The nurse assesses a woman in labor and finds that her cervix is dilated to 9 cm. The nurse documents the woman to be in what phase of labor?
A.
First stage
B.
Second stage
C.
Third stage
D.
Fourth stage
ANS: A
The first stage of labor begins with regular uterine contractions and ends when the cervix is fully dilated (10 cm). The second stage of labor begins with full dilation of the cervix and ends with the birth of the baby. The third stage of labor is the period of time from the birth of the baby to the complete delivery of the placenta. The fourth stage of labor is the period of maternal physiological adjustment that occurs from the time of delivery of the placenta through the first 1 to 2 hours after birth.
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A laboring client is having contractions every 3 minutes lasting 50 seconds and is dilated 7 centimeters. The nurse determines the client is in what phase of labor?
a. Latent c. Prodromal b. Active d. Transition
The nurse assesses which of the following families as developmentally appropriate? Select all that apply
A) the family that teaches their school-age children at home, and does not participate in social groups B) the family with a newborn that has prepared a nursery and bought clothing and baby care supplies C) the family in which the teenagers are expected to work in the family business after school and on weekends D) the newlyweds who have decided together not to have children for several years E) the "empty nest" family that has opened a new business and spends long hours each day working together
The nurse is explaining a discharge plan to the parents of an infant being discharged from the hospital. Which characteristic regarding adult learning should the nurse incorporate into her plan?
A) Adults are dependent learners. B) Adults are problem focused. C) Adults are future focused. D) Adults do not value past learning.
A nurse is organizing population-based interventions aimed at addressing this high incidence and prevalence of depression in older Americans. Which of the following statements of true of depression in older adults?
A) Depression is largely unavoidable in older adults due to age-related life changes. B) Electroconvulsive therapy is preferable to antidepressant medications in the treatment of older adults' depression. C) Depression in older adults is usually self-limiting, unlike depression in younger adults. D) Treatments for depression are usually effective in older adults, but many do not receive adequate treatment.