High School

One hour later, Kesha reports that the contractions are less intense, and she rates the pain as 3 on a 0 to 10 scale. She received terbutaline 0.25 mg SQ 50 minutes ago. Contractions are occurring every 13 to 15 minutes, lasting 30 to 40 seconds, and are mild to palpation. The FHR baseline is 158/min with moderate variability and accelerations present. Vital signs are:

- Blood Pressure: 126/82 mm Hg
- Pulse: 108/min
- Respiratory Rate: 18/min
- Oxygen Saturation: 99%
- Temperature: 36.6° C (97.9° F)

Which of the following findings indicate the client's condition has improved? Select all that apply.

- Frequency of contractions
- Blood pressure
- Contraction intensity
- Pulse
- Duration of contractions
- Pain rating

Answer :

Frequency of contractions, contraction intensity and pain rating indicate the client's condition has improved.

Kesha Jackson's condition shows signs of improvement based on several key findings.

The frequency of her contractions has decreased, now occurring every 13 to 15 minutes, which indicates that the terbutaline treatment is effectively reducing the uterine activity.

Additionally, the intensity of the contractions has lessened, as they are now described as mild to palpation. This reduction in intensity suggests a positive response to the medication.

Furthermore, Kesha's pain rating has significantly improved, dropping to a 3 on a 0 to 10 scale, which reflects a notable decrease in her discomfort.

Collectively, these changes demonstrate that the interventions are successfully alleviating her symptoms and stabilizing her condition.

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