Which patient situation presents the greatest risk for the occurrence of hypotonic dysfunction during labor?
a. A primigravida who is 17 years old
b. A 22-year-old multiparous woman with ruptured membranes
c. A multiparous woman at 39 weeks of gestation who is expecting twins
d. A primigravida woman who has requested no analgesia during her labor
C
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A A young primigravida usually will have good muscle tone in the uterus. This
prevents hypotonic dysfunction.
B There is no indication that this woman's uterus is overdistended, which is the
main cause of hypotonic dysfunction.
C Overdistention of the uterus in a multiple pregnancy is associated with hypotonic
dysfunction because the stretched uterine muscle contracts poorly.
D A primigravida usually will have good uterine muscle tone, and there is no
indication of an overdistended uterus.
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The alpha level that is interpreted by the nurse researcher as a highly statistically significant result is what?
a. p = 0.20 b. p = 0.02 c. p = 0.002 d. p = 0.0002
The nurse instructs the parents of a child with a congenital heart disorder on the administration of digoxin at home. Which observation indicates that teaching has been effective?
A) The father provides a dose of the medication after the baby spits it up. B) The father provides a dose of the medication at the conclusion of a feeding. C) The mother feels for a radial pulse before giving the baby the next scheduled dose. D) The mother provides a dose of the medication 1 hour before the next scheduled feeding.
When checking routine vital signs, you note that your client has an increase and then a decrease in pulse amplitude associated with respirations. Your client is exhibiting:
1. pulse bigeminy. 2. tachycardia. 3. pulsus paradoxus. 4. pulsus alternans.
Which of the following is an example of a customer of home care?
a. An agency that employs and pays the nurse b. A group of colleagues who evaluate the nurse's care c. A client for whom the nurse is caring d. A physician who refers a client to the home care agency