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📘 Test banks | Nursing
TEST BANK: CONTEMPORARY MATERNALNEWBORN NURSING 7TH EDITION LADEWIG
📄 SKU: NURSING | Pages: 15 | Year: 2022
📋 Document Brief Description
Chapter 01_LO 01_Q01
The Labor and Delivery nurse and a nurse new to the Labor and Delivery unit are
admitting a laboring client. The client is maki...
Chapter 01_LO 01_Q01
The Labor and Delivery nurse and a nurse new to the Labor and Delivery unit are
admitting a laboring client. The client is making groaning guttural sounds during
contractions, and answering questions with one-word answers. The Labor and Delivery
nurse simultaneously is quickly setting up the instruments and sterile field for this
delivery while asking the admission questions between contractions. The experienced
Labor and Delivery nurse has not yet completed a pelvic exam. The nurse new to Labor
and Delivery understands that this is an example of:
1. An expert nurse assessing advanced labor and imminent delivery in the
client.
2. The correct order of steps when admitting laboring clients.
3. Inconsistencies in an individual nurse’s approach to client care.
4. Advanced nurse practice.
Correct answer: 1
Rationale:
1. An expert nurse utilizes multiple aspects of a client’s behavior (including the length of
each response to a question, and sounds the patient produces during contractions) in
addition to the more objective findings of the pelvic exam (including dilation of the
cervix) in the assessment of a laboring client. The expert nurse has identified that the
grunting and guttural sounds during contractions are involuntary pushing, and that the
client is very close to delivery.
2. Although most nurses have a routine when admitting a client, the order of the steps
will vary according to the situation at hand.
3. Changing the order of the steps of admission is not being inconsistent; changing the
order of the steps of admission is responsive to the needs of the client at that point in
time.
4. Advanced nurse practice describes educational and certification achievement, and is
not used to describe the continuum from novice to expert.
Cognitive level: Application
Category of Client Need: Health Promotion and Maintenance
Nursing Process: Assessment
- 15-pages detailed model answer (PDF + online view)
- Clinical reasoning & medication selection justified
- NP-level explanation with key teaching points
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