A primigravida patient is admitted to the labor and delivery unit. During initial assessment, the baby is found to be engaged. Which statement is true?
a. The narrowest diameter of the presenting part has reached the pelvic outlet.
b. The descending part is being initiated through the midpelvis.
c. The widest diameter of the presenting part crosses the pelvic inlet.
d. The narrowest diameter of the presenting part is at the ischial spines.
ANS: C
Engagement occurs when the biparietal diameter, which is the widest part of the fetal head, crosses the pelvic inlet.
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When the fifth-grade class collected geckos in a special aquarium in the classroom, the school nurse cautioned the teacher to be alert for symptoms of ____________________ that can be carried by the reptiles
ANS:
The 7-year-old boy's hands were badly burnt; it was suspected that his mother had forced his hands into boiling hot water after she caught him masturbating. The staff did not want the mother to be allowed near the boy
Which of the following statements would be made by the nurse to encourage the staff to interact more objectively with the mother? a. "If we won't let the mom near, who does the child have for support at this painful time?" b. "Most abusers were themselves abused as children and need help to learn how to be a more effective parent." c. "The child may feel responsible; we have to let the mother fix their relationship." d. "We need to encourage the mother to continue parenting him or the boy will become a ward of the state."
The patient is admitted with a suspected acute myocardial infarction (MI)
In assessing the 12-lead electrocardiogram (ECG) changes, which findings would indicate to the nurse that the patient is in the process of an evolving Q wave myocardial infarction(MI)? a. ST-segment elevation on ECG and elevated CPK-MB or troponin levels b. Depressed ST-segment on ECG and elevated total CPK c. Depressed ST-segment on ECG and normal cardiac enzymes d. Q wave on ECG with normal enzymes and troponin levels
With the ongoing focus on disease prevention and health promotion, nurses seeking a preferred future will need to increase their knowledge regarding:
A. Chronic illness management, health pro-motion, and obesity B. Hospice care, acute exacerbations of dis-ease, and emergency resuscitation C. Management of the very sick, hospice care, and pathophysiology of acute illness D. Knowledge regarding rare illnesses, acute care, and mortality figures