A woman in her third trimester comes to the clinic for a prenatal visit. During assessment the woman reports that her breathing has become much easier in the last week but she has noticed increased pelvic pressure, cramping, and lower back pain
The nurse determines that which of the following has most likely occurred? A) Cervical dilation
B) Lightening
C) Bloody show
D) Braxton-Hicks contractions
B
Feedback:
Lightening occurs when the fetal presenting part begins to descend into the maternal pelvis. The uterus lowers and moves into the maternal pelvis. The shape of the abdomen changes as a result of the change in the uterus. The woman usually notes that her breathing is much easier. However, she may complain of increased pelvic pressure, cramping, and lower back pain. Although cervical dilation also may be occurring, it does not account for the woman's complaints. Bloody show refers to passage of the mucous plug that fills the cervical canal during pregnancy. It occurs with the onset of labor. Braxton-Hicks contractions increase in strength and frequency and aid in moving the cervix from a posterior position to an anterior position. They also help in ripening and softening the cervix.
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A registered nurse for more than 15 years was concerned when she learned that her hospital was going to let unlicensed nursing assistants start IVs on patients. The nurse knew this was in viola-tion of the scope of nursing practice in her state
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Which of the following nursing interventions by practitioner in a long-term care facility are appropriate? Select all that apply
A) The nurse times laxative administration as to not interfere with social interaction. B) The nurse provides diuretics after, not before, recreation sessions. C) The client's need for and dosage of nighttime sedation is weighed in light of activities planned for the following morning. D) Analgesia is provided prior to physical activity but held before social activities.
As the need and possible implementation of various methods for certification are discussed and debated, it's important that the ultimate results are what? (Select all that apply.)
A) There is an improvement of nurse competency. B) The client is protected. C) The skills of the nurse are sure and trustworthy. D) The quality of health care is improved. E) There is agreement among all parties.