During the initial intrapartal assessment of a client in early labor, the nurse performs a vaginal examination. The client's partner asks the nurse why this pelvic exam needs to be done
The nurse should explain that the purpose of the vaginal exam is to obtain information about the: (Select all that apply.) A. Uterine contraction pattern.
B. Fetal position.
C. Presence of the mucous plug.
D. Cervical dilation and effacement.
E. Presenting part.
E
You might also like to view...
A geriatric nurse practitioner prescribes an antidepressant for a patient
The patient asks, "How long will I have to be on this medication before I feel like my old self?" The nurse recalls that a therapeutic response to an antidepressant medication most often takes which one of the follow-ing? a. 24 hours c. 2 weeks b. 2 days d. 2 months
On admission, the client weighs 165 lb (75 kg). The client reports that this is a weight loss from 180 lb (82 kg). What is this client's percent weight loss?
1. 4.5% 2. 6.25% 3. 8.3% 4. 10.0%
Bret is a CST working with Dr. Jones on an open cholecystectomy procedure. Both of Dr. Jones’ hands are occupied, so she asks Bret to inject contrast medium into the cystic duct under her direct supervision.
1. What scope of practice issues can you identify? 2. Is this act any different from injecting a medication into an IV line? If so, how? 3. What do you think Bret should do in this situation? 4. How do you think the surgeon may respond if Bret refuses? 5. How can Bret know if he should perform this act?
A patient with acute abdominal pain has a serum potassium level of 2 mEq/L. What should the nurse do first?
a. Call the physician STAT. b. Administer a Kayexalate enema. c. Document the result on the chart. d. Notify the physician during morning rounds.