The nurse teaches a pregnant woman about the characteristics of true labor contractions. The nurse evaluates understanding of the instructions when the woman states:
1. "True labor contractions will subside when I walk around.".
2. "True labor contractions will cause discomfort over the top of my uterus.".
3. "True labor contractions will continue and get stronger even if I relax and take a shower.".
4. "True labor contractions will remain irregular but become stronger.".
3
1, 2, 4. Incorrect. During false labor, contractions tend to be irregular and felt in the abdomen above the navel. Typically, the contractions will often stop with walking or change of position.
3. Correct. True labor contractions occur regularly, becoming stronger, lasting longer, and oc-curring more closely together. They may become intense during walking and will continue de-spite the use of comfort measures. Typically, true labor contractions are felt in the lower back, radiating to the lower portion of the abdomen.
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The nurse observes a woman and her sister who live together. They are trying to support one another and provide extended care to their mother who has recently been diagnosed with Alzheimer's disease
The two sisters describe their experience with a homemaker who visits their home to help bathe their mother. They say she is "humorous and cheerful" and absorbs their mother's attention for the whole time she is present. This is a positive description of which component of Bowen's family systems theory? A. Communication B. Family relationship building C. Family rituals D. Triangulation
A patient is diagnosed with a uterus that is slightly retroverted. When discussing the implications of this finding, what should the nurse include?
A) This finding indicates the need for surgery. B) This finding will render the patient infertile. C) This finding should not cause fertility issues. D) This finding could interfere with conception.
When caring for a client with Raynaud's disease, the nurse provides the following instructions:
A) Restrict your fluid intake to <1,500 mL of liquids daily. B) Wear gloves and warm socks during cold weather. C) Engage in high activity and stressful situations to promote circulation. D) Drink red wine because it is a vasodilator and would be helpful.
An 8-year-old girl asks the nurse how the blood pressure apparatus works. The most appropriate nursing action is to:
a. Ask her why she wants to know. b. Determine why she is so anxious. c. Explain in simple terms how it works. d. Tell her she will see how it works as it is used.