A woman who is 16 weeks pregnant with her first child is concerned because she has not felt the fetus move. A nurse explains to this client that:
a. Movement of a fetus in the first pregnancy often does not occur until the twenty-fourth week of pregnancy.
b. A referral to an obstetrician should be made for further evaluation of this finding.
c. It is not until the nineteenth week of pregnancy that movement of the fetus is expected.
d. Movement of the fetus is related to fundal height; the greater the fundal height, the sooner the fetal movement.
ANS: C
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A patient with mitral stenosis exhibits symptoms of a dysrhythmia. Based on the pathophysiology of this disease process, the nurse would expect the patient to exhibit what heart rhythm?
A) Normal sinus rhythm B) Supraventricular tachycardia C) Atrial fibrillation D) Electromechanical dissociation
A nurse is preparing a presentation for new graduates about pancreatitis
After attending the seminar, which statement by a graduate nurse indicates the need for additional instruction? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. "Pancreatitis is typically idiopathic." 2. "There is only one single test finding that will diagnose pancreatitis." 3. "An indication of pancreatitis is an elevation in serum amylase during the first 3 to 5 days." 4. "Necrotizing pancreatitis is a commonly occurring complication." 5. The risk of hypovolemic shock is very high with this disorder.
An older patient is diagnosed with dementia caused by Lewy bodies. What will the nurse most likely assess in this patient? Standard Text: Select all that apply
1. Tremor 2. Rigidity 3. Postural instability 4. Personality changes 5. Visual hallucinations
The nurse is making an occupied bed. Arrange the following steps in the order the nurse should perform them
A. Position the patient laterally near the side rail farthest from you (that side rail is up); roll the soiled linens under him. B. Lower the side rail on the side of the bed you are working on. C. Raise the side rail on the side of the bed you are working on. D. After placing clean linens and tucking them under the soiled linens, roll the patient over the "hump" and position him facing you on the near side of the bed.