Nokea
The nurse is monitoring a client in labor. What finding indicates the transition phase?
- A. Cervix dilated to 4 cm.
- B. Cervix dilated to 8 cm.
- C. Irregular contractions.
- D. Client reports feeling the urge to push.
Correct Answer: B
Rationale: The transition phase is marked by cervical dilation of 8–10 cm, intense contractions, and significant discomfort.
You may also like to solve these questions
To which client is it most appropriate to recommend the intrauterine device (IUD)?
- A. Unmarried, 22-year-old, recent college graduate.
- B. Married, 24-year-old, G0 P0000.
- C. Unmarried, 25-year-old, history of chlamydia.
- D. Married, 26-year-old, G3 P2102.
Correct Answer: D
Rationale: IUDs are ideal for women in stable relationships with no history of PID.
What is the most common sign/symptom of sexually transmitted infections?
- A. Menstrual cramping.
- B. Heavy menstrual periods.
- C. Flu-like symptoms.
- D. Lack of signs or symptoms.
Correct Answer: D
Rationale: Many STIs are asymptomatic, making regular screening important.
A patient is prescribed birth control pills. What should the nurse include in the patient education regarding missed doses?
- A. Take two doses the next day if you miss a dose.
- B. You should take the missed dose as soon as you remember, and take the next dose at the regular time.
- C. If you miss a dose, skip that day and continue as usual the next day.
- D. You should stop taking the pills if you miss a dose and contact your healthcare provider.
Correct Answer: B
Rationale: If a dose is missed, it should be taken as soon as remembered and the next dose taken at the usual time. Choice A is incorrect because taking two doses at once may cause side effects. Choice C is incorrect because missing a dose does not require skipping the next dose. Choice D is incorrect because missing a dose does not typically require stopping the pills, but rather following instructions to compensate for the missed dose.
The nurse is reviewing a copy of the U.S. Surgeon General's Report, Healthy People 2020. Which nursing action best reflects the nurse fostering this health care agenda?
- A. The nurse signs up for classes to obtain an advanced degree in nursing.
- B. The nurse volunteers at a local health care clinic providing free vaccinations for low-income populations.
- C. The nurse performs an in-service on basic hospital equipment for student nurses.
- D. The nurse compiles nursing articles on evidence-based practices in nursing to present at a hospital training seminar.
Correct Answer: B
Rationale: Healthy People 2020 is a comprehensive health promotion and disease prevention agenda that is working toward improving the quantity and quality of life for all Americans.
What should the nurse teach a woman about treatment for human papilloma viral warts?
- A. An antiviral injection cures approximately fifty percent of cases.
- B. Aggressive treatment is required to cure warts.
- C. Warts often spread when an attempt is made to remove them surgically.
- D. Warts often recur a few months after a client is treated.
Correct Answer: D
Rationale: Recurrence is common despite treatment.