A client has a strong urge to push and is 8 centimeters dilated. As the nurse, you should understand that pushing now may prolong the labor process because
a. the blood flow increases
b. the cervix becomes edematous
c. the client becomes exhausted
d. 4-degree tear of the perineumcould occur
B
With the added pressure of pushing prior to complete cervical dilation, the cervix becomes edematous, which may prolong the labor process and the fetal descent. A 4-degree tear of the perineum more commonly occurs during a nonsupported delivery. An increase in blood flow does not result from early pushing. Although client exhaustion is a concern, it is not the best answer to the question asked.
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The nurse is caring for an older patient. What should the nurse realize is an expected age-related change in this patient's musculoskeletal system?
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What statement by a patient's wife would indicate that the patient is experiencing myoclonus?
a. "His loud snoring and jerking awake wakes me up, too." b. "I am black and blue from his kicking me every night." c. "He wakes up at 2 AM every morning and walks around the house." d. "His constant leg movements tear up the covers and keep me awake."
The primary nursing process in the theory of technological competency as caring in nursing is
A. Designing participation in caring. B. Knowing. C. Implementation. D. Evaluation.
The nurse is working with the caregivers of a child who is 2-1/2 years old. The nurse advises the caregivers that it is important for the child to know what it feels like to have a wet diaper. This advice was given because of which rationale?
a. The nurse is acting on an old wives' tale and has no rationale. b. Children need to know the connection between being wet and being changed by a caregiver. c. Children have to be able to tell a caregiver they are wet before they can be successfully toilet trained. d. This is an important sensory experience for maximum development of brain potential.