Because the risk for childbirth complications may be revealed, nurses should know that the point of maximal intensity (PMI) of the fetal heart tone (FHT) is:
a. Usually directly over the fetal abdomen.
b. In a vertex position heard above the mother's umbilicus.
c. Heard lower and closer to the midline of the mother's abdomen as the fetus descends and rotates internally.
d. In a breech position heard below the mother's umbilicus.
ANS: C
Nurses should be prepared for the shift. The PMI of the FHT usually is directly over the fetal back. In a vertex position it is heard below the mother's umbilicus. In a breech position it is heard above the mother's umbilicus.
You might also like to view...
A 40-year-old woman reports a change in mole size, accompanied by color changes, itching, burning, and bleeding over the past month. She has a dark complexion and has no family history of skin cancer, but she has had many blistering sunburns in the past
The nurse would: a. Tell the patient to watch the lesion and report back in 2 months. b. Refer the patient because of the suggestion of melanoma on the basis of her symptoms. c. Ask additional questions regarding environmental irritants that may have caused this condition. d. Tell the patient that these signs suggest a compound nevus, which is very common in young to middle-aged adults.
The young college student who wants a tan before spring break asks the nurse what the safest method would be. The nurse's best response is:
a. take advantage of morning sun while us-ing sunscreen with an SPF of 30. b. use a spray-on tanning solution. c. use a sun lamp for only 20 minutes a day. d. use a tanning salon for no more than 10 minutes per visit.
A nurse is providing teaching to a patient who is admitted to the hospital for initiation of treatment with amiodarone (Cordarone) for atrial fibrillation that has been refractory to other medications
Which statement by the patient indicates a need for further teaching? a. "I may have itching, malaise, and jaundice, but these symptoms will subside." b. "I need to use sun block to help keep my skin from turning bluish gray." c. "I should not drink grapefruit juice while taking this medication." d. "I should report shortness of breath and cough and stop taking the drug immediately."
The patient should have clothing on the lower body when using the sliding board.
Answer the following statement true (T) or false (F)