The following statements describe fetal position changes that occur as the fetus in a vertex presentation passes through the maternal pelvis. List them in the order in which they occur, with the earliest first
1. The fetal occiput is even with the ischial spines.
2. The fetal torso rotates to align the shoulder just beneath the symphysis pubis.
3. The fetus stretches its neck and extends the head forward.
4. The fetus flexes the chin to the chest, and the knees are flexed to the abdomen.
1, 4, 3, 2
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The perinatal nurse knows that tocolytic agents are most often used to do which of the following? (Select all that apply.)
A. Allow for transport of the woman to a tertiary care facility B. Facilitate administration of antenatal corticosteroids C. Prevent development of fetal respiratory distress syndrome D. Prevent maternal infection E. Prolong pregnancy as long as possible
Which nursing progress note would most suggest that the treatment plan of a severely depressed and withdrawn patient has been effective?
a. "Slept 6 hours straight, sang with activity group, eager to see grandchild.". b. "Slept 8 hours, attended craft group, ate half of lunch, denies suicidal ideation.". c. "Slept 10 hours, personal hygiene adequate with assistance, lost one pound.". d. "Slept 7 hours on and off, reports "food has no taste", no self-harm noted.".
A patient with a lung abscess is being discharged from the hospital. Appropriate discharge instructions for this patient should include which information?
1. Complete the entire prescription of antibiotics. 2. Expect symptoms to become worse. 3. Return to routine activities of daily living. 4. Lung abscesses rarely cause other problems once treatment is started.
An older patient reports that sleep was being severely affected by the need to urinate frequently. The patient states he has begun restricting his fluid intake after 5 PM to help with the problem. The nurse responds
a. "Have you seen a decrease in waking up since you cut back on fluids?" b. "You need sufficient fluids, so don't be too restrictive." c. "You need the same amount over 24 hours, so drink enough by dinnertime." d. "Have you had your prostate checked by your health care provider?"