The patient at 37 weeks' gestation calls the clinic nurse to report that neither she nor her partner has felt fetal movement for the past 48 hours. The nurse anticipates that the physician will order which test to assess fetal viability?
1. Ultrasound
2. Serum progesterone levels
3. Computed tomography (CT) scan
4. Contraction stress test
1
Rationale 1: Ultrasound is used to detect the presence or absence of fetal heart motion when fetal demise is suspected.
Rationale 2: Serum estriol levels drop during fetal demise, but progesterone levels are not measured.
Rationale 3: A computed tomography (CT) scan is not indicated.
Rationale 4: Contraction stress tests are used to determine whether a fetus will tolerate the stresses of labor.
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A nurse working in a community clinic usually is consistent about screening women for intimate partner violence (IPV). However, the nursing manager found two charts during an audit in which the nurse did not do the screening
When asked, the nurse stated that the two women were lesbians, so she did not need to screen them. What response by the manager is best? a. "Lesbians who are in intimate relationships are considered intimate partners." b. "There is a specific screening tool just for lesbians and homosexuals." c. "You have to screen all women for IPV regardless of their sexual preference." d. "You're right; lesbians have a far lower rate of IPV than heterosexuals do."
A client who is experiencing abdominal pain is being assessed by the Emergency Department nurse. The nurse asks the client to describe the pain and the client's usual means of relieving pain. The nurse is providing:
1. a nursing diagnosis. 2. client-centered care. 3. health promotion. 4. health maintenance.
A pregnant woman with gastroesophageal reflux disease (GERD) complains of a burning sensation in the esophagus. Which of the following suggestions should the nurse give her?
A) Avoid foods and beverages that lower pressure in the lower esophageal sphincter (LES). B) Inform the physician. C) Symptoms of GERD usually resolve after delivery. D) Avoid food and drink for several hours before bedtime.
A nurse is giving a talk to a local community group on the importance of proper diet and regular exercise. This is an example of which type of health promotion?
A) Primary health promotion B) Secondary health promotion C) Tertiary health promotion D) Chronic health promotion