A 16-year-old is admitted in early labor with contractions every 5 minutes. She is groaning and perspiring excessively and states she did not attend childbirth classes. The most appro-priate nursing action is to:

A. notify the health care provider.
B. administer the prescribed narcotic analgesic.
C. assure her that labor for a teenager is usually short.
D. give simple breathing and relaxation instructions.


D
Adolescents often do not tolerate pain well. Breathing and concentration techniques require patience that many teens lack, so breathing and relaxation instructions must be simple and easy to follow. The nurse must also carefully explain to the adolescent and her support person what is being done and what can be expected during the labor and birth.

Nursing

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The nurse should begin to address environmental considerations in this patient's care by A) assessing the patient's home and work environment. B) explaining the importance of maintaining asepsis in the home. C) helping the patient enlist help from friends and family. D) teaching the patient how to maximize safety in the home environment.

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By which process does "initiation" assist in cancer development?

A. Inflicting mutations at specific sites on the exposed cell's DNA B. Increasing the transformed cell's capacity for error-free DNA repair C. Stimulating or enhancing cell division of cells damaged by a carcinogen D. Making cancer cells appear more normal in order to escape immunosurveillance

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Several nurses have been asked to put together a proposal to help implement a method for self-scheduling. They are given the task of developing a rotation schedule that provides adequate staffing of all shifts

This is an example of which type of group? A) Task group B) Teaching group C) Self-help group D) Therapy group

Nursing

A pregnant client asks the nurse why fluoxetine (Prozac) was decreased in her last weeks of pregnancy. Which of the following nursing responses is correct?

A) Decreasing it reduces the risk of withdrawal in the infant after birth. B) Decreasing it reduces the chance of stillbirth. C) Decreasing it reduces the risk of the woman being too relaxed during childbirth. D) Decreasing it is done because women are less depressed as delivery approaches.

Nursing