The nurse assisting with a Lamaze class explains the stages of labor, and determines that the parents understood when they state:
1. "The second stage of labor begins when the cervix is completely dilated and ends with the birth of the baby."
2. "The second stage of labor begins when the cervix begins to dilate and ends with complete dilation."
3. "The first stage of labor begins with pregnancy and ends when the mucus plug is passed."
4. "The third stage of labor begins with passage of the placenta and ends with healing of the episiotomy."
2
Rationale: The first stage of labor begins when labor begins and ends with complete dilation. The second stage of labor begins with complete dilation and ends with delivery of the fetus. The third stage of labor begins after delivery of the baby and ends with passage of the placenta.
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A nurse is caring for a patient near the end of life whose wishes regarding care are not known. The two sons disagreed with the two daughters about future medical plans for the patient during a recent family conference,
and now the sons and daughters are not talking to one another. What action by the nurse would be best to help resolve this dilemma? A. Call the facility's ethics committee and request a formal consultation. B. Have social work coordinate another family meeting to discuss the issue. C. Meet with the sons and daughters separately to discuss their wishes. D. Request that the physician tell the family what is in the patient's best interests.
Staff is assembling for shift assignments. Which of the following nursing actions identifies the manager's responsibility on the clinical unit?
A) The manager assesses the clients on the clinical unit and updates the physician. B) The manager assures that adequate care is given by the staff and assesses the flow of activities on the clinical unit. C) The manager removes the physician orders from the chart and notes completion. D) The manager attends facility meetings and plans the goals of the healthcare facility.
Culture affects all of the following components of an individual's life EXCEPT
a. values c. beliefs b. attitudes d. none of the above
Nurse April is teaching a client who suspects that she has a lump in her breast. The nurse instructs the client that a diagnosis of breast cancer is confirmed by:
A. breast self-examination. B. mammography. C. fine needle aspiration. D. chest X-ray.