An 18-year-old pregnant woman, gravida 1, is admitted to the labor and birth unit with moderate contractions every 5 minutes, lasting 40 seconds. The woman states, "My contrac-tions are so strong I don't know what to do.". The nurse should:
1. assess for fetal well-being.
2. encourage the woman to lie on her side.
3. disturb the woman as little as possible.
4. recognize that pain is personalized for each individual.
4
1. Incorrect. There is no information in this scenario that would indicate fetal distress or a logical reason to be overly concerned about the well-being of the fetus.
2. Incorrect. The left lateral position is used to alleviate fetal distress, not maternal stress.
3. Incorrect. The nurse has an obligation to provide physical, emotional, and psychosocial care and support to the laboring woman. This patient clearly needs support.
4. Correct. Each woman's pain during childbirth is unique and is influenced by a variety of physiologic, psychosocial, and environmental factors. A critical issue for the nurse is how support can make a difference in the pain of the woman during labor and birth.
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a. design training for onsite trainers. b. determine readiness for such training. c. investigate specific training models. d. pick high-risk areas to start training.
The nurse is administering a vaginal cream. After inserting the applicator and administering the cream, which instruction will the nurse provide to the client?
1. Wash the perineal area. 2. Remain supine for 5-10 minutes. 3. Sit in the chair for 5-10 minutes. 4. Lie in a side-lying position for 5-10 minutes.
The "spirit of inquiry" is a process that
A. Involves true curiosity B. Encourages the use of mentors C. Supports a foundation of evidence-based practice D. All of the above
How does untreated elevated intraocular pressure eventually lead to visual impairment?
a. It compresses blood vessels and causes hypoxia of the photoreceptors. b. It clouds the lens and prevents light from striking the photoreceptors. c. It constricts the pupil and prevents light from entering the posterior chamber. d. It pushes the cornea forward and distorts the placement of the image on the retina.