Delores, gravida 2, para 1, comes for a prenatal visit at 20 weeks of gestation. Her fundus is palpated 3 cm below the umbilicus. This finding is:
a. appropriate for gestational age.
b. lower than normal for gestational age.
c. higher than normal for gestational age.
d. a sign of impending complications.
B
By 20 weeks the fundus should reach the umbilicus.
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What is the correct nursing response to a mother who asks, "How can I get rid of the baby's cradle cap?"
a. "Rub baby oil on the infant's head at night and shampoo the hair the next morning." b. "Use a brush with firm bristles to loosen the scales on the baby's head several times a day." c. "Wash the baby's head every night with a dandruff-control shampoo." d. "Lubricate the baby's head every morning with a small amount of olive oil."
The nurse is providing discharge instructions to an older adult client who is going home after having a total knee replacement
Which will the nurse include in the discharge teaching to decrease the client's risk for developing a thrombosis or pulmonary embolism? Select all that apply. A) Place pillows under the knees when in bed. B) Use compression stockings. C) Limit ambulation. D) Limit fluids. E) Continue with leg exercises.
The nurse is caring for a client with a pulmonary embolism who is receiving heparin and must have an arterial blood gas (ABG) sample drawn
The nurse would arrange to remain in the room to be available to hold pressure on the puncture site for at least a. 1 minute. b. 2 minutes. c. 5 minutes. d. 10 minutes.
Sinus bradycardia (rate 56 beats per minute) is identified in a sleeping patient on telemetry. Which is the priority nursing action?
1. Assess the patient's tolerance of the rhythm. 2. Call the physician and report this dysrhythmia. 3. Check the medication administration record and see if there is a PRN medication that will improve this rhythm. 4. Call for an immediate 12-lead electrocardiogram (ECG).