As related to the care of the patient with miscarriage, nurses should be aware that:
a. It is a natural pregnancy loss before labor begins.
b. It occurs in fewer than 5% of all clinically recognized pregnancies.
c. It often can be attributed to careless maternal behavior such as poor nutrition or excessive exercise.
d. If it occurs before the twelfth week of pregnancy, it may manifest only as moderate discomfort and blood loss.
ANS: D
Before the sixth week the only evidence may be a heavy menstrual flow. After the twelfth week more severe pain, similar to that of labor, is likely. Miscarriage is a natural pregnancy loss, but by definition it occurs before 20 weeks of gestation, before the fetus is viable. Miscarriages occur in approximately 10% to 15% of all clinically recognized pregnancies. Miscarriage can be caused by a number of disorders or illnesses outside of the mother's control or knowledge.
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A nurse prepares to administer a scheduled dose of verapamil prescribed for a patient with atrial flutter. The nurse records a heart rate of 92 and a blood pressure reading of 110/76 . In light of these findings, the nurse should:
a. administer the dose as prescribed. b. withhold the drug and notify the physician. c. recheck the vital signs in 30 minutes and then administer the dose. d. administer IV calcium gluconate.
The first step in the development of a data collection plan in a quantitative study is:
A) Locating existing instruments for key constructs B) Identifying and prioritizing data needs C) Developing suitable forms for data collection D) Pretesting data collection instruments
Patients with postpolio syndrome will have
A. tremors and spasticity. B. heat intolerance. C. mask-like expression. D. cold intolerance.
During a counseling session, which statement by an adolescent indicates he is adjusting to expected developmental tasks?
a. "I wish my parents would just leave me alone." b. "I'm hoping to go to college." c. "I don't have any friends." d. "It's terrible being taller than all my friends."