A vaginal examination of a client in labor would specifically determine which of the following? Select all that apply
1. Effacement
2. Dilation
3. Station
4. Bloody show
5. Contraction effort
1, 2, 3
Rationale: The vaginal examination for a client in labor specifically determines effacement 0 to 100%, dilation 0 to 10 cm, and station -5 cm (above the maternal ischial spine) to + 5 cm (below the maternal ischial spine). Bloody show is the brownish or blood-tinged cervical mucus that may be passed preceding labor and is not a specific part of the assessment when performing a vaginal examination. Contraction effort is not determined by vaginal examination.
Test-Taking Skills: Knowledge of the vaginal exam and what the nurse will be checking when she performs this assessment is vital to answer this question. Noting the strategic word specifi-cally will direct you to the correct options. If you had difficulty with this question, review the findings of a vaginal examination.
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The pediatric nurse explains to the parents of an 11-year-old male patient that the testes produce several steroidal sex hormones, which stimulates the development of a boy's secondary sex characteristics
A) True B) False
The nurse is working on dietary interventions in a care plan for a child who has enuresis. Which of the following interventions would the nurse most likely include?
a. Eliminate carbonated beverages, dairy products, citric foods, and caffeine. b. Reduce the amount of carbohydrate and protein in the diet. c. Reduce salt and fluid intake as well as reduce foods high in potassium. d. Decrease intake of foods high in cholesterol, magnesium, and zinc.
A 35-year-old man from Russia comes to the United States seeking asylum because of religious persecution in his native country. This type of immigrant is known as a(n):
a. Legal immigrant b. Lawful permanent resident c. Refugee d. Unauthorized immigrant