Vaginal examinations should be performed by the nurse under all ...

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Vaginal examinations should be performed by the nurse under all of the following circumstances except:
 
  1. an admission to the hospital at start of labor.
  2. when accelerations of the FHR are noted.
  3. on maternal perception of perineal pressure or the urge to bear down.
  4. when membranes rupture.

Question 2

The role of the professional nurse has evolved to emphasize:
 
  1. providing care to patients directly at the bedside.
  2. planning patient care to cover longer hospital stays.
  3. leading the activities of a team of interdisciplinary health care providers.
  4. managing care to cure health problems once they have occurred.

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Answer to Question 1

2
1. Incorrect. Vaginal examinations are called for when the woman is admitted, when she perceives perineal pressure or the urge to bear down, when her membranes rupture, when significant change has occurred in her uterine activity, or when variable decelerations of the FHR are noted.
2. Correct. Accelerated FHR is a positive sign; variable decelerations, however, would me-rit a vaginal exam.
3. Incorrect. Vaginal examinations are called for when the woman is admitted, when she perceives perineal pressure or the urge to bear down, when her membranes rupture, when significant change has occurred in her uterine activity, or when variable decelerations of the FHR are noted.
4. Incorrect. Vaginal examinations are called for when the woman is admitted, when she perceives perineal pressure or the urge to bear down, when her membranes rupture, when significant change has occurred in her uterine activity, or when variable decelerations of the FHR are noted.

Answer to Question 2

3
1. Incorrect. This is one task of the role of a nurse but is not what encompasses the notion of the evolved professional nurse.
2. Incorrect. One goal of managed care is decreased, not increased, length of stays.
3. Correct. Professional nurses are part of the team of health care providers who collabora-tively care for patients in the managed care model.
4. Incorrect. Nurses do not cure health problems; they care for patients with health care ail-ments.

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