You have just assisted in the delivery of the baby's head. Which of the following best describes how to proceed with the delivery?

A) Direct the head down and allow the anterior shoulder to deliver.
B) Pull on the neck and head.
C) Direct the head up and allow the posterior shoulder to deliver.
D) Deliver both shoulders together.


Answer: A) Direct the head down and allow the anterior shoulder to deliver.

Nursing

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The nurse is discussing genetic referral with the parents of children being seen in the pediatric clinic. The child who would benefit from a genetic referral is the child whose family has a history of:

1. Prominent epicanthal folds, resonant lungs, or absent tinnitus in Asian families. 2. Broad face, lower-extremity lichenification, or spider angiomas. 3. Normocephalic head, euthyroid, or five digits per extremity. 4. Cleft lip and/or cleft palate, diaphragmatic hernia, or cataract.

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One concern about all antidysrhythmic drugs is that they:

a. are not covered by most prescription plans. b. require high doses to achieve effectiveness. c. require hospitalization for administration. d. can worsen existing dysrhythmias or cause new ones.

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A client asks the nurse, "What are the advantages of peritoneal dialysis over hemodialysis?" Which response by the nurse is accurate? (Select all that apply.)

a. "It will give you greater freedom in your scheduling." b. "You have less chance of getting an infec-tion." c. "You need to do it only three times a week." d. "You do not need a machine to do it." e. "You will have fewer dietary restrictions."

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The nurse manager in the Emergency Department needs to implement new staffing patterns. As a transformational leader, the nurse manager should:

a. Explain in detail how well the new idea will work. b. Reinforce how this change will respond to the ideas and solutions generated by staff members. c. Reason with staff members that the new idea will save money and allow more free time. d. Imply that raises will be smaller than anticipated if the new idea is not accepted.

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