Because most pregnant women continue their usual activities, trauma remains a common complication during pregnancy

Approximately 30,000 women in the United States experience treatable injuries related to trauma each year. As a result of the physiologic alterations that accompany pregnancy, special considerations for mother and fetus are necessary when trauma occurs. Match the maternal system adaptation in pregnancy with the clinical response to trauma.
a. Increased oxygen consumption d. Displacement of abdominal viscera
b. Increased heart rate e. Increase in clotting factors
c. Decreased gastric motility

46. Decreased placental perfusion in supine position

47. Increased risk of thrombus formation

48. Altered pain referral

49. Increased risk of acidosis

50. Increased risk of aspiration


46. ANS: B
47. ANS: E
48. ANS: D
49. ANS: A
50. ANS: C

Nursing

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A preschool-age child tells the nurse about an imaginary friend. The parents are concerned because the child refuses to do anything without the friend's help. Which nursing diagnosis is most applicable for the family?

A) Compromised family coping related to abnormal behavior of child B) Disturbed thought processes related to deep-set psychological need C) Parental anxiety related to lack of understanding of childhood development D) Social isolation related to unwillingness to relate except through imaginary friend

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An occupational health nurse should be aware of which of the following trends in the marketplace? (Select all that apply.)

a. A majority of new jobs will be in service-oriented employment. b. Employees will often have compressed work weeks, shift work, and reduced job security. c. A majority of positions will still be held by males. d. Many employees will be older and suffer chronic health problems.

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Clients who are psychotic because of underlying psychiatric illness are treated with antipsychotic medications. Typical antipsychotic medications can improve positive symptoms in clients with schizophrenia

Positive symptoms include which of the following? (Select all that apply.) a. Hallucinations b. Disorganized speech and behavior c. Anhedonia d. Delusions e. Agitation

Nursing

The homemaker/home health aide should check with the case manager before nail care to a client with

a. emphysema b. diabetes c. a heart condition d. a broken hip

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