The laboring client asks the nurse how the labor contractions work to dilate the cervix. The best response by the nurse is that labor contractions facilitate cervical dilation by:
a. promoting blood flow to the cervix.
b. contracting the lower uterine segment.
c. enlarging the internal size of the uterus.
d. pulling the cervix over the fetus and amniotic sac.
ANS: D
Effective uterine contractions pull the cervix upward at the same time the fetus and amniotic sac are pushed downward. Blood flow decreases to the uterus during a contraction. The contractions are stronger at the fundus. The internal size becomes smaller with the contractions; this helps push the fetus down.
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A patient asks the nurse, "How does HIV cause AIDS?" The nurse's response should be
a. "HIV attacks the immune system, a system that protects the body from foreign invaders, making it unable to protect the body from organisms that cause diseases." b. "HIV breaks down the circulatory system, making the body unable to assimilate oxygen and nutrients." c. "HIV attacks the respiratory system, making the lungs more susceptible to organisms that cause pneumonia." d. "HIV attacks the digestive system, decreasing the absorption of essential nutrients and causing weight loss and fatigue."
MC Why are clinical pathways beneficial? They are
A. Involve primarily nursing. B. Multidisciplinary plans that incorporate best practice. C. Intended to not require written documentation. D. Only used for health promotion.
The nurse is performing a cognitive assessment of a 2-year-old. Which behavior would alert the nurse to a developmental delay in this area?
A) The child cannot say name, age, and gender. B) The child cannot follow a series of two independent commands. C) The child has a vocabulary of 40 to 50 words. D) The child does not point to named body parts.