The nurse anticipates that the physician will most likely order a cervicovaginal fetal fibronectin test for which client?
1. The client at 34 weeks' gestation with gestational diabetes
2. The client at 32 weeks' gestation with regular uterine contractions
3. The client at 37 weeks' multi-fetal gestation
4. The client at 20 weeks' gestation with ruptured amniotic membranes
2
Explanation: 2. The absence of cervicovaginal fFN between 20 and 34 weeks' gestation has been shown to be a strong predictor of a woman not experiencing preterm birth due to spontaneous preterm labor or premature rupture of membranes. Positive findings indicate a 99% probability of birth within the next 2 weeks.
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A woman in her 26th week of pregnancy is in preterm labor. What can the nurse conclude about this baby's ability to survive?
A. Cannot survive, as all organ systems are too immature B. Might survive, as lungs can breathe air with rhythmic breathing C. Probably will not survive, as all organ systems have not formed D. Will survive, because all body systems are completely mature
The client tells the nurse that even though it has been 4 months since her sister's death from a ruptured aneurysm, the client finds herself crying uncontrollably several times a week. The client is afraid she is "losing her mind
" What is the nurse's best response? A. "Most people get on with their lives within a few months. You should see a grief counselor." B. "Whenever you start to cry, distract yourself from thoughts of your sister and try to sing." C. "You should try not to cry. I'm sure your sister is in a better place now." D. "Your feelings are completely normal and may continue for a long time."
Reported outcome measures for the Patient Centered Medical Home include all of the following except
A. Emergency room use B. Hospitalizations C. Patient/family satisfaction D. Number of primary care visits
What information will the nurse want to question specifically for the adolescent who was just informed she is pregnant?
1. Last menstrual period 2. Dietary habits 3. Use of substances such as drugs, alcohol, and tobacco 4. Previous reproductive history