The patient has undergone an ultrasound, which estimated fetal weight at 4500 g (9 pounds 14 ounces). Which statement indicates that additional teaching is needed? "Because my baby is big:
1. "I am at risk for excessive bleeding after delivery."
2. "His blood sugars could be high after he is born."
3. "My perineum could experience trauma during the birth."
4. "His shoulders could get stuck and a collarbone broken."
2
Rationale 1: Because of the excessive size of the uterus with a macrosomic fetus, uterine atony leading to postpartum hemorrhage is a risk.
Rationale 2: Hypoglycemia, not hyperglycemia, is a potential complication experienced by a macrosomic fetus.
Rationale 3: Perineal trauma due to the large fetus is a possible complication of vaginal delivery of a macrosomic fetus.
Rationale 4: Shoulder dystocia is more common among large fetuses, and a broken clavicle could result.
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1. all at once. 2. in a linear fashion. 3. from simple to complex. 4. from complex to simple.
The nurse overhears a student nurse discussing the three areas of focus regarding Cultural Care nursing. Which statement by the student indicates a lack of understanding of Cultural Care nursing?
1. "A nurse must apply the underlying background knowledge that must be possessed to provide a given patient with the best healthcare possible." 2. "A nurse must understand and attend to the total context of the patient's situation. It is a complex combination of knowledge, skills, and attitudes." 3. "A nurse must understand the basic traditions of diverse cultural groups and be able to explain to patients how these traditions must be changed to fit into the plan of care." 4. "A nurse must possess some basic knowledge of and constructive attitudes toward the health traditions observed among the diverse cultural groups found in the practice setting."
A student nurse is caring for a patient who has a diagnosis of acute pancreatitis and who is receiving parenteral nutrition. The student should prioritize which of the following assessments?
A) Fluid output B) Oral intake C) Blood glucose levels D) BUN and creatinine levels
The nurse is educating a client who has experienced radiation exposure. The client asks, "What type of exposure is most likely to lead to cancer?" What is the nurse's response?
A) "All types of exposure will eventually lead to cancer." B) "When irradiation occurs, and the energy passes through the body, cancer may develop." C) "When contamination occurs, and radioactive material is deposited on the body, cancer may develop." D) "When incorporation occurs, and radioactive material is taken up by the body's organs, cancer may develop."