A man smokes two packs of cigarettes a day. He wants to know if smoking is contributing to the difficulty he and his wife are having getting pregnant. The nurse's most appropriate response is:

The most common indication for a vacuum-assisted delivery is a prolonged second stage of labor, which means that the mother has been pushing for an extended period without effective descent of the fetal head. The vacuum can help to provide traction to the fetal head and assist with delivery.
Option A is incorrect because a vacuum-assisted delivery is not indicated for the prevention of fetal abnormalities.
Option B is incorrect because a vacuum-assisted delivery is not indicated for the prevention of maternal hemorrhage.
Option D is incorrect because a prolonged first stage of labor is not an indication of
vacuum-assisted delivery. In this case, other interventions, such as augmentation of labor with oxytocin, may be used.

Health literacy is defined as the degree to which an individual can obtain, process, and

understand basic health information and services needed to make appropriate health decisions. Basic functional health literacy refers to an individual's ability to read and understand simple health information and instructions.

While all the clients mentioned may be demonstrating health literacy, the ability to read and understand discharge instructions after routine surgery is a basic functional health literacy skill. This client is able to comprehend written health information and follow simple instructions, which is an important aspect of managing their own health care.

The other clients mentioned may be displaying a higher level of health literacy, such as the client who is teaching a class about cancer survival or the client with Type II Diabetes who is using nutritional information to make a grocery list. These individuals may have a greater ability to understand and apply complex health information and navigate the healthcare system.