The primigravida patient is in the second stage of labor. The fetal heart rate baseline is 170, with minimal variability present. The nurse performs fetal scalp stimulation. The patient's partner asks why the nurse did that
What is the best response by the nurse? "I stimulated the top of the baby's head to: 1. "Wake him up a little."
2. "Try to get his heart rate to accelerate."
3. "Calm the baby down before birth."
4. "Find out whether he is in distress."
2
Rationale 1: Waking the baby is not the goal or outcome of fetal scalp simulation.
Rationale 2: Fetal scalp stimulation is done when there is a question regarding fetal status. An acceleration indicates fetal well-being.
Rationale 3: Calming the baby is not the goal or outcome of fetal scalp simulation.
Rationale 4: The nurse wants to assess what the fetus does with stimulation.
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A nurse who works in a hospital clinic is describing ways of integrating genetics and genomics into nursing practice. Which of the following actions is most consistent with this role?
A) Planning treatment modalities for diseases that have patterns of inheritance B) Processing tissue samples to obtain genetic information C) Choosing options for patients after genetic testing has been completed D) Informing patients about the ethics of genetics and genomic concepts
The nurse is trying to improve the nutritional status of residents in the nursing home. Which recommendations should the nurse implement?
a. Develop a seating chart for the main din-ing room based on the unit to facilitate a more organized and efficient meal deli-very. b. Replace the fluorescent lighting with can-dles at every table to create a cozy, res-taurant-like atmosphere. c. Provide nutritious food according to the residents' expressed food preferences with a liberal use of seasonings that do not ex-ceed any sodium restrictions. d. Distribute "med-pass" nutritional supple-ments.
The nurse is caring for a thin, older adult client who is diagnosed with cancer and is receiving aggressive chemotherapy. The client is experiencing severe side effects from the therapy and has lost 10 pounds in the past week
What should the nurse teach the client to do? Select all that apply. A) Purchase fast foods and prepared foods. B) Eat cold foods rather than hot foods, because they are better tolerated. C) Keep a food diary and record intake. D) Eat large frequent meals high in calories. E) Drink liquid supplements to increase intake of nutrients.
Which is the antidote for heparin overdose?
a. Aspirin b. Packed red blood cells c. Vitamin K d. Protamine sulfate