A couple discusses their childbirth preparation options with the nurse. They want the father to be actively involved, and for the mother to avoid medications during the birthing process. The nurse's best response is
1. "The hospital will follow your wishes."
2. "The Leboyer method will provide what you want."
3. "The Bradley method will fit your needs."
4. "The Lamaze method will be easy to follow."
3
Rationale:
1. The hospital method is not an option for preparation.
2. The Leboyer method emphasizes the provision of a gentle and peaceful environment for the birth process.
3. The Bradley method is referred to as partner- or husband-coached natural childbirth.
4. The Lamaze method involves the breathing technique that facilitates delivery by relaxing at the proper time.
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The nurse would design teaching for a patient with Raynaud disease to include which of the following? (Select all that apply.)
a. Warming hands and feet with a heating pad b. Using mittens in cold weather c. Practicing stress-reducing techniques d. Complete smoking cessation e. Using caution when cleaning the refrigerator or freezer
When assessing the respiratory status of a client, the nurse should auscultate the lungs by:
1. Listening to breath sounds in the anterior and posterior lung bases. 2. Checking breath sounds in the anterior and posterior thorax. 3. Listening for air exchange in the bronchus and anterior lobes. 4. Checking for adventitious sounds while having the client cough.
Grant funding has been decreased for community disease-prevention programs. Which programs are the nurse's priority to implement, without modification, for the community of older-adult clients? Select all that apply.
1. Smoking cessation program for lung cancer prevention for an assisted living group. 2. Seasonal influenza vaccine clinic for the groups at the senior citizen's center. 3. Biannual pneumonia vaccine clinic at the local grocery store on senior discount day. 4. Antituberculosis vaccine and tuberculosis prevention education at the refugee center. 5. Weekly gathering of an older adult group for walking at the park together.
When caring for a postpartum woman experiencing hemorrhagic shock, the nurse recognizes that the most objective and least invasive assessment of adequate organ perfusion and oxygenation is:
a. Absence of cyanosis in the buccal mucosa. b. Cool, dry skin. c. Diminished restlessness. d. Urinary output of at least 30 mL/hr.