While caring for a patient in labor, the nurse notices during a vaginal exam that the baby's head has rotated internally. What would the nurse expect the next set of cardinal movements for a baby in a vertex presentation to be?
1. Flexion, extension, restitution, external rotation, and expulsion
2. Expulsion, external rotation, and restitution
3. Restitution, flexion, external rotation, and expulsion
4. Extension, restitution, external rotation, and expulsion
4
Rationale 1: The next set of cardinal movements would not begin with flexion.
Rationale 2: This is not the correct order of fetal position changes.
Rationale 3: This is not the correct order for fetal position changes.
Rationale 4: The fetus changes position in the following order: descent, flexion, internal rotation, extension, restitution, external rotation, and expulsion.
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The nurse is caring for a client who plans to relinquish her baby for adoption. The nurse would implement which of the following approaches to care? Select all that apply
1. Encourage the client to see and hold her infant. 2. Encourage the client to express her emotions. 3. Respect any special requests for the birth. 4. Acknowledge the grieving process in the client. 5. Allow for access to the infant if the client requests it.
The home care nurse plans to teach a 73-year-old female client about her medication, including how to give herself injections of insulin. Knowing that there are often barriers to medication adherence for the elderly,
the nurse should plan to do which of the following? (Select all that apply.) A) Use standardized teaching plans for insulin administration B) Complete a mental status assessment C) Supervise the medication regime intermittently D) Document for communication with providers E) Discuss whether she takes the medications as ordered
Fluids given to maintain a patent vascular access are called
A. maintenance fluids. B. replacement fluids. C. therapeutic fluids. D. KVO fluids.
Patients with injuries of the head and face often have neck injuries as well.
Answer the following statement true (T) or false (F)