A woman with a multiple-fetus pregnancy asks, "What are the chances of having an uncomplicated pregnancy?" The nurse's best response is that:
1. The perinatal mortality rate for monoamniotic siblings is 50%.
2. Twins are less likely to have complications than are singleton births.
3. Primiparous women pregnant with twins are less likely to develop complications.
4. Spontaneous abortion is more common with twins.
4
Rationale 1: The perinatal mortality rate for monoamniotic siblings is 10% to 32%.
Rationale 2: Twins are more likely to have complications than are singleton births.
Rationale 3: Primiparous women with twin pregnancies are more likely to develop complications.
Rationale 4: Because of the increased weight and size of the uterus, spontaneous abortion is more common.
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The prospective nursing student has investigated an associate degree nursing program and finds that it is nationally accredited. Which organization most likely has accredited this school?
1. National League for Nursing Accrediting Commission (NLNAC) 2. American Association of Colleges of Nursing Accrediting Branch (AACN) 3. National Student Nurses' Association (NSNA) 4. American Nurses Association (ANA)
Which breast assessment of a menopausal woman warrants further investigation?
a. Slightly smaller left breast compared with the right breast b. Eversion of both nipples c. Striae and superficial veins noted bilaterally d. Small dimple located in the upper outer quadrant of the right breast
The nurse assessing a client with hypopituitarism would note the finding most consistent with this disorder as
a. a pendulous abdomen. b. frequent nasal drainage. c. mottled skin. d. short stature.
What expected outcome would indicate effective management of a client's hypertension?
A. The client has not developed pedal edema. B. There is no evidence of sexual dysfunction. C. There is no indication of target organ damage. D. The client's blood pressure reading is stable at 148/94 mm Hg.