While caring for a client in labor the nurse determines that the baby's head has internally rotated. The client's spouse asks about other positional changes that will occur during the labor and birth

How should the nurse describe the rest of the cardinal movements for a baby in a vertex presentation? 1. Expulsion, external rotation, and restitution
2. Restitution, flexion, external rotation, and expulsion
3. Extension, restitution, external rotation, and expulsion
4. Flexion, extension, restitution, external rotation, and expulsion


3
Explanation:
1. The fetus changes position in the following order: descent, engagement, flexion, internal rotation, extension, restitution, external rotation, and expulsion.
2. The fetus changes position in the following order: descent, engagement, flexion, internal rotation, extension, restitution, external rotation, and expulsion.
3. The fetus changes position in the following order: descent, engagement, flexion, internal rotation, extension, restitution, external rotation, and expulsion.
4. The fetus changes position in the following order: descent, engagement, flexion, internal rotation, extension, restitution, external rotation, and expulsion.

Nursing

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A 3-month-old infant has a hypercyanotic spell. The nurse's first action should be which of the following?

a. Assess for neurologic defects. b. Prepare family for imminent death. c. Begin cardiopulmonary resuscitation. d. Place child in the knee-chest position.

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Which of the following is true of the use of nonsteroidal anti-inflammatory drugs?

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The patient has been diagnosed with leukemia. The prognosis is poor, but the patient is unaware of this. How can the bad news best be conveyed to the patient?

A) Family should be given the prognosis first. B) The prognosis should be delivered with the patient at eye level. C) The physician should deliver the news to the patient alone. D) The appointment should be scheduled at the end of the day.

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