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NEW QUESTION: 1
A client delivered a term infant 1 hour ago. Her uterus on assessment is boggy and is U +1 in contrast to the previous assessment of U _2. The immediate nursing response is to:
A. Remove the retained placental fragments
B. Administer methergine IM
C. Massage the fundus until firm
D. Assist the client to the bathroom and provide cues to stimulate urination
Answer: C
Explanation:
Explanation
(A) Methergine is given following placental delivery to promote uterine contractions and prevent hemorrhage.
Methergine may be administered in this clinical situation, but fundal massage would be the first response. (B) Removal of retained placental fragments is done by the physician and is not the first response. (C) If the fundus rises and is deviated, particularly to theright, the nurse should suspect bladder distention secondary to bladder and urethral trauma associated with birth and decreased bladder tone following delivery. Therefore, women have a diminished sensation to void. (D) A boggy fundus rises and is indicative of blood pooling, predisposing the woman to clot formation. Massage the uterus until firm. Too vigorous massage will result in atonia. Clots may be expelled by a kneading motion of the uterus by the nurse.

NEW QUESTION: 2

A. failover clustering
B. snapshot replication
C. peer-to-peer replication
D. database audits
Answer: C
Explanation:
Peer-to-peer replication provides a scale-out and high-availability solution by maintaining copies of data across multiple server instances, also referred to as nodes. Built on the foundation of transactional replication, peer-to-peer replication propagates transactionally consistent changes in near real-time.
This enables applications that require scale-out of read operations to distribute the reads from clients across multiple nodes. Because data is maintained across the nodes in near real-time, peer-to-peer replication provides data redundancy, which increases the availability of data.
Although peer-to-peer replication enables scaling out of read operations, write performance for the topology is like that for a single node.
References: https://docs.microsoft.com/en-us/sql/relational-databases/replication/transactional/peer- to-peer-transactional-replication

NEW QUESTION: 3
As shown in the figure, in the IPv4 and IPv6 environment, the SEL field in the ISIS NET address always takes the value 00.

A. True
B. False
Answer: A