A pregnant client is diagnosed with cervical insufficiency. How should the nurse expect this client to explain symptoms of this condition?

1. "I've been having contractions every 4 hours."
2. "I'm not having any pain and I do not feel any contractions."
3. "My cervical pain has gotten much worse over the past 2 days."
4. "I'm not having any pain, but my contractions are getting stronger."


2
Explanation:
1. Contractions are not associated with cervical insufficiency.
2. Cervical insufficiency is painless dilatation of the cervix without contractions due to a structural or functional defect of the cervix.
3. Cervical pain is not a manifestation of cervical insufficiency.
4. Contractions are not associated with cervical insufficiency.

Nursing

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a. refuse to complete the admission without more information. b. contact the family for information on the patient's history. c. call the doctor in the emergency room for a history. d. ask another nurse to try to obtain the information from the patient.

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You are caring for an older adult client with an IV infusing at 100 mL/hr. What should you monitor this client for?

A) Urinary retention B) Circulatory overload C) Pulmonary embolism D) Incontinence

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The MyPyramid food guidance system is a

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A teen is seen at the clinic for problems with a body piercing that was done several weeks ago. When assessing the site, which is swollen, red, and painful, the nurse should:

a. Tell the teen that body piercing is wrong b. Ask the teen why he or she chose to have the piercing c. Tell the teen that he or she should have gone to a professional d. Ask the teen where the piercing was done

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