During labor, a patient at 41 weeks' gestation asks why the amniotic fluid is green in color. What should the nurse respond?
A) "Amniotic fluid is normally green."
B) "This is meconium-stained fluid from the baby."
C) "You have an infection and need antibiotics."
D) "Green might be a yeast infection and we need to culture the discharge."
Ans: B
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As part of a multiple trauma injury, the patient has suffered a closed fracture of the radius. What nursing assessment finding indicates a significant complication warranting immediate treatment?
A) Swelling and pain over the fracture B) Loss of pulses distal to the fracture C) Ecchymosis over the fracture D) Deformity of forearm
When palpating the chest, you find the point of maximal impulse (PMI) in the left mid-axillary region. This can be indicative of:
A. Normal PMI B. Congenital heart disease C. Ventricular hypertrophy D. Hypertension
The nurse notes that the uterus is folded backward with the cervix tilted upward when examining a female client. The nurse would correctly document which of the following findings in this situation
1. Retroversion 2. Retroflexion 3. Midposition 4. Anteflexion
Which statement about preoperative care is correct?
A) The psychosocial needs of a patient are not a concern prior to surgery. B) Preoperative care involves the preparation and management of a patient. C) You will always prepare the skin the night before surgery. D) Encourage the patient to cough, turn, and breathe deeply to prevent respiratory problems from developing.