List the stages of labor. D.H. is in what stage of labor?
What will be an ideal response?
• She is in the first stage of labor, which lasts until complete dilation.
• Stage 2 lasts from dilation to birth of the infant.
• Stage 3 is finished with placental delivery.
• Stage 4 is 2 hours after delivery is complete.
There is great variance in the length of labor. Complete dilation for a primigravida might take
18 hours or longer but can be much shorter. Full dilation might occur in less than 1 hour in some
multiparous pregnancies.
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A patient presents with an acute myocardial infarction that resulted in right ventricular damage. The nurse needs to assess the patient for right-sided heart failure, which includes which of the following?
a. Crackles on auscultation b. Jugular neck vein distention c. Increased myocardial perfusion d. Orthopnea
The most dangerous effect on the fetus of a mother who smokes cigarettes while pregnant is:
a. genetic changes and anomalies. b. extensive central nervous system damage. c. fetal addiction to the substance inhaled. d. intrauterine growth retardation.
Spontaneous termination of a pregnancy is considered to be an abortion if
a. The pregnancy is less than 20 weeks. b. The fetus weighs less than 1000 g. c. The products of conception are passed intact. d. No evidence exists of intrauterine infection.
A nurse is caring for a child who has had watery diarrhea for the past 3 days. Which of the following is an appropriate action for the nurse to take?
A. Offer Chicken broth B. Initiate oral rehydration therapy C. Start hypertonic IV solution D. Keep NPO until the diarrhea subsides