when do you co transformation sometimes a plasmid is used for machinery what does that mean?

Which set of compounds illustrates the Law of Multiple Proportions? Co, CO2, Mn, HF, NaCl

Describe how transactional behaviors and co-activators work including the zinc fingers and leucine zippers

The definition of a (well-defined) function f : X → Y . Meaning of domain, range, and co-domain

Please briefly explain Espinoza v Farah Manufactoring Co. 414 US 86 (1973)

What proteins might be most likely to co-purify with Con A during affinity chromatography on Sephadex?

List the assumptions in the general linear model and show what this means for the variance co variance matrix

FINAL PRACTICE 2

Question 31

A client is admitted to the birthing suite in early active labor. The priority nursing intervention on admission of this client would be:

A

Auscultating the fetal heart

B

Taking an obstetric history

C

Asking the client when she last ate

D

Ascertaining whether the membranes were ruptured

Question 32

A client who is gravida 1, para 0 is admitted in labor. Her cervix is 100% effaced, and she is dilated to 3 cm. Her fetus is at +1 station. The nurse is aware that the fetus’ head is:

A

Not yet engaged

B

Entering the pelvic inlet

C

Below the ischial spines

D

Visible at the vaginal opening

Question 33

After doing Leopold’s maneuvers, the nurse determines that the fetus is in the ROP position. To best auscultate the fetal heart tones, the Doppler is placed:

A

Above the umbilicus at the midline

B

Above the umbilicus on the left side

C

Below the umbilicus on the right side

D

Below the umbilicus near the left groin

Question 34

The physician asks the nurse the frequency of a laboring client’s contractions. The nurse assesses the client’s contractions by timing from the beginning of one contraction:

A

Until the time it is completely over

B

To the end of a second contraction

C

To the beginning of the next contraction

D

Until the time that the uterus becomes very firm

Question 35

The nurse observes the client’s amniotic fluid and decides that it appears normal, because it is:

A

Clear and dark amber in color

B

Milky, greenish yellow, containing shreds of mucus

C

Clear, almost colorless, and containing little white specks

D

Cloudy, greenish-yellow, and containing little white specks

Question 36

At 38 weeks gestation, a client is having late decelerations. The fetal pulse oximeter shows 75% to 85%. The nurse should:

A

Discontinue the catheter, if the reading is not above 80%

B

Discontinue the catheter, if the reading does not go below 30%

C

Advance the catheter until the reading is above 90% and continue monitoring

D

Reposition the catheter, recheck the reading, and if it is 55%, keep monitoring

Question 37

When examining the fetal monitor strip after rupture of the membranes in a laboring client, the nurse notes variable decelerations in the fetal heart rate. The nurse should:

A

Stop the oxytocin infusion

B

Change the client’s position

C

Prepare for immediate delivery

D

Take the client’s blood pressure

Question 38

When monitoring the fetal heart rate of a client in labor, the nurse identifies an elevation of 15 beats above the baseline rate of 135 beats per minute lasting for 15 seconds. This should be documented as:

A

An acceleration

B

An early elevation

C

A sonographic motion

D

A tachycardic heart rate

Question 39

A laboring client complains of low back pain. The nurse replies that this pain occurs most when the position of the fetus is:

A

Breech

B

Transverse

C

Occiput anterior

D

Occiput posterior

Question 40

The breathing technique that the mother should be instructed to use as the fetus’ head is crowning is:

A

Blowing

B

Slow chest

C

Shallow

D

Accelerated-decelerated

Question 41

During the period of induction of labor, a client should be observed carefully for signs of:

A

Severe pain

B

Uterine tetany

C

Hypoglycemia

D

Umbilical cord prolapse

Question 42

A client arrives at the hospital in the second stage of labor. The fetus’ head is crowning, the client is bearing down, and the birth appears imminent. The nurse should:

A

Transfer her immediately by stretcher to the birthing unit

B

Tell her to breathe through her mouth and not to bear down

C

Instruct the client to pant during contractions and to breathe through her mouth

D

Support the perineum with the hand to prevent tearing and tell the client to pant

Question 43

A laboring client is to have a pudendal block. The nurse plans to tell the client that once the block is working she:

A

Will not feel the episiotomy

B

May lose bladder sensation

C

May lose the ability to push

D

Will no longer feel contractions

Question 44

Which of the following observations indicates fetal distress?

A

Fetal scalp pH of 7.14

B

Fetal heart rate of 144 beats/minute

C

Acceleration of fetal heart rate with contractions

D

Presence of long term variability

Question 45

Which of the following fetal positions is most favorable for birth?

A

Vertex presentation

B

Transverse lie

C

Frank breech presentation

D

Posterior position of the fetal head

Question 46

A laboring client has external electronic fetal monitoring in place. Which of the following assessment data can be determined by examining the fetal heart rate strip produced by the external electronic fetal monitor?

