The primiparous client has stated that she wants to avoid an epidural, and would like to have an unmedicated birth. Which nursing action is most important for this client?
1. Encourage the client to vocalize during contractions.
2. Perform vaginal exams only between contractions.
3. Provide a CD of soft music with sounds of nature.
4. Offer to teach the partner how to massage tense muscles.
4
Rationale:
1. Some clients want to vocalize during labor, and some will vocalize only when they perceive that they are losing control. The client should determine whether vocalization is desirable for her.
2. Vaginal exams are performed between contractions for all laboring clients in order to decrease discomfort.
3. Although music can be relaxing to laboring clients, the style of music they enjoy will vary. Ask the client what type of music she would like to listen to instead of making assumptions.
4. Massage is helpful for many clients, especially during latent and active labor. Massage can increase relaxation and therefore decrease tension and pain.
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Which of these strategies would be most effective for a "teachable moment" for the parents of a four-year-old child during a routine office visit?
1. Discuss with the parents preparation for school because the child will start kindergarten next year 2. Review five-year-old anticipatory guidelines with the parents. 3. Select one topic that is a common problem or concern for parents of four-year-olds and present a brief amount of information on the topic. 4. Review all four-year-old anticipatory guidelines with the parents.
A nurse is reviewing the different types of shock that may occur. The nurse demonstrates understanding of the information when the nurse identifies which of the following as a type of distributive shock? Select all that apply
A) Cardiogenic-obstructive shock B) Septic shock C) Hypovolemic shock D) Anaphylactic shock E) Neurogenic shock
The client returns from surgery for a THA with a Hemovac in place. The nurse assesses the first 6 hours drainage as 350 ml. The most appropriate action by the nurse is to
a. change the client's position to supine. b. drain the Hemovac and record the amount. c. notify the physician of the amount of drainage. d. report the excessive drainage to the oncoming nurse.
Compare the blood pressure throughout the systemic vasculature, and select the true statement.
A. Pressure is highest in the arterioles and lowest in the venules. B. The largest pressure decrease occurs across the arterioles, indicating that they are the site of highest vascular resistance. C. Pressure is highest in the large veins and lowest in the large arteries. D. The largest pressure decrease occurs across the capillaries, indicating that they are the site of highest vascular resistance.