"I want to get pregnant as soon as possible now that I'm married," a 43-year-old female says to the nurse. Which of the following would be the most appropriate response by the nurse?

a. "Having a child will certainly cement your new marriage and give it a focus."
b. "It's understandable that your 'biological clock is ticking' and time is running out."
c. "You're right, once you hit menopause you won't be able to have a child."
d. "We will help you, but you need to know that there are more risks for you at your age."


ANS: D
An additional risk factor, regardless of race, is advancing age. Women aged 40 years and older have over three times the risk of dying of a pregnancy-related cause as women aged 30 to 39 years. Intrinsic maternal factors, such as increasing frequency of hypertension and a greater likelihood of uterine hemorrhage, help explain this increase in the mortality rate. The other responses are not therapeutic responses by the nurse. It is important for the nurse to educate the woman that there can be more risks associated with becoming pregnant after age 40.

Nursing

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When a patient is experiencing a panic attack, the nurse coaches the patient in:

a. reality orientation. b. decision making. c. rational thought. d. deep breathing.

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What nursing intervention should the nurse use to prevent complications of immobility in a client who has had a stroke?

A. Obtain an order for speech therapy B. Apply sequential compression stockings. C. Instruct the client to turn the head from side to side. D. Teach the client to touch and use both sides of the body.

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A patient who had an exploratory laparoscopic surgical procedure 36 hours ago reports feeling shoulder pain. How should the nurse respond?

A. "This pain should go away soon." B. "You are likely not sleeping well, which can lead to shoulder discomfort." C. "This pain is caused by the gases used during the surgical procedure." D. "The surgical table is famous for causing patients shoulder pain after procedures."

Nursing

0.6 ÷ 0.02 = 

Fill in the blank(s) with the appropriate word(s).

Nursing