Human chorionic gonadotropin (hCG) is an important biochemical marker for pregnancy and so the basis for many tests. A maternity nurse should be aware that:

1. hCG can be detected as early as 2½ weeks after conception.
2. the level of hCG increases gradually and uniformly through pregnancy.
3. much lower than normal increases in the level of hCG may indicate a postdate pregnancy.
4. higher than normal levels of hCG may indicate ectopic pregnancy or Down syn-drome.


4
1. Incorrect. hCG can be detected as early as 7 to 10 days after conception.
2. Incorrect. The level of hCG fluctuates during pregnancy: peaking, declining, stabilizing, then increasing again.
3. Incorrect. Abnormally slow increases may indicate impending miscarriage.
4. Correct. Higher levels also could be a sign of multiple gestation.

Nursing

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Which nursing interventions would be in line with the chronic care model? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply

1. Blood sugar is measured frequently in an attempt to achieve tight glycemic control. 2. The nurse provides the client with the URL for a new website dedicated to self-management of a chronic respiratory disease. 3. The nurse advocates for the client who has decided to forego further dialysis. 4. Client information is entered into an electronic medical record. 5. Information about the operating hours of a community recreation center is provided to the client with coronary artery disease.

Nursing

A school-age child with celiac disease asks for guidance about snacks that will not exacerbate the disease. What snack should the nurse suggest?

a. Pizza b. Pretzels c. Popcorn d. Oatmeal cookies

Nursing

A nurse is working on a telemetry unit when one of the clients has a cardiac arrest. The client's spouse is in the room when the code team arrives. Which statement by the nurse is the best in this situation?

A) "Your spouse's physician will be here shortly and explain all of the medication and treatment that your spouse is receiving right now." B) "I know you're worried about your loved one. I'm sure this is a difficult situation for you. Do you have any questions right now?" C) "Your spouse's heart stopped. All these people are here to help get it started." D) "Is there someone you would like to call? I'm sure this is a scary situation, and you might feel more comfortable if someone were with you during this time."

Nursing

The leading cause of injury-related deaths in adolescents aged 14 to 19 is by:

a. drowning c. suicide b. motor vehicle occupant injuries d. homicide

Nursing