A nurse is examining different nursing roles. Which example best ...

[Chloeellawright]

A nurse is examining different nursing roles. Which example best illustrates an advanced practice nursing role?
 
  1. A registered nurse who is the manager of a large obstetrical unit
  2. A registered nurse who is the circulating nurse during surgical deliveries (cesarean sections)
  3. A clinical nurse specialist working as a staff nurse on a mother-baby unit
  4. A clinical nurse specialist with whom other nurses consult for her expertise in caring for high-risk infants

Question 2

The charge nurse has received the shift change report. Which patient requires immediate intervention?
 
  1. Multip at 6 cm undergoing induction of labor, strong contractions every 3 minutes
  2. Primip at 4 cm whose fetus is in a longitudinal lie with a cephalic presentation
  3. Multip at 10 cm and fetus at +2 station experiencing a strong expulsion urge
  4. Primip at 3 cm screaming in fear because her mother died during childbirth

[Perkypinki]

Answer to Question 1

4
Explanation: 4. A clinical nurse specialist with whom other nurses consult for expertise in caring for high-risk infants is working in an advanced practice nursing role. This nurse has specialized knowledge and competence in a specific clinical area, and is master's prepared.

Answer to Question 2

4
Rationale 1: Strong contractions every 3 minutes constitute an adequate labor pattern during induction of labor. This patient is experiencing no complications.
Rationale 2: Longitudinal lie with cephalic presentation is a head-down position. This is expected.
Rationale 3: Ten cm is fully dilated; a +2 station is low in the pelvis. A strong expulsion urge is the urge to push, which will facilitate the birth of the child. These are expected.
Rationale 4: This patient is most likely fearful that she will die during labor because her mother died during childbirth. This patient requires education and a great deal of support, and is therefore the top priority.