Answer to Question 1
1,2,5
Rationale 1: The first pelvic examination can be a frightening experience. To reduce fear and improve the patient's sense of control, schedule the exam with a female provider.
Rationale 2: Show the patient all of the equipment to be used.
Rationale 3: To reduce fear and improve the patient's sense of control, create a trusting atmosphere by explaining everything involved in the exam.
Rationale 4: Asking why the patient has delayed her first Pap test is being judgmental, which does not foster a therapeutic relationship.
Rationale 5: Provide a mirror to increase learning about anatomy and to create a trusting atmosphere.
Answer to Question 2
2
Rationale 1: Because of the excessive size of the uterus with a macrosomic fetus, uterine atony leading to postpartum hemorrhage is a risk.
Rationale 2: Hypoglycemia, not hyperglycemia, is a potential complication experienced by a macrosomic fetus.
Rationale 3: Perineal trauma due to the large fetus is a possible complication of vaginal delivery of a macrosomic fetus.
Rationale 4: Shoulder dystocia is more common among large fetuses, and a broken clavicle could result.
Photograph of an occupational therapist assisting a patient with learning independence in activities
Polycystic kidney disease. Notice the presence of numerous fluid-filled sacs, or cysts, in these kid
Patient wearing an abularm
The physician uses auscultation to listen to a patient’s heart.
A physical therapist exercising the patient’s leg in a physical therapy department.
ROM exercises on a patient’s wrist: ulnar deviation.