The nurse is reviewing the medical record of a woman in labor and notes that the fetal position is documented as LSA. The nurse interprets this information as indicating which of the following is the presenting part?
A) Occiput
B) Face
C) Buttocks
D) Shoulder
C
Feedback:
The second letter denotes the presenting part which in this case is "S" or the sacrum or buttocks. The letter "O" would denote the occiput or vertex presentation. The letter "M" would denote the mentum (chin) or face presentation. The letter "A" would denote the acromion or shoulder presentation.
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A nurse and an elderly client with chronic back pain are in the working phase of the nurse–client relationship. Which of the following activities occur in the working phase?
A) The client identifies one or more health problems. B) The nurse tries to avoid retarding the client's independence. C) The nurse is courteous and actively listens to the client. D) The nurse ensures that the client manages independently.
In the discharge teaching plan for a client after MI, the nurse would include that the client should
a. begin walking for short periods every day. b. continue previous lifestyle when ready. c. resume sexual intercourse in 3 months. d. take 1 aspirin every 8 hours as ordered.
The nurse is caring for an infant with possible congestive heart failure (CHF). Which manifestation would the infant most likely exhibit?
A) Feeding problems B) Rapid weight gain C) Bradycardia D) Yellowish color
When taking a child's blood pressure, the stethoscope is placed
A) on the brachial artery above the cuff. B) on the brachial artery on the inner aspect of the elbow below the cuff. C) on the radial pulse near the wrist above the cuff. D) none of the above