An epidural block is ordered for a primipara client in labor. The nurse anticipates that this epidural block will be given when the cervix is dilated at _____ centimeters

a. 2 to 3
b. 3 to 4
c. 4 to 5
d. 5 to 6


ANS: D
An epidural block is given to a primipara at 5 to 6 cm and multipara at 3 to 4 cm.

Nursing

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A mother is concerned that her newborn doesn't appear to be alert enough to feed and is very irritable. Which of the following data documented in the mother's birth record might contribute to this newborn's behavior?

1. Length of labor was 8 hours. 2. Epidural during labor 3. Blood pressure of 114/82 4. Short second stage of labor

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A client who has Guillain-Barré syndrome is scheduled for plasmapheresis. Before the procedure, which clinical manifestation does the nurse use to determine patency of the client's arteriovenous shunt?

a. Palpable distal pulses b. A pink, warm extremity c. The presence of a bruit d. Shunt pressure higher than 25 mm Hg

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The client is at risk for a urinary tract infection. Which of the following beverages is the client encouraged to drink?

A. Carbonated beverages B. Citrus juices C. Milk D. Tomato juice

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African American females have a higher mortality rate from breast cancer than Caucasian females. This is an example of:

a. Projection b. Disparity c. Racism d. A sentinel event

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