When caring for the laboring patient, the nurse determines that the fetus is located in the right occiput posterior (ROA). What will the nurse anticipate?
a. Urinary retention
b. Severe lower back pain
c. A shorter labor process
d. Nausea
ANS: B
If the fetal occiput is in a posterior pelvic quadrant, each contraction pushes it against the mother's sacrum, resulting in persistent and poorly relieved back pain (back labor). Labor is often longer with this fetal position.
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A client is on mechanical ventilation and the client's spouse wonders why ranitidine (Zantac) is needed since the client "only has lung problems." What response by the nurse is best?
a. "It will increase the motility of the gastrointestinal tract." b. "It will keep the gastrointestinal tract functioning normally." c. "It will prepare the gastrointestinal tract for enteral feedings." d. "It will prevent ulcers from the stress of mechanical ventilation."
A young adult client is at 28 weeks' gestation. The prenatal history reveals past drug abuse, and urine screening indicates that she has recently used heroin
Which potential fetal health problem should the nurse use to select a nursing diagnosis to guide care? A) Congenital anomalies B) Abruptio placentae C) Diabetes mellitus D) Intrauterine growth restriction (IUGR)
A patient with a penicillin allergy is diagnosed with scarlet fever. Which medications should the nurse anticipate being prescribed for this patient?
Select all that apply. 1. amoxicillin 2. cefuroxime 3. erythromycin 4. dexamethasone 5. pseudoephedrine
What stool description would indicate constipation?
a. Firm stool passed without difficulty every 3 days b. Hard stool passed without difficulty every 2 days c. Soft brown stool passed with difficulty every 2 days d. Hard dry stool passed with difficulty every 3 days