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Questions 149

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Extract:


Question 1 of 5

A nulliparous client has been admitted after 12 hours of mild contractions at home. On examination, the client is found to be fully effaced and dilated to 3 cm. Contractions are every 5 minutes and last approximately 60 seconds. The client asks the nurse approximately how long it should take to get to 10 cm dilation. Which of the following is the most appropriate response?

Correct Answer: D

Rationale: Nulliparous women progress at ~1 cm/hour in active labor. From 3 cm to 10 cm is 7 cm, so ~7 hours (
D) is expected.

Question 2 of 5

The nurse’s INITIAL priority when managing a physically assaultive client is to

Correct Answer: C

Rationale: most important priority in the nursing management of an assaultive client is to maintain milieu safety by restoring the client’s self-control; a quick assessment of situation, psychological intervention, chemical intervention, and possibly physical control are important when managing the physically assaultive client

Question 3 of 5

At the 6-week check-up, the mother asks when she can expect the baby to sleep all night. The nurse should tell the mother that most infants begin to sleep all night by age:

Correct Answer: C

Rationale: Most infants begin to sleep through the night by 3-4 months as their sleep patterns mature.

Question 4 of 5

A behavior-modification program has been started for an adolescent with oppositional defiant disorder. Which statement describes the use of behavior modification?

Correct Answer: C

Rationale: Behavior modification often uses token economies and rewards to reinforce positive behaviors, encouraging their repetition in disorders like ODD.

Question 5 of 5

A client newly diagnosed with type 1 diabetes mellitus asks the nurse why it is important to rotate insulin injection sites. The nurse explains this is done to avoid

Correct Answer: D

Rationale: Rotating insulin injection sites prevents lipodystrophy (fat tissue changes), ensuring consistent absorption.

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