The most important reason for administering intravenous fluids to a woman in preterm labor is:

a. It reduces the risk of nausea and vomiting.
b. It will restore the patient's hematocrit to normal.
c. The inactive patient often drinks too little water.
d. Dehydration stimulates secretion of oxytocin and antidiuretic hormone (ADH).


ANS: D
When the patient is dehydrated, the pituitary secretes ADH to retain fluid in the kidneys and secretes oxytocin, which stimulates uterine contractions. The goal in managing preterm patients is to suppress contractions and delay delivery.

Nursing

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A nurse is performing an oral examination of a patient. Which of the following should she do as part of her examination?

A) Palpate the temporomandibular joint for mobility. B) Leave the patient's dentures in during the oral examination. C) Dim the lights to provide a calm environment for the patient. D) Recline the patient to the supine position.

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The clinic nurse teaches the older adult who has been diagnosed with viral rhinitis (the common cold). Which of the following statements, if made by the client, indicate the need for further teaching?

A) "I will finish the antibiotics that I have left in my cupboard.". B) "I will increase my intake of zinc.". C) "I will use my hanky to cover my nose when sneezing.". D) "I will wash my hands before and after I eat.".

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A researcher is studying stress and various factors that seem to be related to it, in women with terminally ill spouses

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As a member of the health care team, the perinatal nurse finds it helpful following a maternal emergency such as a postpartum hemorrhage to engage in:

Select all answers that apply: A) Time off to resolve any conflict with other staff members B) Debriefing of the situation with the other staff members involved in the patient' s care C) A family meeting to encourage communication and understanding D) A resolution of the emergency by determining any fault in the care provided

Nursing