The most important factor in reducing intervention in childbirth is:

a. the care provider's philosophy around birth.
b. the parity of the woman.
c. an environment where the woman feels safe.
d. good collegiality between midwives and obstetricians.


ANS: A

Nursing

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If the nurse suspects a uterine infection in a postpartum client, she should assess the:

a. pulse and blood pressure. b. odor of the lochia. c. episiotomy site. d. abdomen for distention.

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An assessment tool that is widely used for baseline mental status but not designed specifically as a screening device for delirium or acute confusional states is the:

a. Brief Cognitive Rating Scale (BCRS) b. Minnesota Multiphasic Personality Inventory (MMPI) c. Mini-Mental State Exam (MMSE) d. Clinical Assessment of Confusion (CAC-B)

Nursing

Chronic insomnia usually refers to the inability to get to sleep, or stay asleep, for a period lasting more than:

a. 2 days. b. 1 week. c. 1 month. d. 6 months.

Nursing

Within 15 minutes after the start of a blood transfusion, the client complains of chills and headache. During frequent vital signs, the nurse begins to see an elevation in the temperature. What condition is the client experiencing?

A) Febrile reaction B) Allergic reaction C) Hemolytic reaction D) Circulatory overload

Nursing