How would the nurse best analyze the results from a patient's sonogram that shows the fetal shoulder as the presenting part?
1. Breech, transverse
2. Breech, longitudinal
3. Breech, frank
4. Vertex, transverse
1
Rationale 1: A shoulder presentation is one type of breech presentation, and is also called a transverse lie.
Rationale 2: A shoulder presentation is not a longitudinal lie.
Rationale 3: In a frank breech, the buttocks are the presenting part.
Rationale 4: A shoulder presentation is not vertex.
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The nurse is caring for a 2-week-old girl with a metabolic disorder. Which of the following activities would deviate from the characteristics of family-centered care?
A) Softening unpleasant information or prognoses B) Evaluating and changing the nursing plan of care C) Collaborating with the child and family as equals D) Showing respect for the family's beliefs and wishes
Mrs. Lawrence grew up in Europe and raises many herbs for medicinal use in her home garden. She tells you that peppermint tea is a good cure for stomach ailments and insists upon you giving it to her husband, your patient, with his meals
You should: A) Refuse to take part in her plan of treatment, and tell her that her ideas will likely harm her husband B) Let her know that you will request an order from her husband's physician to allow the tea to be given C) Explain to her that in this country, herbal medications cannot be given by nurses at all D) Refer her to the pharmacist for a more comprehensive explanation of why herbal remedies will not help her husband
A patient pregnant with her first child reports that her husband wants her to visit a homeopath for help with her nausea and vomiting. The patient asks what the nurse's opinion of homeopathy is. The best response by the nurse is:
1. "Homeopathy is unproven and potentially dangerous. Avoid using homeopathic remedies." 2. "The FDA has approved homeopathic remedies, and practitioners undergo education and certification." 3. "I can't give you advice about what alternatives to try. Go online and do some research to get information." 4. "Homeopathy is the same as herbal remedies. Some are safe during pregnancy and some are not."
A student visits the school nurse frequently with complaints of sleep disturbance, tension, dizziness, and light-headedness 1 day and stomach aches and headaches another
One day she is light-headed and breathing very rapidly. She states she is worried about an upcoming test. What should the nurse do for this student? A) Remain calm, use a calm voice, and have her do some deep breathing. B) Tell her to calm down and go back to class. C) Tell her that her worry is making her sick and she should stop worrying. D) Focus on her physical symptoms.