The nurse understands that a client's pregnancy is progressing normally when what physiologic changes are documented on the prenatal record of a woman at 36 weeks' gestation? Note: Credit will be given only if all correct choices and no incorrect
choices are selected. Select all that apply. 1. The joints of the pelvis have relaxed, causing a waddling gait.
2. The cervix is firm and blue-purple in color.
3. The uterus vasculature contains one sixth of the total maternal blood volume.
4. Gastric emptying time is delayed, and the client complains of constipation and bloating.
5. Supine hypotension occurs when the client lies on her back.
1, 3, 4, 5
Explanation: 1. The sacroiliac, sacrococcygeal, and pubic joints of the pelvis relax in the later part of the pregnancy, presumably as a result of hormonal changes. This often causes a waddling gait.
3. By the end of pregnancy, one sixth of the total maternal blood volume is contained within the vascular system of the uterus.
4. Gastric emptying time and intestinal motility are delayed, leading to frequent complaints of bloating and constipation, which can be aggravated by the smooth muscle relaxation and increased electrolyte and water reabsorption in the large intestine.
5. The enlarging uterus may exert pressure on the vena cava when the woman lies supine, causing a drop in blood pressure. This is called the vena caval syndrome, or supine hypotension.
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a. "The swelling in your prostate is only temporary and will go away." b. "We will treat you with chemotherapy so we can control the cancer." c. "It would be very unusual for a man your age to have cancer of the prostate." d. "The enlargement of your prostate is caused by hormonal changes, and not cancer."
A nurse manager is evaluating the efficiency of a process on the nursing unit. The manager believes that the unit could be more efficient if one aspect of this process were delegated to unli-censed personnel
To establish whether the delegation of this duty would be legal, he should check with the: a. ANA. b. current federal defense attorney. c. state nurse practice act. d. policy and procedure manual of the unit.
The nurse is currently working within the second phase of a qualitative research study. Which of the following activities will the nurse conduct during this phase? Select all that apply
1. Develop a sampling plan. 2. Collect data. 3. Identify themes and categories. 4. Conduct a literature review. 5. Identify a study site. 6. Conduct a pilot study. Correct
The nurse teaching the caregivers of toddler and preschool-age children
One caregiver says that her child had diarrhea caused by giardiasis. Which caregiver statement explains the most likely situation in which the child contacted the disorder? A) "My son went to the mountains to fish with my husband before he got sick." B) "He attends a day care center four days a week while I am at work." C) "I won't let his sister take bubble baths but I do let him take one a few times a week." D) "My mother is in a nursing home but I always make the kids wash their hands before we leave her."