A client asks how long she will be in labor. Which factor has not been shown to influence the length of labor?
a. Adequacy of pelvis c. Position of the fetus
b. Mental attitude of the mother d. Size of the placenta
D
The size of the placenta has not been shown to affect labor time. The adequate size of the pelvis is a factor. A pelvis that is too small in comparison to fetal size to allow the fetus to move through it for birthing will prolong labor. The mental attitude of the mother is a factor. The mother who works through the contractions, allowing the full power of the contractions to effectively dilate the cervix will facilitate her labor. Posterior fetal presentations cause the labor to be extended, because this position is not as effective in resulting in cervical dilation as anterior fetal presentations.
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An acutely ill, anemic child's peripheral blood smear shows small, dense, spherical RBCs. What action by the nurse takes priority?
A. Assess and treat the child's pain adequately. B. Discuss the option of a bone marrow transplant. C. Obtain informed consent for blood transfusions. D. Prepare the family for chelation therapy.
The research tradition that is an approach to understanding people's experiences as they are lived is which of the following?
A) Experimental B) Phenomenologic C) Ethnographic D) Grounded theory
When attempting to locate recent lab results, the new nurse employee notices that each department has a separate section in the client's chart. Which type of documentation system is the nurse using?
1. Source-oriented record 2. Problem-oriented record 3. Case management 4. Focus charting
The parents of a child with ADHD bring the child for a follow-up visit. During the visit, they tell the nurse that the child receives his first dose of methylphenidate (Ritalin) at about 7:30 AM every morning before leaving for school
The teacher and school nurse have noticed a return in the child's overactivity and distractibility just before lunch. The child's second dose is scheduled for about 12 noon. Which of the following might the nurse suggest as a possible solution to control the child's symptoms a bit more effectively? A) Giving the second dose at 1 PM or later. B) Switching to a longer acting preparation. C) Splitting the early morning dose in half. D) Switching to another class of medication.