A pregnant woman who is at the end of 20 weeks of gestation is at a prenatal visit. Which of the following changes in weight from pre-pregnancy would require the nurse to take additional action?
a. 6 pound increase
b. 11 pound increase
c. 14 pound increase
d. 20 pound increase
Answer: a. 6 pound increase
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To reassure and educate the patients concerning changes in the cervix, vagina, and position of the fetus, nurses should be aware that:
1. because of a number of changes in the cervix, evaluation of abnormal Pap tests is much easier to assess. 2. "quickening" is a technique of palpating the fetus to engage it in passive move-ment. 3. the deepening color of the vaginal mucosa and cervix (Chadwick's sign) usually appears in the second trimester or later as the vagina prepares to stretch during labor. 4. increased vascularity of the vagina increases sensitivity and may lead to a high degree of arousal, especially in the second trimester.
The client has received the varicella vaccine and now requires Ig. The client is 4 years and 10 months old. The most appropriate time for the client to receive Ig is at age:
a. 5 years. b. 6 years. c. 4 years 11 months. d. 5 years 2 months.
The dramatic and emotional cluster contains all EXCEPT which of the following personality disorders?
a. narcissistic b. dependent c. borderline d. antisocial
A nurse has just completed a suicide risk assessment of a 76-year-old widowed man. In addition to documenting the presence or absence of suicidal thoughts, plan, and means, the nurse should also document all which of the following:
A) Use of drugs and alcohol 6 hours before the assessment B) Appearance and speech patterns C) Availability of support resources D) Amount of sleep the client has had in the previous 24 hours