved gestational age The nurse knows that a FHR monitor printout indicates a Category Il abnormalfetal heart rate pattern when: Select one: a. Baseline variability is minimal or absent with decelerations. b. FHR mirrors the uterine contractions. @ O 2