The nurse is teaching a prenatal class about postpartum changes. The nurse explains that factors that might interfere with uterine involution include: Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. Prolonged labor.
2. Difficult birth.
3. Full bladder.
4. Breastfeeding.
5. Infection.
1,2,3,5
Rationale 1: Prolonged time of contractions during labor relaxes the uterine muscles and can retard uterine involution.
Rationale 2: During a difficult birth, the uterus is manipulated excessively, which can retard uterine involution.
Rationale 3: As the uterus is pushed up and, usually, to the right, pressure on it interferes with effective uterine contraction and involution.
Rationale 4: Breastfeeding releases endogenous oxytocin from the posterior pituitary in response to sucking and can hasten the process of involution.
Rationale 5: Inflammation interferes with the uterine muscles' ability to contract effectively.
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Another term for a participative leader is:
1. democratic. 2. multicratic. 3. autocratic. 4. laissez-faire.
The nurse working in the emergency department (ED) receives a telephone call from an individual who states a co-worker's finger was amputated and asks what should be done. The nurse would tell the caller to immediately
a. pack the finger immediately in a plastic bag filled with ice. b. place the finger in a bowl full of cool water or normal saline, if available. c. wash and rinse the finger and wrap it in a clean, warm towel. d. wrap the finger in a clean cloth and place it in a plastic bag, then on ice.
The nurse is preparing to administer intravenous calcium. During the infusion, the nurse should:
a. monitor the client's blood pressure during and after infusion. b. infuse the calcium solution as rapidly as possible. c. monitor the infusion site for extravasation, which can cause tissue necrosis. d. maintain the client's room temperature below 70° F to keep the infusion cool.
An acceptable first-line treatment for peptic ulcer disease with positive H. pylori test is:
1. Histamine2 receptor antagonists for 4 to 8 weeks 2. Proton pump inhibitor bid for 12 weeks until healing is complete 3. Proton pump inhibitor bid plus clarithromycin plus amoxicillin for 14 days 4. Proton pump inhibitor bid and levofloxacin for 14 days