A laboring client is 10 cm dilated but does not feel the urge to push. The nurse understands that according to laboring down, the advantages of waiting until an urge to push are which of the following? (Select all that apply.)
a. Less maternal fatigue
b. Less birth canal injuries
c. Decreased pushing time
d. Faster descent of the fetus
e. An increase in frequency of contractions
ANS: A, B, C
Delayed pushing has been shown to result in less maternal fatigue and decreased pushing time. Pushing vigorously sooner than the onset of the reflexive urge may contribute to birth canal injury because her vaginal tissues are stretched more forcefully and rapidly than if she pushed spontaneously and in response to her body's signals. A brief slowing of contractions often occurs at the beginning of the second stage.
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Which of the following are strategies that can be used to positively affect budget dashboards? Select all that apply
a. ensure that staff have the right tools that are able be used when needed b. participate in the development of action plans to increase patient satisfaction c. enhance productivity by taking additional patient assignments d. analyze staff time management and efficiency
The nurse is concerned that a client is at risk for contracting a sexually transmitted infection. What assessment information did the nurse use to make this clinical decision? (Select all that apply.)
1. Allergic to penicillin 2. Does not use condoms 3. Takes oral contraceptives 4. First sexual encounter at age 14 5. Previous treatment for chlamydia
A patient with atrial fibrillation is taking verapamil [Calan]. The patient has read about the drug on the Internet and wants to know why a drug that affects the rate of ventricular contraction is used to treat an abnormal atrial contraction
What will the nurse tell the patient? a. "Drugs that treat ventricular dysrhythmias help to restore normal sinus rhythm." b. "Atrial dysrhythmias can have life-threatening effects on ventricular function." c. "Treating ventricular dysrhythmias helps prevent the likelihood of stroke." d. "When ventricular contraction slows, atrial contraction is also slowed."