Persistent early decelerations are noted. The nurse's first action would be to:
1. Turn the mother on her left side and give oxygen.
2. Check for prolapsed cord.
3. Do nothing. This is a benign pattern.
4. Prepare for immediate forceps or cesarean delivery.
3
Rationale 1: Early decelerations do not require any intervention.
Rationale 2: Early decelerations do not indicate a prolapsed cord.
Rationale 3: Early decelerations are considered benign, and do not require any intervention.
Rationale 4: Early decelerations do not warrant an immediate delivery.
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When a family is in a transitional phase of the life cycle perspective (e.g., birth of a first child), it is important for the nurse to do which of the following?
a. Accept that this is usually a time of de-creased stress and anxiety. b. Use the knowledge of stress and coping to assist in family care. c. Explain that the health of one family member does not depend on the family system. d. Draw on psychological theory as the major basis for family care.
The nurse is instructing a patient who is scheduled for a cardiac catheterization. Which of the following comments made by the patient would indicate the need for additional education?
1. "I will place a warm pack at the puncture site for pain relief.". 2. "I will bring someone with me to drive me home following the procedure.". 3. "I will not be able to go upstairs to my bedroom for 72 hours.". 4. "I will not be able to take a bath for 7 days.".
A 19-year-old male was started on risperidone. Monitoring for risperidone includes observing for common side effects, including:
1. Bradykinesia, akathisia, and agitation 2. Excessive weight gain 3. Hypertension 4. Potentially fatal agranulocytosis
MC When assessing the fetal heart rate you identify transient accelerations. Your initial intervention is to:
A. Do nothing, continue to monitor as this is a normal finding. B. Turn the mother onto her right side. C. Complete a vaginal examination to check for cervicle dilation. D. Check if premature rupture of membranes has occurred.