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予測を管理するためのUniversal Containersの現在のソリューションは面倒です。セールスマネージャーはチームの予測を表示できず、予測を更新できません。その結果、マネージャーは継続的に営業担当者に更新された予測データを電子メールまたは電話で提供するように求めています。 Universal Containersが予測の管理を改善するためにコンサルタントが推奨するソリューションはどれですか? 2つの答えを選んでください
A. 予測階層を作成し、マネージャーを予測マネージャーロールに割り当てます。
B. 営業担当者が予測を投稿して共有できる予測チャットグループを作成する
C. 販売管理に電子メールで送信される、毎週カスタマイズされる予測レポートとダッシュボードを構成する
D. カスタマイズ可能な予測を構成して、マネージャーに予測オーバーライド機能を提供します。
Answer: A,D

A client has been in labor for 10 hours. Her contractions have become hypoactive and slowed in duration. The fetus is at 0 station, cervix is dilated 8 cm and effaced 90%. The physician orders an oxytocin (Pitocin) infusion to be started at once. The RN begins the oxytocin infusion. It is important that the RN discontinue the infusion if which one of the following occur?
A. The client complains that she is tired.
B. The client's contractions are <2 minutes apart.
C. The uterus relaxes between contractions.
D. Duration of the contractions are 60 seconds.
Answer: B
(A) It is very important that there is a resting phase or relaxation period between the contractions. During this period, the uterus, placenta, and umbilical vessels re-establish blood flow. No resting phase between contractions can lead to fetal bradycardia, fetal hypoxia, and acidosis. It can also result in a tetanic contraction, which can cause uterine rupture. (B) The goal of the oxytocin infusion is to help establish a contraction pattern lasting 45-60 seconds occurring every 2 minutes and a uterine tonus of 60-70 mm Hg. (C) This choice is correct. The uterus has time to recover from the contraction. (D) The client's tiring is no indication to stop the infusion. She will be tired even without the infusion.

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