The perinatal nurse reads in a chart that a woman has a lesion on her perineum. Where would the nurse assess this lesion?
A. Greater vestibular or vulvovaginal glands
B. Skin-covered region between the vagina and the anus
C. Small portion of tissue around the anus
D. Small portion of tissue surrounding the vaginal opening
ANS: B
The perineum, an anatomical landmark, is the skin-covered region between the vagina and the anus.
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Which of the following terms is used when an adult has a pulse rate of 100 to 140 beats per minute?
1. dysrhythmia 2. bradycardia 3. tachycardia 4. pyrexia
A school bus transporting a local university's basketball team has just crashed in the rain on the side of the road. The bus was transporting approximately 60 people. Which classification should the nurse use to describe the situation?
1. multiple-casualty incident 2. natural disaster 3. human-generated disaster 4. mass-casualty incident
Children depend on adults to be knowledgeable. If a 6-year-old asks you a question for which you do not know the answer, your best response would generally be to
A) reword the question into one you can answer. B) state that you do not have time to answer questions. C) suggest that the child find out the answer independently. D) state that you do not know the answer but you will find out.
The nurse is making a home visit to a client who had a cesarean birth 3 days ago. Assessment reveals that the client is complaining of intermittent pain, rating it as 8 on a scale of 1 to 10 . She states, "I'm pretty tired
And with this pain, I haven't been drinking and eating like I should. The medication helps a bit but not much. My mom has been helping with the baby." Her incision is clean, dry, and intact. Which nursing diagnosis would the nurse identify as the priority for this client? A) Impaired skin integrity related to cesarean birth incision B) Fatigue related to effects of surgery and caretaking activities C) Imbalanced nutrition, less than body requirements related to poor fluid and food intake D) Acute pain related to incision and cesarean birth