The primigravida has been pushing for 3 hours, and the fetus is ...

[dollx]

The primigravida has been pushing for 3 hours, and the fetus is making slow descent. The partner asks the nurse whether pushing for this long is normal. How should the nurse respond?
 
  1. Your baby is taking a little longer than average, but is making progress.
  2. First babies take a long time to be born. The next baby will be easier.
  3. The birth would go faster if you had taken prenatal classes and practiced.
  4. Every baby is different; there really are no norms for labor and birth.

Question 2

The nurse who is working with patients using complementary or alternative medicine is aware that the National Center for Complementary and Alternative Medicine is responsible for:
 
  1. Ensuring the safety of complementary and alternative therapies.
  2. Endorsing products for further approval by the FDA.
  3. Testing new therapies and products.
  4. Promoting research on complementary and alternative therapies and disseminating information to consumers.

[Jane]

Answer to Question 1

1
Rationale 1: Giving factual and reassuring advice using therapeutic communication techniques is best.
Rationale 2: Although subsequent childbirths are usually shorter and faster, telling the partner this does not answer the partner's question.
Rationale 3: Prenatal classes teach relaxation, which can affect the overall length of labor but not the second stage.
Rationale 4: Labor norms do exist for primigravidas and multigravidas.

Answer to Question 2

4
Rationale 1: The purpose and mission of NCCAM is not to ensure the safety of complementary and alternative therapies. That is the purpose of those engaged in research.
Rationale 2: The purpose and mission of NCCAM is not to endorse products for approval by the FDA. Most complementary and alternative therapies are not regulated by the FDA.
Rationale 3: The purpose and mission of NCCAM is not to test new therapies and products. That is the role of the researcher, although it is difficult to do research on these types of therapies, and the funds are often not available to accomplish this.
Rationale 4: The NCCAM was mandated by Congress in 1998 to promote research into complementary and alternative therapies, and to disseminate those research findings to consumers.

[dollx]

Excellent

[recede]

Gracias!