The nurse caring for a woman in labor understands that the primary risk associated with an amniotomy is
a. Maternal infection
b. Maternal hemorrhage
c. Prolapse of the umbilical cord
d. Separation of the placenta
C
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A Infection is a risk of amniotomy, but not the primary concern.
B Maternal hemorrhage is not associated with amniotomy.
C When the membranes are ruptured, the umbilical cord may come downward with
the flow of amniotic fluid and become trapped in front of the presenting part.
D This may occur if the uterus is overdistended before the amniotomy, but it is not
the major concern.
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An African American patient has been admitted to the medical unit with liver disease. To correctly assess this patient for jaundice, on what area of the body would the nurse look for yellow discoloration?
A) Elbows B) Lips C) Nail beds D) Sclerae
When caring for an intubated patient on mechanical ventilation using positive end-expiratory pressure (PEEP), the nurse continually assesses for which potential complication?
A) Lung injury due to barotraumas B) Pulmonary emboli C) Cor pulmonale D) Pulmonary edema
The nurse is presenting a class of important "dos and don'ts" during pregnancy, including travel considerations. What method of travel does the nurse recommend as most appropriate for a patient in her 25th week of pregnancy?
1. Automobile 2. Airplane 3. Train 4. None; this patient should not travel.
A client asks the nurse to explain the difference between stable and unstable angina. What is the best response by the nurse?
1. "Stable angina is predictable in its frequency, intensity, and duration. Unstable angina is when angina episodes become more frequent or severe, and occur during periods of rest." 2. "Unstable angina is caused by spasms of the coronary arteries. Stable angina is when angina episodes become more frequent or severe, and occur during periods of rest." 3. "Unstable angina is predictable in its frequency, intensity, and duration. Stable angina is when angina episodes become more frequent or severe, and occur during periods of rest." 4. "Stable angina is caused by spasms of the coronary arteries. Unstable angina is when angina episodes become more frequent or severe, and occur during periods of rest."