The nurse is preparing to assess a laboring client who has just arrived in the labor and birth unit. Which statement by the client indicates that additional education is needed?
1. "You are going to do a vaginal exam to see how dilated my cervix is."
2. "The reason for a pelvic exam is to determine how low in the pelvis my baby is."
3. "When you check my cervix, you will find out how thinned out it is."
4. "After you assess my pelvis, you will be able to tell when I will deliver."
4
Explanation: 4. An experienced labor and birth nurse can estimate the time of delivery based on the cervix, fetal position, station, and contraction pattern. However, during a pelvic exam, no information is obtained about contractions. The nurse will not have enough information following the cervical exam to estimate time of birth.
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You are working in an outpatient surgery center caring for a patient who had a hemorrhoidectomy. What instructions would you provide this patient when you discharge him?
A) Keeping the perianal area clean by washing with washcloths moistened with cool water B) How to take a sitz bath C) What position to sit in D) Keeping the perianal area clean by rubbing the area with moist cotton wipes
Which cranial nerve is assessed when the child is asked to imitate the examiner's wrinkled frown, wrinkled forehead, smile, and raised eyebrow?
a. Accessory b. Hypoglossal c. Trigeminal d. Facial
Which lymph nodes are located in the anterior axillary fold?
1) Pectoral nodes 2) Horizontal nodes 3) Subclavian nodes 4) Supraclavicular nodes
Mrs. S informs you that in order to prevent excess fat accumulation she is feeding her 1-year-old daughter a low-fat diet. You explain that:
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