[单项选择]A 24-year-old client on the labor unit is being coached in the Lamaze method by her husband. On assessment, the nurse finds the client to be 5 cm dilated, 90% effaced, at +1 station with contractions coming every 2 to 3 minutes and lasting 35 to 40 seconds. The client has asked for pain relief. What’s the nurse’s best action（）
A. Check maternal blood pressure and pulse and fetal heart rate in response to contractions.
B. Realize that it’s too early to give pain medication, and encourage the husband to continue with the Lamaze coaching.
C. Arrange for a sonogram to determine fetal position.
D. Perform a vaginal examination to determine dilation, effacement, and station.

[单项选择]A client is being admitted to the labor unit. Because she’s well advanced in labor, the nurse must prioritize the admission questions. Which information is most important to obtain when birth is imminent（）
A. Duration of previous labor.
B. Frequency of contractions.
C. Presence of bloody show.
D. Expected due date.

[单项选择]A female client is being treated for genital herpes. The client should receive teaching on the
A. prevention of outbreaks of lesions.
B. need to abstain from sexual contact.
C. need to keep the perineal area moist.
D. need to wear tight-fitting nylon underwear.

[单项选择]A client in labor received an epidural anesthetic when her dilation reached 5 cm. Which of the following nursing diagnoses would have the highest priority for her at this time
A. Impaired skin integrity related to inability to move lower extremities.
B. Impaired urinary elimination related to the effects of the epidural.
C. Deficient knowledge related to lack of information about regional anesthesia.
D. Risk for injury related to hypotension secondary to vasodilation and pooling in extremities.

[单项选择]A client with hypotonic labor dysfunction is receiving oxytoein augmentation. Her contractions become more frequent and intense. Dilation progresses to 8 cm, but the fetal head remains at station +1. The nurse notes a soft bulge just above the symphysis. Which of the following actions is best（）
A. Re-evaluate the fetal presentation.
B. Change the client’s position.
C. Offer a narcotic analgesic.
D. Help the client urinate.

[单项选择]Assessment of a client in active labor reveals meconium-stained amniotic fluid and fetal heart sounds in the upper right quadrant. Which of the following is the most likely cause of this situation（　）
A. Breech position.
B. Late decelerations.
C. Entrance into the second stage of labor.
D. Multiple gestation.

[单项选择]A client being evaluated in the emergency department complains of chest pain that radiates to his neck, shoulders, back, and arms, which decreases when he sits up and leans forward. Based on this assessment, the nurse suspects that he has（）
A. developed another myocardial infarction (MI).
B. endocarditis.
C. pericarditis.
D. myocarditis.

[单项选择]The employer of a client on the psychiatric unit calls the nursing station inquiring about the client’s progress. The nurse doesn’t know if the client has given consent to allow the staff to give information out to callers on the phone. Which of the following would be the nurse’s best response（）
A. "I’m not permitted to discuss her progress. "
B. "I’ll give you the name and telephone number of her physician. "
C. "I’ll have her call you. "
D. "I can’t confirm whether your employee is a client here. "

[单项选择]When a client being seen in a fertility clinic doesn’t respond to the clomiphene citrate, the physician prescribes IM menotropins (Pergonal). This drug increases her risk of producing multiple follicles that could mature to ovulation. To reduce the high risk of multifetal pregnancy and its possible adverse effects the nurse should monitor（）
A. ultrasound study results and serum estradiol levels.
B. ultrasound study results and serum progesterone levels.
C. results of tests to detect luteinizing hormone (LH) in urine.
D. serum levels of human chorionic gonadotropin (HCG).

[单项选择]　　Labor force is defined as being the total number of people who are available to work and earn income. This definition includes everyone who is employed or seeking paid employment, so it includes employees and the self-employed. Labor is one of the country’s resources which can be combined with other resources to produce the goods and services required by the community. 　　Though the size of the workforce relies greatly on the size of the total population, there are several other aspects which also affect it. The age distribution of the total population has a very marked effect on the available workforce. If the population has a high proportion of very young people or of those too old to work, then the available workforce would be lower than if there were an evenly spread age distribution. If the population grows rapidly from natural increase, i. e. the number of births greatly exceeds the number of deaths, then as a total population increases the proportion in the workforce declines.
A. people who are available to work and earn income
B. self-employed people only
C. only those who are looking for an employment
D. only the employees

[单项选择]A client is admitted to the labor and delivery unit in active labor. She has had no prenatal care but appears to be between 32 and 35 weeks’ gestation. History reveals that she’s gravida 5, para 1, abortus 3. She tells the nurse she thinks her friend gave her a cigarette containing crack cocaine. What should the nurse do next
A. Move the precipitant delivery cart to the labor room, and notify the neonatologist on call.
B. Teach the mother controlled breathing techniques.
C. Call a family member to come to the hospital.
D. Call the friend who gave the client the cigarette and find out exactly what the drug was.

[单项选择]A client is admitted to the labor and delivery department in preterm labor. To help manage preterm labor the nurse would expect to administer which of the following medication（　）
A. Ritodrine (Yutopar).
B. Bromocriptine (Parlodel).
C. Betamethasone (Celestone).
D. Magnesium sulfate.

[单项选择]

Labor force is defined as being the total number of people who are available to work and earn income. This definition includes everyone who is employed or seeking paid employment, so it includes employees and the self-employed. Labor is one of the country’s resources which can be combined with other resources to produce the goods and services required by the community.
Though the size of the workforce relies greatly on the size of the total population, there are several other aspects which also affect it. The age distribution of the total population has a very marked effect on the available workforce. If the population has a high proportion of very young people or of those too old to work, then the available workforce would be lower than if there were an evenly spread age distribution. If the population grows rapidly from natural increase, i. e. the number of births greatly exceeds the number of deaths, then as a total population increases, the proportion in the wor
A. a population growth from natural increase leads to a greater proportion of the workforce
B. a large population does not necessarily mean a higher proportion of workforce
C. the larger the number of the aged in a population, the higher the proportion of the workforce
D. if the population has an evenly spreaded age distribution, the workforce will be lower