Expectant mothers should hear from their nurses that normal labor consists of all of the following except:
1. a single fetus presents by vertex.
2. it is completed within 8 hours.
3. regular progression of contractions, effacement, dilation, and descent.
4. No complications exist.
2
1, 3, 4. Incorrect. In normal labor, a single fetus presents by vertex; proceeds through a regular progression of contractions, effacement, dilation, and descent; presents no complications; and does so in under 18 hours.
2. Correct. In normal labor, a single fetus presents by vertex; proceeds through a regular pro-gression of contractions, effacement, dilation, and descent; presents no complications; and does so in under 18 hours.
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A postpartum client calls the clinic to report that her 3-day-old baby girl has a spot of blood on her diaper. The nurse explains to the client that this is due to:
1. Withdrawal of maternal hormones. 2. A urinary infection. 3. An immature immune system. 4. Physiologic jaundice.
A client has an enlarged scar as a result of abdominal surgery. The nurse realizes this scar would be considered a(n):
1. erosion. 2. fissure. 3. excoriation. 4. keloid.
Aging ordinarily leads to decreases in which of the following?
a. Creatinine clearance and insulin secretion b. Blood carbon dioxide and saliva produc-tion c. Left ventricle-wall thickness and skin healing time d. Serum triiodothyronine (T3) and gastric pepsin
The nurse is caring for a client who is nonverbal. When caring for this client, the nurse should
a. insist the client communicate in a two-way mode. b. continue to initiate communication in a one-way mode. c. refrain from explaining procedures because the client will not understand. d. limit orienting cues in order to reduce environmental stimuli.