In caring for a client with oligohydramnios, the nurse would be alert to which complication?
a. Preterm delivery caused by contractions from uterine pressure
b. Cardiovascular complications due to increased amniotic fluid
c. Placenta abruption from uterine overdistention
d. Fetal distress due to compression of the umbilical cord
D
Fetal distress due to compression of the umbilical cord is a serious complication associated with oligohydramnios. Oligohydramnios is a deficiency of amniotic fluid. Preterm delivery caused by contractions from uterine pressure does not occur with oligohydramnios. Oligohydramnios decreases uterine volume.
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An informal group of patients discusses their perceptions of nursing care. Which comment best indicates a patient perceived the nurse was caring? "My nurse:
a. always asks me which type of juice I want to help me swallow my medication." b. explained my treatment plan to me and asked for my ideas about how to make it better." c. told me that if I take all the medicines the doctor prescribes, then I will get discharged soon." d. spends time listening to me talk about my problems. That helps me feel like I'm not alone."
A patient diagnosed with lung cancer continues to smoke and says, "I think my cancer is more the result of a bad gene than of smoking." The patient shows the use of which defense mechanism?
a. Denial b. Compensation c. Intellectualization d. Reaction formation
Knowing when to have the entire team participate in the decision-making process or when to have only the team leader make the decisions depends on the situation and the desired outcomes. The autocratic process is used in which of the following situations?
a. The task and the outcome are relatively simple and defined b. It is unlikely that the group will reach a consensus. c. A decision has to be discussed thoroughly. d. A number of options need to be considered.
You discuss the need to avoid increased intra-abdominal pressure. What are ways that he can
avoid increasing intra-abdominal pressure and why is this important? What will be an ideal response?