As you assess both D.H. and the fetus during the active stage of labor, you will look for
abnormalities. Which of these are potential abnormalities during labor? Select all that apply.
a. Unusual bleeding
b. Brown or greenish amniotic fluid
c. Contractions that last 40 to 70 seconds
d. Sudden, severe pain
e. Increased maternal fatigue
a, b, d
Abnormalities that might occur during labor include unusual bleeding, amniotic fluid that is
brown or greenish in color, absence of fetal movement or decelerations (slowing) of the FHR, any
sudden severe pain, and difficulty breathing. Contractions that last for 40 to 70 seconds are expected
during the active stage of labor; contractions that last for 90 seconds or longer might indicate a
complication. Increased maternal fatigue is expected as labor progresses.
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A school nurse is preparing educational activities for all high school students on reproductive health. The principal cautions that the program can only contain information about sexual abstinence. Which action by the nurse would be most appropriate?
A. Argue that abstinence-only programs do not work and are not valuable. B. Discuss the need to have information appropriate to the teens' experience. C. Plan the program but encourage questions not related to the prepared material. D. Prepare an abstinence-only program because teens should not have sex.
The end-products of carbohydrate and protein digestion are absorbed by the
a. bloodstream. b. blood vessels in the villi. c. lymphatic system. d. lymph vessels in the villi.
The nurse is caring for a client with increased intracranial pressure. Which mechanisms related to oxygenation and circulation does the nurse understand can lead to this condition? Select all that apply.
A) Deficient neurochemical signaling pathways B) Impaired gas exchange C) Respiratory acidosis D) Increased vasodilation E) Decreased cerebral perfusion.
The fetus of a pregnant patient is in a breech presentation. Where will the nurse auscultate fetal heart sounds?
A) Low in the abdomen B) Left lateral abdomen C) High in the abdomen D) Right lateral abdomen