A woman has been in labor for 16 hours. Her cervix is dilated to 3 cm and is 80% effaced. The fetal presenting part is not engaged. The nurse would suspect:
1. Breech malpresentation.
2. Fetal demise.
3. Cephalopelvic disproportion (CPD).
4. Abruptio placentae.
3
Rationale:
1. A breech presentation will not prevent the presenting part from becoming engaged.
2. Fetal demise will not prevent the presenting part from becoming engaged.
3. Cephalopelvic disproportion (CPD) will prevent the presenting part from becoming engaged.
4. Abruptio placentae has specific complications; however, it will not prevent engagement of the presenting part.
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The school health nurse is evaluating the home environments of several children as they relate to child safety. The nurse visits the home of each child and gathers the following data
Which of these activities places a child at the greatest risk for bodily harm? 1. The parents are in a methadone program. 2. The parents consume alcohol on a daily basis. 3. The child is permitted to take target practice with a revolver unsupervised. 4. The child is a latchkey child.
A female client is a Duchenne muscular dystrophy carrier. Her husband does not have the gene. She is planning to conceive and wants to understand the chances of her child acquiring the disease
Which of the following information should the nurse give to the client? A) A male child will certainly be affected by the condition. B) A female child will not be affected by the condition. C) There is no risk of a male child being affected by the condition. D) A male child has a 50% chance of being a carrier.
Many nurses enjoy the independence and creativity of being one of the few professional caregivers in a rural community. What might be a problem in this situation? Select all that apply
A. Feelings of being totally alone and isolated B. Feelings of being overwhelmed with responsibility C. No physicians to prescribe the nurse's responsibilities D. No professional colleagues to offer support and consultation E. No way to call upon information resources when questions arise F. Standards of practice being different for rural areas and the nurse must learn new rules
The nurse employed in a home care agency is assigned a recently widowed client. When the nurse arrives at the client's home, the ordinarily immaculate house is in chaos and the client is disheveled, with the odor of alcohol on his breath. Which statement by the nurse would be therapeutic?
A. "I can see that this isn't a good time to visit." B. "You seem to be having a very difficult time." C. "Do you think your wife would want you to behave like this?" D. "What are you doing? How much are you drinking, and how long has this been going on?"