Labor contractions facilitate cervical dilation by:
a. Contracting the lower uterine segment.
b. Enlarging the internal size of the uterus.
c. Promoting blood flow to the cervix.
d. Pulling the cervix over the fetus and amniotic sac.
D
Effective uterine contractions pull the cervix upward at the same time the fetus and amniotic sac are pushed downward.
The contractions are stronger at the fundus.
The internal size becomes smaller with the contractions; this helps to push the fetus down.
Blood flow decreases to the uterus during a contraction.
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The nurse measures the client's blood pressure, and the client inquires what the reading was. The nurse does which of the following?
1. Calls the physician to ask if the blood pressure can be shared with the client. 2. Tell the client that the doctor will be with him shortly to discuss his BP. 3. Tell the client that the blood pressure reading must be interpreted by the physician. 4. Tell the client what the reading was and its meaning, using it as a teaching opportunity.
The nurse is assessing a patient who has a family history of type 2 diabetes mellitus. Which finding would require follow-up by the nurse?
1. a new prescription for levothyroxine (Synthroid) for hypothyroidism 2. decreased waist-to-hip ratio through dietary changes 3. delivery of a baby that weighed 8 pounds and 12 ounces 4. a fasting blood glucose level of 89 mg/dL
Defense mechanisms:
a. involve some degree of self-deception. b. are rarely used by mentally healthy people. c. seldom make the person feel more comfortable. d. are rarely effective in resolving basic conflicts.
Which of the following is a characteristic of seamless care?
A) Cost containment policies creating duplication of services B) All levels of care are available in an integrated form. C) Fewer community-based services are provided. D) Advance practice nurses dictate care delivery.