Using a diagram, the nurse demonstrates the sequence of the mechanisms of labor. Place the seven mechanisms of labor in sequential order. Put a comma and space between each answer choice (a, b, c, d, etc.)
a. Extension
b. Engagement
c. Descent
d. Flexion
e. Expulsion
f. Internal rotation
g. External rotation
ANS:
C, B, D, F, A, G, E
The process by which a normal vaginal delivery is accomplished requires the infant to make the descent into the birth canal, engage, flex and internally rotate, and extend and externally rotate to be expelled.
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A nursing student has reviewed a hospitalized pediatric patient chart, interviewed her mother, and collected admission data. What is the next step the student will take to develop a nursing care plan for this child?
a. Identify measurable outcomes with a timeline. b. Choose specific nursing interventions for the child. c. Determine appropriate nursing diagnoses. d. State nursing actions related to the child's medical diagnosis.
A nurse in an ophthalmology clinic instills an anticholinergic agent into a patient's eyes. The nurse provides teaching when the patient asks the reason for the drops. Which statement by the patient indicates a need for further teaching?
a. "The drops help prevent my lenses from moving during the exam." b. "The drops will cause me to have blurred vision and sensitivity to light." c. "These drops allow the ophthalmologist to see inside my eyes." d. "This medication anesthetizes my eyes so that the exam won't be painful."
The nurse caring for a pediatric client recovering from surgery to repair a congenital heart defect would include which of the following interventions to support the client's fluid status?
1. Limit fluids 2. Maintain intravenous therapy until day before discharge 3. Encourage fluids 4. Monitor output
A pregnant client is interested in the use of herbs during her pregnancy. How should the nurse counsel this client? Select all that apply
1. Do not take any herbs with other medication. 2. Refer to the list to learn which herbs to avoid during pregnancy. 3. Most herbs are harmless and can be safely taken while pregnant. 4. Refer to the list to learn which herbs to avoid during breastfeeding. 5. Consult with your healthcare provider before taking any herbs, even as teas.