A client is in labor. The nurse does an abdominal palpation to assess the presentation of
the fetus. Which presentation indicates normal labor?
A) Breech presentation
B) Shoulder presentation
C) Brow presentation
D) Vertex presentation
D
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A first-time father is changing the diaper of his 1-day-old daughter. He asks the nurse, "What is this black, sticky stuff in her diaper?" The nurse's best response is:
a. "That's meconium, which is your baby's first stool. It's normal." b. "That's transitional stool." c. "That means your baby is bleeding internally." d. "Oh, don't worry about that. It's okay."
A patient tells a nurse that he always uses boric acid solution to wash out his eyes. What would the nurse teach the patient?
A) "Boric acid should not be used; it is toxic when absorbed." B) "Good work! Continue with your cleansing routine." C) "Why in the world would you do such a thing?" D) "Maybe you should try something a little stronger."
The nurse working in the emergency department is assessing a client who has systemic infection. Which of the following groups of symptoms is the nurse most likely to find?
1. Edema, rubor, heat, and pain 2. Fever, malaise, anorexia, nausea, and vomiting 3. Palpitations, irritability, and heat intolerance 4. Tingling, numbness, and cramping of the extremities
A nurse is taking care of a client during the immediate post-operative period. Which of the following duties performed during the immediate post-operative period is most important?
A) Ensure the safe recovery of surgical clients. B) Monitor the client for complications. C) Prepare a room for the client's return. D) Assess the client's health constantly.