The physician performs a vaginal examination on a laboring client and reports that she is 90 percent effaced. The client asks what that means. The nurse explains it means
a. the cervix has opened 90 percent
b. the cervix has thinned 90 percent
c. the fetal head has rotated 90 percent
d. the fetal head has settled 90 percent into the pelvis
B
The nurse would explain that the physician is referring to effacement, or the thinning, of the cervical tissues. If the comment had been the cervix being opened, he would have been referring to cervical dilation, but it is not expressed in percentages. A comment about fetal head would have been referring to fetal position or station, which are also not expressed in percentages.
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When assessing the skin of an 80-year-old adult, the nurse will expect it to be
A) thin and dry. B) thick and soft. C) thin and hairy. D) thick with solar lentigo.
Examples of health care cost containment in the 1980s included:
a. a payment system based on Diagnosis related groups (DRGs). b. certificate of need programs. c. Professional standards review organizations (PSROs). d. Peer review organizations (PROs). e. all of the above. f. a and b only.
The perinatal nurse explains the function of Wharton's jelly to a class of expectant parents. What description is most accurate?
A. Collection of blood from the maternal circulation B. Gooey uterine substance that cushions the fetus C. Precursor cells from which blood cells originate D. Protects the umbilical cord from compression
The mother of a toddler reports to the nurse that the child becomes cyanotic when he cries. Which question by the nurse is most important to ask the mother?
A. "Does he squat while he cries?" B. "How long does the cyanosis last?" C. "Is he growing normally?" D. "What was his birth weight?"