Which maternal factor may inhibit fetal descent?

a. decreased peristalsis
b. a full bladder
c. reduction in internal uterine size
d. rupture of membranes


B
A full bladder may inhibit fetal descent because it occupies space in the pelvis needed by the fetal presenting part.

Nursing

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The parents of a 5-year-old child ask the nurse how they can minimize misbehavior. Which responses should the nurse give? (Select all that apply.)

a. Set clear and reasonable goals. b. Praise your child for desirable behavior. c. Don't call attention to unacceptable behavior. d. Teach desirable behavior through your own example. e. Don't provide an opportunity for your child to have any control.

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A nurse might be called upon to stimulate the fetal scalp:

1. as part of fetal scalp blood sampling. 2. in response to tocolysis. 3. in preparation for fetal oxygen saturation monitoring. 4. to elicit an acceleration of the FHR.

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A nurse is reviewing the medications of a patient with diabetes before discharge. The nurse realizes that the patient will be going home on colesevelam, a bile acid sequestrant, and insulin

What patient education should the nurse provide in the discharge teaching for this patient? a. The patient needs to monitor the blood sugar carefully, because colesevelam can cause hypoglycemia. b. The patient needs to monitor the blood sugar carefully, because colesevelam can cause hyperglycemia. c. The patient needs to take the insulin at least 3 hours before the colesevelam. d. The patient needs to use an oral antidiabetic agent or agents, not insulin, with colesevelam.

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A patient asks about treatment for stress urinary incontinence. Which is the nurse's best response?

a. Perform pelvic floor exercises. b. Avoid voiding frequently. c. Drink cranberry juice. d. Wear an adult diaper.

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