Induction of labor is planned for a 31-year-old primip due to insulin-dependent diabetes. The patient is 39 weeks' gestation. She reports that she feels as though her baby has "flipped" in her abdomen. Which nursing action is most important?
1. Evaluate fetal maturity.
2. Administer dinoprostone (Prepidil ) vaginal gel.
3. Implement continuous electronic fetal monitoring (EFM).
4. Notify the patient's physician that the patient feels as though her baby has changed position.
Correct Answer: 4
Rationale 1: Malpresentation, such as breech, is a relative contraindication to induction of labor. Before proceeding with preparation for induction of labor, the patient will require additional evaluation by her physician before proceeding.
Rationale 2: Malpresentation, such as breech, is a relative contraindication to induction of labor. Before proceeding with preparation for induction of labor, the patient will require additional evaluation by her physician before proceeding.
Rationale 3: Malpresentation, such as breech, is a relative contraindication to induction of labor. Before proceeding with preparation for induction of labor, the patient will require additional evaluation by her physician before proceeding.
Rationale 4: Because malpresentation, such as breech, is a relative contraindication to induction of labor, the patient will require additional evaluation by her physician before proceeding.
You might also like to view...
There are several ways to encourage clients and their families to become educated consumers of CAM practices and products by gathering information about advantages, disadvantages, or risks related to CAM
Such information might be gained through: Standard Text: Select all that apply. 1. Contacting their state licensing board. 2. Personal testimonials from friends. 3. Reading the latest research. 4. Websites that report guides to fraud or quackery. 5. Nothing since there is no specific thing they can do to gain enough information to be an educated consumer.
In which scenarios could the elderly wife of a homebound patient likely be guilty of elder abuse?
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. The wife restrains the patient in bed while she goes to the grocery store. 2. The wife only bathes the patient three times a week. 3. The wife tries to "stretch" the patient's medications by giving one half doses twice a week. 4. The wife reports being afraid to intervene when the home health nursing assistant strikes the patient for soiling the bed. 5. The wife cries while telling the nurse that her husband often "yells and screams" when he doesn't feel well.
While recovering from surgery to repair an aneurysm the nurse is concerned the patient is experiencing vasospasm
What did the nurse assess in the patient? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Increased lethargy 2. Elevated body temperature 3. Nuchal rigidity 4. Dysphagia 5. Ventricular dysrhythmia
In terms of language and cognitive development, a 4-year-old child would be expected to have which traits? (Select all that apply.)
a. Think in abstract terms. b. Follow directional commands. c. Understand conservation of matter. d. Use sentences of eight words. e. Tell exaggerated stories. f. Comprehend another person's perspective.