The assessment finding which indicates that the client is in the active phase of the first stage of labor is:
a. 80% effacement.
b. dilation of 5 cm.
c. presence of bloody show.
d. regular contraction every 3 to 4 minutes.
ANS: B
The active phase of labor is defined by cervical dilation between 4 to 7 cm. Effacement, bloody show, and regular contractions are not parameters whereby the phases of labor are defined.
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To prevent the patient from removing an endotracheal tube, the nurse's initial intervention will include:
A) Application of soft wrist restraints B) Anesthetizing the patient C) Use of distraction by the family or a television D) Prevention of visitation or stimulation by family members
A patient states that she has a throbbing deep pain of the forearm after sustaining a fracture to it
The nurse suspects that she may be experiencing compartment syndrome. Which of the following possible manifestations can the nurse expect to find? A) Acute pain with passive stretching of the muscle of the affected limb B) Control of pain with opioids C) The affected muscle soft and shrunken D) An absence of an arterial pulse in the affected limb
The nurse working in a community clinic is aware that differences in beliefs between families and healthcare providers are common in which areas? Note: Credit will be given only if all correct and no incorrect choices are selected
Select all that apply. 1. Help-seeking behaviors 2. Pregnancy and childbirth practices 3. Causes of disease or illness 4. What defines a community 5. Educational level
The semisupine position is uncomfortable for most patients.
Answer the following statement true (T) or false (F)