After pelvic measurements, a patient who is 20 weeks pregnant is informed that the diagonal conjugate diameter is narrow. For which component of labor should the nurse plan care to address?
A) Powers
B) Passage
C) Passenger
D) Psychological outlook
B
Feedback:
Passage focuses on the size and contour of the pregnant patient's pelvis. Passenger addresses the size, position, and presentation of the fetus. Powers determine if uterine factors for labor are adequate. Psychological outlook focuses on the pregnant patient's ability to view labor as a positive experience.
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The nurse is preparing to examine a client who is complaining of right lower quadrant abdominal pain. Which actions by the nurse are appropriate in this situation? Select all that apply
1. "It is a little cool in our examination room; may I turn up the thermostat?" 2. "I've been told you are experiencing some pain in the lower right area of your abdomen. I will examine that area first." 3. "I am going to stand on your left side so I can feel your liver better." 4. "I'm going to place this drape over you so you don't feel too exposed during this examination." 5. "I am going to place this pillow behind your head and this pillow under your knees."
The nurse observes that a seriously ill child passively accepts all painful procedures. The nurse should recognize that this is most likely an indication that the child is experiencing what emotional response?
a. Hopefulness b. Chronic sorrow c. Belief that procedures are a deserved punishment d. Understanding that procedures indicate impending death
A woman in her third trimester of pregnancy has a history of back pain. The client says, "I do best on Doan's pills (magnesium salicylate), so I will just start taking them again." How should the nurse respond?
Standard Text: Select all that apply. 1. "If they helped you before, I would recommend you take them now." 2. "The magnesium salicylate in Doan's pills is not related to the salicylate in aspirin." 3. "I believe we should talk with the doctor to find a different medication for your discomfort." 4. "You should take aspirin instead." 5. "Have you tried any nonpharmaceutical pain relief measures?"
Which parental statement at the end of a teaching session by the nurse indicates correct understanding of colostomy stoma care for the infant client?
1. "We will change the colostomy bag with each wet diaper." 2. "We will expect a moderate amount of bleeding after cleansing the area around the stoma." 3. "We will watch for skin irritation around the stoma." 4. "We will use adhesive enhancers when we change the bag."