While caring for a labor client, you notice during a vaginal exam that the baby's head has rotated internally. What would you expect the next set of cardinal movements for a baby in a vertex presentation to be?
1. Flexion, extension, restitution, external rotation, expulsion
2. Expulsion, external rotation, restitution
3. Restitution, flexion, external rotation, expulsion
4. Extension, restitution, external rotation, expulsion
4
Rationale:
1. The fetus changes position in the following order: descent, engagement, flexion, internal rotation, extension, restitution, external rotation, expulsion.
2. The fetus changes position in the following order: descent, engagement, flexion, internal rotation, extension, restitution, external rotation, expulsion.
3. The fetus changes position in the following order: descent, engagement, flexion, internal rotation, extension, restitution, external rotation, expulsion.
4. The fetus changes position in the following order: descent, engagement, flexion, internal rotation, extension, restitution, external rotation, expulsion.
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A female nurse is caring for an Arab American male client. When planning effective care for this client, the nurse should be aware of which of the following cultural considerations? (Select all that apply.)
1. Limited touch is acceptable only between members of the same sex. 2. Conversing individuals of this culture stand far apart and do not make eye contact. 3. Devout Muslim men may not shake hands with women. 4. The man is the head of the household, and women take on a subordinate role. 5. Men of this culture are responsible for the education of their children.
The behavioral states of thoughts, feelings, and activities that follow a loss is called
1. grief. 2. anxiety. 3. mourning. 4. bereavement.
Which assessment finding indicates to the nurse that a newborn has hip subluxation?
A) Inward rotation of the right foot B) Inability of the right hip to abduct C) Crying on straightening of the right leg D) Drawing of the legs underneath while prone
The nurse is performing a cardiac assessment on a newborn. Which findings would the nurse expect in a grade 4 murmur?
A) Murmur is barely audible. B) Murmur is loud, but without a thrill. C) Murmur is loud with a palpable thrill. D) Murmur is audible without a stethoscope.