Amultiparous client presents to the labor and delivery area in active labor. the initial vaginal examination reveals that the cervix is dilated 4 cm and 100% effaced. two hours later the client experiences rectal pressure, followed by delivery 5 minutes later. how is this delivery best documented?
a. precipitous vaginal delivery
b. prolonged transitional phase
c. primigravida primary delivery
d. normal spontaneous vaginal delivery

Describe a time in the small group discussion when you drew on your preparation by referring to notes you had written earlier.

Eyes: snellen chart, cataract risk factors, accommodation lungs: locations, names and descriptions of all normal and abnormal lung sounds. how would i do a bowel assessment? what are the characteristics of pulses and locations where they can be checked? what are the newest guidelines for mammograms? what is the age range for risk factor for testicular cancer? what risk factors are modifiable? what are some examples of primary lesions? compare and contrast at least three different types of lesions. how would you classify a mosquito bite? a tick bite? a shingles rash? how are primary lesions different from secondary lesions? when would you use the bell vs. the diaphragm on the stethoscope?

James is sitting at his desk on the ground floor of an office building when the entire room starts shaking. which action is most appropriate in this situation? a. standing near a window b. running out of the building c. holding up a bookshelf d. preparing for aftershocks