The priority nursing intervention when admitting a pregnant woman who has experienced a bleeding episode in late pregnancy is to
a. Assess fetal heart rate (FHR) and maternal vital signs.
b. Perform a venipuncture for hemoglobin and hematocrit levels.
c. Place clean disposable pads to collect any drainage.
d. Monitor uterine contractions.
A
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A Assessment of the FHR and maternal vital signs will assist the nurse in
determining the degree of the blood loss and its effect on the mother and fetus.
B The most important assessment is to check mother/fetal well-being. The blood
levels can be obtained later.
C It is important to assess future bleeding, but the top priority is mother/fetal
well-being.
D Monitoring uterine contractions is important, but not the top priority.
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A 43-year-old patient has just had a positive pregnancy test. She cries, and states, "I just don't know what I'll do. I can't be pregnant." Which nursing diagnosis would be the most appropriate?
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What is the primary difficulty for which people older than age 15 may need rehabilitation services?
A. Activities of daily living, such as bathing or going to the toilet B. Functional activities, such as walking or climbing stairs C. Instrumental activities, such as preparing meals or paying bills D. Use of assistive aids, such as walkers, canes, or wheelchairs
The nurse is collecting information from the parents of a 3-year-old child about her sleeping patterns. Which question by the nurse will best elicit information from the parents?
A) "How are things going at home?" B) "Is your child sleeping well at night?" C) "How many hours does your child sleep at night?" D) "What time does your child go to bed at night?"