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Acute pain Activity intolerance Ineffective tissue perfusion: Peripheral Assess cardiovascular status.

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Pressure exerted by thematernal pelvis and birth canal during laborand delivery causes the sutures of the skullto allow the cranial bones to shift, resulting inmolding of the fetal head.

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ALZHEIMERS-TYPE DEMENTIAKey signs and symptomsStage 1 (mild symptoms) Confusion and memory loss Disorientation to time and place Difficulty performing routine tasks Changes in personality and judgment Sleep disturbancesStage 2 (moderate symptoms) Difficulty performing activities of daily living Anxiety Suspiciousness Agitation Wandering Pacing Repetitive behaviors Sleep disturbances Difficulty recognizing family membersStage 3 (severe symptoms) Loss of speech Loss of appetite Weight loss Loss of bowel and bladder control Total dependence on caregiverKey test results Cognitive assessment scale demonstratescognitive impairment.

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NCLEX keysClient needs category: Physiological integrityClient needs subcategory: PhysiologicaladaptationCognitive level: ApplicationI sense thatyouve completedanother chapter.

AMBrush up on key concepts249Gastrointestinal refresher (continued)GASTRITIS (CONTINUED) Offer small, frequent meals.

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CHOLECYSTITISKey signs and symptoms Episodic colicky pain in epigastric area thatradiates to the back and shoulder Indigestion or chest pain after eating fatty orfried foods Nausea, vomiting, and flatulenceKey test results Blood chemistry reveals increased alkalinephosphatase, bilirubin, direct bilirubin transaminase, amylase, lipase, aspartate aminotransferase (AST), and lactate dehydrogenase (LD)levels.

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Suppression of preterm labor (if the fetalmembranes are intact, theres no evidenceof bleeding, the well-being of the fetus andmother isnt in jeopardy, cervical effacementis no more than 50%, and cervical dilation isless than 4 cm) Bed restCAUSES AND CONTRIBUTING FACTORSDrug therapyCauses of and contributing risk factors to preterm labor can be maternal or fetal.

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