As she nears her expected delivery date, a woman reports that she is breathing more easily but now has to urinate frequently. The nurse should explain to her that:
a. The symptoms are typical of false labor.
b. Cervical dilation puts pressure on the bladder.
c. She needs a urinalysis to rule out a bladder infection.
d. This is "lightening" caused by the fetus moving downward in the pelvis.
ANS: D
As the uterus descends into the maternal pelvis, pressure on the diaphragm decreases and pressure on the bladder increases. Therefore, breathing becomes easier and the woman feels the need to void often.
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The nurse has been invited to an informal nursing networking meeting at a church close to the hospital where she works. What should the nurse expect to encounter at this meeting?
1. A requirement to pledge money to the group by paying dues. 2. A focus on getting to know the others attending. 3. Presence of the local television network's news anchor. 4. A plea to support the church by donating time to events.
Age is a factor in different responses to pain. Which of the following age-related statements about pain is NOT true?
1. Preterm and newborn infants do not yet have functional pain pathways. 2. Painful experiences and prolonged exposure to analgesic drugs during pregnancy may permanently alter neuronal organization in the child. 3. Increases in the pain threshold in older adults may be related to peripheral neuropathies and changes in skin thickness. 4. Decreases in pain tolerance are evident in older adults.
The nurse manager of a mental health unit is concerned that staff may develop burnout. Which situation is most likely to cause repeated stress arousal in the staff?
1. Administering medications daily to patients with schizophrenia 2. Responding to hospital psychiatric emergencies once per month 3. Working without enough nursing staff every day for 6 weeks during staff vacations 4. Performing cardiopulmonary resuscitation (CPR) on a patient on rare occasions
A patient receives an inhaled corticosteroid to treat asthma. The patient asks the primary care NP why the drug is given by this route instead of orally. The NP should explain that the inhaled form:
a. is absorbed less quickly. b. has reduced bioavailability. c. has fewer systemic side effects. d. provides dosing that is easier to regulate.