A primigravida is admitted in labor at 3 centimeters dilation. She asks the nurse, "How long will my labor last?" The nurse's response should indicate that the average length is approximately how many hours?
a. 3 to 5 c. 13 to 15
b. 8 to 10 d. 17 to 19
D
The latent phase ends when the cervix is dilated 4 cm. This is a good time to teach the client because she is usually still fairly comfortable, and this phase can last 17 to 19 hours.
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The body's fluid and electrolyte balance is maintained partially by hormonal regulation. The nurse conveys an understanding of this mechanism in which statement?
a. "The pituitary gland secretes aldosterone." b. "The kidney secretes antidiuretic hor-mone." c. "The adrenal cortex secretes antidiuretic hormone." d. "The pituitary gland secretes antidiuretic hormone."
The home care nurse visits an older client with diabetes. For which nutritional problem does the nurse monitor this client?
a. Obesity b. Malnutrition c. Alcoholism d. Hyperglycemia
The nurse is preparing to cleanse a pressure ulcer over the sacrum of a client. The nurse chooses which of the following solutions?
A) povidone-iodine (Betadine) B) normal saline solution C) hydrogen peroxide D) Dakin's solution
A client complains of white, thick vaginal discharge accompanied by severe itching of the vagina and vulva. The vulva is reddened and edematous, and white patches are present in the vaginal mucosa. The nurse should suspect the client has developed:
a. candidiasis c. herpes simplex virus type 2 b. chlamydia d. trichomoniasis