A prenatal client asks the nurse how the baby can possibly come out through her vagina, because a vagina is not nearly as big as a baby. What should the nurse include when answering this patient's question? The vagina:
1. Usually tears as it stretches during childbirth.
2. Is designed to allow a baby come through.
3. Changes from pregnancy hormones and stretches more.
4. Dilates and effaces in labor so the baby can get out.
3
Rationale:
1. Vaginal tears are not routine in childbirth, because the vagina stretches during childbirth because of hormonal changes, creating deeper rugae.
2. Although this is a true statement, giving more detailed information better educates the client.
3. The hormones of pregnancy create deeper rugae of the vagina to facilitate stretching during birth.
4. The cervix dilates and effaces, not the vagina.
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The nurse is caring for a patient with schizophrenia who presents to the primary care clinic for a wellness exam. The patient tells the nurse, "I stopped taking my medications two weeks ago because I have been feeling great and I don't think I need t
anymore." What is the nurse's best response? 1. "Please tell me why you do not want to take these medications." 2. "Let me review the importance of taking the medications as prescribed." 3. "Let me review the nature of your illness and the action of the medications." 4. "Please tell me how you are feeling and why you stopped taking these medications."
When monitoring uterine contractions of a client receiving an oxytocin infusion, the nurse should notify the primary health care provider immediately if which of the following occur? Select all that apply
A) No palpable relaxation of the uterus B) Significant change in client's blood pressure C) Significant change in fetal heart rhythm D) Significant change in rhythm of uterine contractions E) Significant change in frequency of uterine contractions
Which type of pain is well-localized?
a. cutaneous c. visceral b. somatic d. referred
Which instruction will the nurse plan to include in discharge teaching for the patient admitted with a sickle cell crisis?
a. Take a daily multivitamin with iron. b. Limit fluids to 2 to 3 quarts per day. c. Avoid exposure to crowds when possible. d. Drink only two caffeinated beverages daily.