The nurse has determined a client has absent bowel sounds because no sounds have been heard in all four quadrants for :
1. 1 minute.
2. 2 minutes.
3. 30 seconds.
4. 5 minutes.
4
The nurse must listen for 3 to 5 minutes before concluding the patient has absent bowel sounds. Auscultating for 30 seconds or 1 or 2 minutes is not adequate to determine the absence of bowel sounds.
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In succenturiate placenta, one or more accessory lobes of fetal villi have developed on the placenta, with vascular connections of fetal origin. What is the gravest maternal danger?
1. Cord prolapse 2. Postpartum hemorrhage 3. Paroxysmal hypertension 4. Brachial plexus injury
Quantitative researchers usually prepare for actual data collection by pretesting their instruments
A) True B) False
A soldier returned home last year after deployment to a war zone. The soldier's spouse complains, "We were going to start a family, but now he won't talk about it. He will not look at children. I wonder if we're going to make it as a couple."
Select the nurse's best response. a. "Posttraumatic stress disorder often changes a person's sexual functioning." b. "I encourage you to continue to participate in social activities where children are present." c. "Have you talked with your spouse about these reactions? Sometimes we just need to confront behavior." d. "Posttraumatic stress disorder often strains relationships. Here are some community resources for help and support."
The nurse is conducting an early pregnancy class for a group of pregnant women. Which statement indicates a need for further education about the placenta?
1. "It develops and grows larger until about 20 weeks' gestation." 2. "It floats in the amniotic sac and filters waste products from the fetus." 3. "It creates hormones and enzymes that are necessary during pregnancy." 4. "It ages and becomes less permeable during the last month of pregnancy."