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A woman in active labor presents with prolonged second stage, characterized by ineffective pushing efforts and slow fetal descent. What maternal condition should the nurse assess for that may contribute to this abnormal labor pattern?
- A. Pelvic floor dysfunction
- B. Maternal fatigue
- C. Fetal macrosomia
- D. Uterine hyperstimulation
Correct Answer: A
Rationale: Pelvic floor dysfunction can contribute to a prolonged second stage of labor by impairing the ability of the woman to effectively push during contractions. This can result in inefficient pushing efforts and slow fetal descent. The nurse should assess for signs and symptoms of pelvic floor dysfunction, such as difficulty controlling bowel movements or urine leakage, as addressing this issue may help improve the progress of labor. Maternal fatigue, fetal macrosomia (larger than average baby size), and uterine hyperstimulation are other factors that can impact labor but are less likely to specifically contribute to ineffective pushing efforts and slow fetal descent in the second stage of labor.
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Incident Reports (IRs) shall be collected for the day and due investigations scheduled by the quality Department. Upon completion of the investigation, the IRS ____.
- A. must be completed and stored on the open cabinet
- B. can be stored on the table top for easy retrieval
- C. must be summarized monthly and stored in a secured cabinet
- D. classified by cate so they can be easily accessibility
Correct Answer: C
Rationale: Incident Reports (IRs) must be summarized monthly and stored in a secured cabinet for several reasons. Firstly, summarizing the IRs monthly allows for a consolidated overview of the incidents that have occurred, highlighting any recurring patterns or trends that may need to be addressed. By storing the summarized IRs in a secured cabinet, the information is kept confidential and protected from unauthorized access. This practice also ensures that the reports are organized and easily accessible for future reference or audits. Storing the IRs on an open cabinet, table top, or with a classification system that may not be easily understandable can lead to potential breaches of confidentiality or difficulty in retrieving and understanding the information when needed.
The nurse who uses appropriate therapeutic listening skills will display which BEST behavior?
- A. Presume an understanding of the patient needs.
- B. Read quickly to the message.
- C. Reassure the patient that everything will be fine.
- D. Absorb both the content and the feeling which patient is conveying
Correct Answer: D
Rationale: The nurse who uses appropriate therapeutic listening skills will display the best behavior by absorbing both the content and the feeling which the patient is conveying. In the given scenario, Belle is experiencing a range of symptoms due to her mental health issues, trauma, and past experiences. By actively listening and absorbing both the content (symptoms, concerns) and the feelings (depressed mood, worry, irritability) which Belle is conveying, the nurse can demonstrate empathy, understanding, and validation of Belle's experiences. This type of therapeutic listening helps to build trust, rapport, and a supportive therapeutic relationship between the nurse and the patient, which is crucial for effective communication, assessment, and treatment in mental health care settings.
The INITIAL priority assessment performed by the nurse, when admitting a patients the unit after abdominal surgery is to check for ______.
- A. surgical site for drainage and hemorrhage
- B. skin color and temperature
- C. responsiveness to painful stimuli and noise
- D. respiratory function and airway
Correct Answer: D
Rationale: When admitting a patient to the unit after abdominal surgery, the initial priority assessment performed by the nurse should focus on assessing the patient's respiratory function and airway. This is crucial because post-surgical patients are at risk for complications such as respiratory depression, atelectasis, and airway obstruction. Monitoring the patient's breathing pattern, oxygen saturation levels, and ensuring a patent airway are essential in preventing respiratory distress or failure. Prompt assessment and intervention in this area can help prevent respiratory complications and ensure the patient's safety and well-being. Once the patient's respiratory status is stable, the nurse can then proceed to assess other aspects such as the surgical site, skin color, temperature, and responsiveness to stimuli.
During the implementation process, the nurse should ensure a better assimilation of the teachings.
- A. serious lecturer
- B. conducive time and place
- C. Lecture to start at 11:00AM
- D. neophyte as sharer
Correct Answer: B
Rationale: Creating a conducive time and place for the teachings is crucial during the implementation process to ensure better assimilation by the staff. By choosing a suitable time that does not clash with other responsibilities and providing a comfortable environment for learning, the nurse can enhance the staff's understanding and retention of the teachings. This approach helps in engaging the staff effectively and facilitating a productive learning experience.
Inductive Reasoning process is applied in:
- A. Qualitative research
- B. Action research
- C. Quantitative research
- D. Applied research
Correct Answer: A
Rationale: Inductive reasoning is the process of drawing general conclusions from specific observations or examples. It is often used in qualitative research to develop theories or explanations based on the data collected. Qualitative research focuses on understanding phenomena in their natural settings and uses inductive reasoning to interpret and make sense of the data. This approach allows researchers to explore complex issues and uncover new insights by analyzing the details and patterns within the data.