When assessing a laboring client, the nurse locates the fetal heart tones on the right side of the abdomen above the umbilicus. Leopold's maneuvers reveal an irregularly shaped fetal part just above the symphysis pubis
The fetal presentation is most likely a. cephalic c. breech
b. face d. occiput transverse
C
Breech presentation is suspected when the FHR is auscultated at or above the maternal umbilicus. If the fetus were in the cephalic, face, or occiput transverse positions, the nurse would expect FHR to be heard below the level of the maternal umbilicus.
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A nurse is preparing information to be distributed at a national conference on AIDS. What should be included regarding mandatory disclosure of AIDS status?
1. AIDS status is confidential and cannot be disclosed to any entity without patient consent. 2. All AIDS cases must be reported to the Centers for Disease Control and Prevention or to the state health department. 3. Every state requires that all sexual contacts of a person diagnosed with AIDS be contacted and treated. 4. AIDS status must be disclosed to any health care provider who has cared for the patient within the last 18 months and to any future health care provider.
To give the pregnant adolescent a role in her prenatal care, the nurse could allow her to:
1. Choose the type of prenatal vitamin she takes. 2. Measure and record her weight at each visit. 3. Choose the schedule of her prenatal visits. 4. Decide if she wants her labor to be induced.
A young man who has been diagnosed as sterile says to the nurse, "I am not much of a man or a husband." The nurse's most therapeutic response would be:
a. "I know you feel awful, but you can al-ways adopt." b. "How do you feel about artificial insemi-nation?" c. "What about this sterility diagnosis con-cerns you the most?" d. "Sterility isn't the end of the world, is it?"
A client is experiencing a situation in which the client feels an overwhelming loss and isolation, and exhibits disruptive behavior. This client is experiencing:
1. stress. 2. crisis. 3. maladaptive response. 4. homeostasis.