A

Gender of the fetus

B

Fetal position

C

Labor progress

D

Oxygenation

Question 47

A laboring client is in the first stage of labor and has progressed from 4 to 7 cm in cervical dilation. In which of the following phases of the first stage does cervical dilation occur most rapidly?

A

Preparatory phase

B

Latent phase

C

Active phase

D

Transition phase

Question 48

A multiparous client who has been in labor for 2 hours states that she feels the urge to move her bowels. How should the nurse respond?

A

Let the client get up to use the potty

B

Allow the client to use a bedpan

C

Perform a pelvic examination

D

Check the fetal heart rate

Question 49

Labor is a series of events affected by the coordination of the five essential factors. One of these is the passenger (fetus). Which are the other four factors?

A

Contractions, passageway, placental position and function, pattern of care

B

Contractions, maternal response, placental position, psychological response

C

Passageway, contractions, placental position and function, psychological response

D

Passageway, placental position and function, paternal response, psychological response

Question 50

Fetal presentation refers to which of the following descriptions?

A

Fetal body part that enters the maternal pelvis first

B

Relationship of the presenting part to the maternal pelvis

C

Relationship of the long axis of the fetus to the long axis of the mother

D

A classification according to the fetal part

Question 51

A client is admitted to the L & D suite at 36 weeks’ gestation. She has a history of C-section and complains of severe abdominal pain that started less than 1 hour earlier. When the nurse palpates tetanic contractions, the client again complains of severe pain. After the client vomits, she states that the pain is better and then passes out. Which is the probable cause of her signs and symptoms?

A

Hysteria compounded by the flu

B

Placental abruption

C

Uterine rupture

D

Dysfunctional labor

Question 52

Upon completion of a vaginal examination on a laboring woman, the nurse records: 50%, 6 cm, -1. Which of the following is a correct interpretation of the data?

A

Fetal presenting part is 1 cm above the ischial spines

B

Effacement is 4 cm from completion

C

Dilation is 50% completed

D

Fetus has achieved passage through the ischial spines

Question 53

Which of the following findings meets the criteria of a reassuring FHR pattern?

A

FHR does not change as a result of fetal activity

B

Average baseline rate ranges between 100 – 140 BPM

C

Mild late deceleration patterns occur with some contractions

D

Variability averages between 6 – 10 BPM

Question 54

Late deceleration patterns are noted when assessing the monitor tracing of a woman whose labor is being induced with an infusion of Pitocin. The woman is in a side-lying position, and her vital signs are stable and fall within a normal range. Contractions are intense, last 90 seconds, and occur every 1 1/2 to 2 minutes. The nurse’s immediate action would be to:

A

Change the woman’s position

B

Stop the Pitocin

C

Elevate the woman’s legs

D

Administer oxygen via a tight mask at 8 to 10 liters/minute

Question 55

The nurse should realize that the most common and potentially harmful maternal complication of epidural anesthesia would be:

A

Severe postpartum headache

B

Limited perception of bladder fullness

C

Increase in respiratory rate

D

Hypotension

Question 56

Perineal care is an important infection control measure. When evaluating a postpartum woman’s perineal care technique, the nurse would recognize the need for further instruction if the woman:

A

Uses soap and warm water to wash the vulva and perineum

B

Washes from symphysis pubis back to episiotomy

C

Changes her perineal pad every 2 – 3 hours

D

Uses the peribottle to rinse upward into her vulva

Question 57

Which measure would be least effective in preventing postpartum hemorrhage?

A

Administer Methergine 0.2 mg every 6 hours for 4 doses as ordered

B

Encourage the woman to void every 2 hours

C

Massage the fundus every hour for the first 24 hours following birth

D

Teach the woman the importance of rest and nutrition to enhance healing

Question 58

When making a visit to the home of a postpartum woman one week after birth, the nurse should recognize that the woman would characteristically:

A

Express a strong need to review events and her behavior during the process of labor and birth

B

Exhibit a reduced attention span, limiting readiness to learn

C

Vacillate between the desire to have her own nurturing needs met and the need to take charge of her own care and that of her newborn

D

Have reestablished her role as a spouse/partner

Question 59

Four hours after a difficult labor and birth, a primiparous woman refuses to feed her baby, stating that she is too tired and just wants to sleep. The nurse should:

A

Tell the woman she can rest after she feeds her baby

B

Recognize this as a behavior of the taking-hold stage

C

Record the behavior as ineffective maternal-newborn attachment

D

Take the baby back to the nursery, reassuring the woman that her rest is a priority at this time

Question 60

Parents can facilitate the adjustment of their other children to a new baby by:

Having the children choose or make a gift to give to the new baby upon its arrival home

B

Emphasizing activities that keep the new baby and other children together

C

Having the mother carry the new baby into the home so she can show the other children the new baby

Reducing stress on other children by limiting their involvement in the care of the new baby

NO PHOTOS PLEASE THANKS