Mary, a G3 TPAL 0020 woman at 20 weeks' gestation, has had a transvaginal ultrasound
Mary has been informed that she has cervical incompetence. The perinatal nurse explains that this diagnosis means that her cervix has __________ without __________ contractions.
Fill in the blank with the appropriate word.
ANS: dilated; regular
Patients with cervical incompetence usually present with painless dilation and effacement of the cervix, often during the second trimester of pregnancy. The patient frequently gives a history of repeated second trimester losses with no apparent etiology. Incompetent cervix is estimated to cause approximately 15% of all second trimester losses.
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A gerontologic nurse is aware of the demographic changes that are occurring in the United States, and this affects the way that the nurse plans and provides care. Which of the following phenomena is currently undergoing the most rapid and profound change?
A) More families are having to provide care for their aging members. B) Adult children find themselves participating in chronic disease management. C) A growing number of people live to a very old age. D) Elderly people are having more accidents, increasing the costs of health care.
Sensitivity testing is indicated when:
a. resistance is likely. b. more than one strain of organisms is present. c. small numbers of organisms are cultured. d. the patient has a history of treatment-resistant infection.
An 8-year-old girl is diagnosed as having tonic-clonic seizures. You would want to teach her parents that
A) their daughter should maintain an active lifestyle. B) if their daughter shows symptoms of beginning a seizure, immediately give her medication. C) their daughter should carry a padded tongue blade with her at all times. D) their daughter should be kept quiet late in the day when she is most likely to have a seizure.
A patient with ST-segment elevation in three contiguous electrocardiographic (ECG) leads is admitted to the emergency department (ED) and diagnosed as having an ST-segment-elevation myocardial infarction (STEMI)
Which question should the nurse ask to determine whether the patient is a candidate for thrombolytic therapy? a. "Do you have any allergies?" b. "Do you take aspirin on a daily basis?" c. "What time did your chest pain begin?" d. "Can you rate your chest pain using a 0 to 10 scale?"