The obstetrician performed a vaginal examination on a client in her third trimester and gave a sudden push on the cervix. Later, the client asks the nurse what the procedure was and why it was done
The MOST appropriate response from the nurse would be: a. ballottement (fetal rebound) c. lightening (uterine reflex)
b. Braxton Hicks (contractions) d. quickening (fetal movement)
A
Ballottement is performed by a vaginal examination on a client in the third trimester and checks for fetal rebound by giving a sudden push on the cervix.
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The postanesthesia care nurse is evaluating the patient for possible transfer to the surgical unit. The following assessment would prevent the patient's transfer:
1. Blood pressure is 126/78 mm Hg. 2. Pulse rate is 82 beats per minute. 3. Pulse oximeter reading is 85%. 4. Respirations are 22 per minute.
The patient has suffered an air embolus. The quick-thinking nurse immediately:
1. turns the patient to the left side and lowers the head of the bed. 2. calls the Code Team. 3. gives O2 at 100% in a nonrebreathing mask. 4. notifies the charge nurse.
The nurse is caring for a client who will undergo electronystagmography testing the following day. Which instruction does the nurse provide for the client?
a. "You should drink only caffeine-free be-verages the day of and the day before the test." b. "Do not chew gum or clean your ears for 24 hours after the test is completed." c. "You may feel flushed as the contrast dye is injected through your IV for the test." d. "You will be sedated for the test, so you need someone to drive you home."
The nurse caring for a client being treated for tuberculosis anticipates that the client will also receive which medications to help prevent peripheral neuropathy?
1. Niacin 2. Pyridoxine (vitamin B6) 3. Cyanocobalamin (vitamin B12) 4. Neurontin