A patient with gestational hypertension is exhibiting all of the signs below. What should the nurse report immediately?
a. Diarrhea
b. Urticaria
c. Blurred vision
d. Backache
ANS: C
Visual disturbances indicate worsening pregnancy-induced hypertension and must be reported promptly for effective intervention to prevent preeclampsia and convulsion.
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A client is being discharged soon on warfarin (Coumadin). What menu selection for dinner indicates the client needs more education regarding this medication?
a. Hamburger and French fries b. Large chef's salad and muffin c. No selection; spouse brings pizza d. Tuna salad sandwich and chips
Regarding the development of the respiratory system, maternity nurses should be aware that:
a. The respiratory system does not begin developing until after the embryonic stage. b. The infant's lungs are considered mature when the lecithin/sphingomyelin (L/S) ratio is 1:1, at about 32 weeks. c. Maternal hypertension can reduce maternal-placental blood flow, accelerating lung maturity. d. Fetal respiratory movements are not visible on ultrasound scans until at least 16 weeks.
Which of the following abnormal findings is most significant in relation to possible breast cancer?
A) Dimpling of breast B) Asymmetry of breasts C) Enlarged Montgomery's glands D) Inverted nipples
The nurse is reviewing the physician's prescriptions on a child following a tonsillectomy. Which of the following physician prescriptions would the nurse question?
1. Suction the child if coughing. 2. Discharge to home when alert and tolerating fluids. 3. Provide clear cool liquids to the child when awake. 4. Instruct the parent to avoid giving the child milk or milk products.