The nurse at the prenatal clinic has four calls to return. Which phone call should the nurse return first?
1. Client at 32 weeks, reports headache and blurred vision.
2. Client at 18 weeks, reports no fetal movement in this pregnancy.
3. Client at 16 weeks, reports increased urinary frequency.
4. Client at 40 weeks, reports sudden gush of fluid and contractions.
1
Explanation: 1. Headache and blurred vision are signs of preeclampsia, which is potentially life-threatening for both mother and fetus. This client has top priority.
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An occupational nurse is starting a new position with a company with 35 employees. The nurse asks to see the OSHA 300 form, but is told that the company is not required to use that form. How does the nurse reply?
A. You're right. The OSHA 300 logs are voluntary. B. You're right. The OSHA 300 logs should be kept when a company has 50 employees. C. That's incorrect. The OSHA 300 logs should be kept when a company has at least 10 employees. D. Each employee is required to keep their own logs and report injuries as applicable.
Which action best describes how the scrub nurse maintains aseptic technique during surgery?
a. Uses waterproof shoe covers b. Wears personal protective equipment c. Insists that all operating room (OR) staff perform a surgical scrub d. Changes gloves after touching the upper arm of the surgeon's gown
Add the score of the neuromuscular components to your score of physical maturity to determine weeks of gestation. How many weeks of gestation has this child had?
A 32-year-old white female presents to labor and delivery fully effaced and delivers a 5.8-lb (2,500-gram) infant female with Apgar scores of 6 and 8. The mother has had no prenatal care and in the nursery you perform the newborn examination. With the Ballard scoring system, the neuromuscular examination score is 15. Looking at physical maturity, you see superficial peeling and few veins on the skin. The lanugo hair has bald areas and the plantar surface of the foot has creases on two thirds of it. The areola is stippled with a 2-mm bud. The pinna is well curved, is firm, and has instant recoil. The labia majora and minora are equally prominent. A) 34 weeks B) 36 weeks C) 40 weeks
The nurse is obtaining a client history and records identifying information about the child. What is the nurse doing at this time?
A) Obtaining the health history B) Interviewing the caregiver C) Obtaining biographical data D) Determining the chief complaint