The perinatal nurse is providing care to Meghan, a 32-year-old G1 TPAL 0000 at 34 weeks gestation. Her blood pressure is 170/100, reflexes are +3, urine is 2+ for protein and Meghan is complaining of a headache
An intravenous solution of Magnesium Sulfate is begun with an hourly dose of 2 grams. One of the parameters that the perinatal nurse is observing carefully in Meghan's blood work is:
A) Hematocrit
B) Neutrophil count
C) Aspartate aminotransferase (AST)
D) Gamma-glutamyl transpeptidase
C
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The medication order reads "Ibuprofen 600 mg PO tid." The bottle is labeled "Ibuprofen 200 mg/tab." How many tablets should the nurse administer?
a. One b. Two c. Three d. Six
Bertha is a 71-year-old woman who takes daily medication for Hashimoto thyroiditis. Last winter, she developed pneumonia. While she did her best to run errands for her husband, she got tired easily and needed to rest frequently
One day, after shoveling the snow outside, her husband came inside to find Bertha lying on the sofa covered in blankets. Her face appeared puffy and her eyelids hung. When he spoke to her, Bertha's voice was hoarse and her words did not make sense to him. Her respirations were also shallow and slow. Suspecting low thyroid hormone levels were causing the signs, her husband called for an ambulance. When testing for hypothyroidism, why is the free T4 level an important measurement? What would the TSH and T4 test results indicate in someone with primary hypothyroidism? Using your knowledge of the function of thyroid hormone in the body, explain why Bertha's respiratory rate was decreased? Why might pleural effusion be present in someone with hypothyroidism? What factors in Bertha's history leave her susceptible to myxedematous coma? What are the physiological aspects involved in myxedematous coma?
The nurse is counseling a 28-year-old client, Carol, who has avoidant personality disorder
Carol has a good job and can superficially participate in social situations; however, she avoids them to the extent possible and frequently is anxious and lonely. Carol would like to accept a job promotion and eventually have a husband and family, but she cannot because of the symptoms associated with avoidant personality disorder. Which of the following therapeutic goals should the nurse establish as a priority? A) Carol will be able to accept her job promotion. B) Carol will experience increased self-esteem. C) Carol will explain the roots of her mental health problem. D) Carol will form a romantic relationship.
The healthy infant must accomplish both behavioral and biologic tasks to develop normally. Behavioral characteristics form the basis of the social capabilities of the infant
Newborns pass through a hierarchy of developmental challenges as they adapt to their environment and caregivers. This progression in behavior is the basis for the Brazelton Neonatal Behavioral Assessment (NBAS). Please match the cluster of neonatal behavior with the correct level on the NBAS scale. a. Habituation d. Autonomic stability b. Orientation e. Regulation of state c. Range of state 43. Signs of stress related to homeostatic adjustment 44. Ability to respond to discrete stimuli while asleep 45. Measure of general arousability 46. How the infant responds when aroused 47. Ability to attend to visual and auditory stimuli while alert