Which laboratory result would be a cause for concern if exhibited by a woman at her first prenatal visit during the second month of her pregnancy?
a. Hematocrit 38%, hemoglobin 13 g/dl
b. White blood cell count 6000/mm3
c. Platelets 300,000/mm3
d. Rubella titer 1:6
D
A rubella titer of less than 1:10 indicates a lack of immunity to rubella, a viral infection that has the potential to cause teratogenic effects on fetal development. Arrangements should be made to administer the rubella vaccine after birth during the postpartum period because ad-ministration of rubella, a live vaccine, would be contraindicated during pregnancy. Women receiving the vaccine during the postpartum period should be cautioned to avoid pregnancy for 3 months.
The lab values for WBCs, platelets, and rubella titer are within the expected range for preg-nant women.
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The nurse teaches a class that which of the following is the first gender change to occur in the embryo?
A. Destruction of the "Y" chromosome in the female embryo B. Development of dominance in the primitive duct structure C. Formation of primitive external genitalia that are visible on ultrasound D. Spermatogenesis and oogenesis in male and female embryos, respectively
Which statement best reflects the nurse's therapeutic use of self with a patient who is refusing to take his or her ordered medications?
1. "Can you tell me what concerns you have about medications?" 2. "If you refuse your medications, you will just get sick again." 3. "Refusing your medications is your right, but it won't get you out of here." 4. "If you won't take your medication, I can't help you!"
When a client who has immigrated from India tells the nurse that his entire family uses Ayurvedic
medicine, the nurse should understand that conventional medical treatment most acceptable to the client will be that which a. is holistic. b. focuses on cure rather than prevention. c. offers synthetic medication rather than natural remedies. d. stresses group responsibility for health rather than individual responsibility.
Nurse managers often have a large span of control, which contributes to a heavy workload and leaves little time to think about problems. What other factor compounds a nurse manager's ability to find or implement a good solution to a problem?
a. interprofessional team b. shared governance c. "wicked" problems d. vertical integration