What assessment should you make to gain further information from D.H.?
What will be an ideal response?
• Contraction pattern: Palpate abdomen for strength of contractions, frequency, and duration.
• Cervical dilation and effacement, presentation, and position.
• Amniotic membrane status.
• Fetal heart rate (FHR): It is common to use a hand-held Doppler monitor; note rate and any slowing
or acceleration.
• Support systems and how she is coping with her contractions.
• Vital signs.
• Obtain a clean-catch urine specimen.
• Draw blood for a CBC. If the woman's blood type has not been verified, blood is drawn to
determine type and Rh factor.
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The nursing instructor explains the Essentials of Genetic and Genomic Nursing: Competencies, Curricula Guidelines, and Outcome Indicators. What information does the faculty member include? (Select all that apply.)
a. Fifty nursing organizations laid the foundation for the first edition published in 2005 b. Creates nursing responsibilities outside the traditional scope of practice boundaries c. Outlines the minimum genetics and genomics competencies needed by all registered nurses d. Provides funding information for nurses interested in genetic and genomic research activities e. Requires advanced practice nurses in all fields to have a set of minimum competencies
Which of the following best describes why there are more long-term consequences (such as death) to a driver injured in a truck accident in a rural area than a driver injured in a truck accident in an urban area? (Select all that apply.)
a. Rural drivers are more likely to speed over long distances than urban drivers. b. Rural drivers are not as skilled with vehicles as urban drivers, so they are more severely injured in a crash. c. The urban driver is taken immediately for care, whereas the rural driver might be injured on an isolated field and not found by anyone for hours. d. Urban drivers are more likely to use their seat belts than rural drivers. e. Urban drivers are probably rushed to an emergency department, whereas the rural driver lives far away from emergency services, often over bad roads and possibly through severe weather. f. Urban drivers trade their vehicles in rather frequently, whereas rural drivers keep their vehicles for as long as they can make them run, so the vehicles are much less roadworthy.
A male patient is having difficulty using the urinal in bed. What does the nurse do to facilitate voiding into the urinal?
a. Applies an external urinary catheter b. Assists the patient to the upright position c. Encourages the patient to void every hour d. Instructs the patient to increase his fluid intake
A client scheduled for complex heart surgery has been reading the Bible for hours each day, cries often, and is not sleeping well. What might these observations cue the nurse about the client?
A) These behaviors are expected before major surgery. B) These behaviors are signs of spiritual distress. C) Family members live far away and the client is lonely. D) The client is naturally emotional and reactive.