Which assessment finding on the fetal monitor strip supports a diagnosis of abruptio placentae?
a. FHR of 150 bpm
b. Moderate variability of FHR
c. Contractions every 3 minutes
d. Uterine resting tone of 30 mm Hg
ANS: D
Abruptio placentae results in uterine irritability and a high resting uterine tone. A normal resting tone is from 5 to 15 mm Hg; FHR of 150 bpm, moderate variability of FHR, and contractions every 3 minutes are normal labor findings.
You might also like to view...
A 20-year-old woman infected with HIV is seen in an outreach clinic for symptoms associated with her disease. The patient is a known IV drug user and has admitted to several sexual partners in the last year
Which of the following statements would indicate that the patient understands the risk factors related to HIV? A) "I should not share cigarettes with people." B) "I can use a condom lubricated with petroleum jelly for sexual intercourse." C) "I can have unprotected oral sex." D) "If I become pregnant, I could pass the virus to my unborn child."
The nurse caring for an elderly widow notes her patient making statements such as, "Ever since my husband died I can't seem to do anything right."
The patient was widowed 2 years prior to this current hospitalization, which is her fifth since losing her husband to cancer after a long struggle. The woman says to the nurse, "The doctor says my blood pressure is dangerously high. What is making my blood pressure so high?" What does the nurse know about the probable cause of this patient's hypertension? A) Prolonged or unrelenting suffering can cause physical illness. B) Physical illness is always caused by prolonged stress. C) The elderly are at increased risk for hypertension due to stress. D) Stress always exacerbates the physiologic processes of the elderly
The client with chronic obstructive pulmonary disease (COPD) is experiencing exacerbation of the disease. The nurse would determine that which of the following documented in the client's record is an expected finding with this client?
1. Increased oxygen saturation with ambulation 2. Hyperinflation of lungs documented by chest x-ray 3. A widened diaphragm documented by chest x-ray 4. A shortened expiratory phase of the respiratory cycle
According to Peplau, which nursing action demonstrates the nurse's role as a resource person?
A. The nurse balances a safe therapeutic environment to increase the client's sense of belonging. B. The nurse holds a group meeting with the clients on the unit to discuss common feelings about mental illness. C. The nurse monitors the administration of medications and watches for signs of "cheeking." D. The nurse explains, in language the client can understand, information related to the client's health care.