As a nurse, what is the most difficult news you have ever had to break to a patient? Sadly in my job (Ob/gyn nurse) there is one thing I have to report fairly often, that a pregnancy is not going to happen. Sometimes the mom's are bleeding and they kind of know that this is going to happen, but sometimes, they are not bleeding and it is a gut punch without any warning. This can be an ultrasound that shows no heartbeat or a lab test that is declining. Nothing is worse than the look on a woman's face when she is looking forward to her first glimpse of her baby only to be told that the baby is not alive. It doesn't get any easier, no matter how many times you do it. My own daughter called me one day to announce she was pregnant and two days later, we found out she was miscarrying and I bawled all day. I never even knew this baby, but now, 15 years later, just writing this now is making my eyes water. I have to do a lot of this over the phone and that makes it even harder because I am not able to offer comfort and I don't know where they are or what they are doing when they get this news. If they call me for their lab results, they might be driving, they might be walking around the mall, they will have to call their significant other and break the news, such difficult conversations to have over the phone. I have been very, very lucky that the few times I have seen advanced pregnancies that underwent a fetal demise were handled by the physicians that I have worked with. I can't imagine being almost ready to deliver and having all your hopes and dreams crushed. Obstetricians sometimes have the very best job, bringing new lives into the world and seeing the new families bonding, but sometimes they also have the very worst job. According to the above context, answer the following question. What does the nurse probably like the most about her job?
OPTIONS:
- Going to the hospital
- not enough information
- Putting on her uniform
- Seeing healthy newborn babies with their families
Seeing healthy newborn babies with their families
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I end this small run of blog posts with the question posed by Professor Brian Boyd at the beginning of our evening: Do we want to close the achievement gap? We know we can close the gap. It's been done or almost been done before in Scottish education, but the answers have been ignored as they pass us by. The simple clue is this: poverty is single biggest predictor of achievement, and according to research (Hammonds sic, reference required), aged 10, a child living in poverty is 60% less likely to get to university. Boyd borrowed from his own mother's report card to ask us what kind of education we desire. Is it the academic success at all costs route, or is there another option we need to value as much, if not more? His mother's report card, one that prevented her from becoming a secondary school pupil in Glasgow, is filled with G and FG, until the last point: Character and conduct - excellent. What kind of pupils do we want to develop in Scotland? What do we value in our assessment system? Opening up opportunity for all is a tough game to play when the examination system rewards only certain types of behaviour, few of them related to what the Curriculum for Excellence says we stand for. In his own small community in East Kilbride, three secondary schools enter a period of meltdown as the local rag sets about creating its own local league table of performance, with those three 'teams' in competition for the top spot (or at least not the bottom one). Therefore, we must stop basing "the gap" largely on attainment. First of all, Boyd would like us to remove the traditional, and non-sensical academic/vocational divide. Is the law or medicine degree we value not vocational? (Are all General Practitioners not Plumbers, as Dr Murray on the panel suggests?) According to the above context, answer the following question. The writer thinks that:
OPTIONS:
- the educational system worked better in the past
- the educational system in Scotland operates as it should
- not enough information
- the educational system in Scotland needs reform
the educational system in Scotland needs reform
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The city was gray but the buildings contrasted with dirt red. The morning settled my nerves a bit more and before long the train pulled into the station. Boston had a slower feel, much slower than New York. The air was cool and peppered with moisture. I knew I was close to the ocean. Vision blurry, I wobbled out of the train depot and thought about the fact that I had never really done anything crazy in my life. The colors meant something here. Green was the color of plants but it was also the color of money. Plants were good but money was bad. I didn't know what green meant. Blue and red were clear though. Blue was the color of ocean and sky, both good things. Red was the color of Mars and it was manly but mars meant aliens and aliens were bad so red was bad. This is how I navigated. I followed the colors. I was lost in a daze of exhaustion and moved my feet slowly. They were dead and raw with pain and blisters, and I shuffled out into the city. My eyes darted from color to color, sign to sign, connection to connection. I floated like a ghost and thought about crying. There were few people out so I found a relative ease in that but my mind still jumped around reckless. I needed to find Kim. I saw a silent pay phone with a dangling phonebook and headed towards it until I remembered that phone books don't normally list cell phones. Kim wasn't the type of girl to list herself in the phonebook either. I had no leads but I knew I could go to a library and maybe find out her number if she had listed it on Facebook, so I kept walking. Stopping at benches, I would rest until I could muster more energy. According to the above context, answer the following question. What is probably true about the narrator?
OPTIONS:
- He is looking for a job
- He wants to find Kim's phone number
- not enough information
- He loves walking around the town
He wants to find Kim's phone number
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I never have feed a baby something that they shouldn't have but I know of an instance where someone did A neighbor of Mine was babysitting for her granddaugther. The mother had placed a water bottle filled with VODKA in the refrigerator. The grandmother used that VODKA to fill the bottle with the powder added. At some point after the baby wouldn't drink the bottle (because of the taste I imagine) but had drank some the Grandmother realized it was Vodka instead of WATER. She gave the baby Powdered Charcoal and the baby vomited the milk mix up. The baby was Ok and no harm done. She was lucky to have the powdered charcoal around. It is hard to find now in the stores. When I was a child (50's-60) it was common for All medicine chests to be supplied with Charcoal. I still keep some of that in My medicine chest. I live in a rural area. It would take me 45 minutes to get to a Medical facility. An ambulance takes 14 minutes to get to my house and 45 minutes to get to a hospital. Now I can say that I have feed babies things that are not recommended at their age. For example, If a baby is not getting full feeling off of just formula, I would make rice cereal and feed the baby that. Some babies are just to big to be satisfied on just milk. Rice is a good filler and does No harm. (like I would not use wheat cereal) I also would give a baby warm tea when they had a stomach ache. Tea of course has caffeine in it. That would not be considered kosher. I also feed My grand daughters sweet tea. They love it. it is better than many sugary corn syrup infested drinks other chose for their children. I use 3/4 cup of sugar for every 2 gallons, so it is NOT much sugar. According to the above context, answer the following question. Grandmother gave the baby powdered charcoal:
OPTIONS:
- after she realized vodka was in the bottle
- before she made the bottle for the baby
- before the baby drank some vodka
- not enough information
after she realized vodka was in the bottle
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