A patient at 32 weeks' gestation is admitted with painless vaginal bleeding. Placenta previa has been confirmed by ultrasound

What should be included in the nursing plan? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. No vaginal exams
2. Encouraging activity
3. No intravenous access until labor begins
4. Evaluating fetal heart rate with an external monitor
5. Monitoring blood loss, pain, and uterine contractility


1,4,5
Rationale 1: Expectant management of placenta previa, when the patient is at less than 37 weeks' gestation, includes no vaginal exams.
Rationale 2: In cases of placenta previa, activity should not be encouraged.
Rationale 3: In cases of placenta previa, an intravenous access would be initiated before labor began.
Rationale 4: Expectant management of placenta previa, when the patient is at less than 37 weeks' gestation, includes evaluating FHR with an external monitor.
Rationale 5: Expectant management of placenta previa, when the patient is at less than 37 weeks' gestation, includes monitoring blood loss, pain, and uterine contractility.

Nursing

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Match the pelvic types with their descriptions. Pelvic types may be used more than once

a. Gynecoid _____ Best suited for childbirth b. Android _____ Fetal descent more likely to be in a posterior presentation c. Anthropoid _____Fetal descent is often in a transverse presentation d. Platypelloid _____ Triangular or heart-shaped _____ Only found in 3% of women _____ Traditional form found in about 50% of women _____Oval shaped at the inlet but in the anterior-posterior plane _____ Characteristics cause difficulty during fetal descent

Nursing

The nurse is preparing an educational program for nursing assistants at a long-term care facility about psychiatric issues in older patients. Which symptoms should the nurse include? Standard Text: Select all that apply

1. Flat affect 2. Fear of death 3. Changes in sleep patterns 4. Delusions and hallucinations 5. Difficulty in performing ADLs

Nursing

Women with a normal body mass index are recommended to have a weight gain of how many pounds during pregnancy?

a. 15 to 20 b. 20 to 40 c. 25 to 35 d. 30 to 45

Nursing

A lawsuit has been filed against the hospital for terminating an employee for excessive tardiness and absenteeism. The defendant's attorney has contacted nurses who worked with this employee to testify in the case

Which statements would best support the defendant's case? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. "I didn't work the same shift." 2. "The employee called in sick on several consecutive Fridays." 3. "She often asked me to cover for her while she took her kids to school." 4. "She was never late or absent during the 6 months I worked with her." 5. "Her absences affected the work flow on our unit."

Nursing