A woman who is gravida 3 para 2 enters the intrapartum unit. The most important nursing assessments are:
a. Contraction pattern, amount of discomfort, and pregnancy history.
b. Fetal heart rate, maternal vital signs, and the woman's nearness to birth.
c. Identification of ruptured membranes, the woman's gravida and para, and her support person.
d. Last food intake, when labor began, and cultural practices the couple desires.
B
All options describe relevant intrapartum nursing assessments, but the focus assessment has priority. If the maternal and fetal conditions are normal and birth is not imminent, other as-sessments can be performed in an unhurried manner.
This is an important nursing assessment, but does not take priority if the birth is imminent.
This is an assessment that can occur later in the admission process if time permits.
This part of the assessment can occur later in the admission process if time permits.
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A client is 36 weeks pregnant and is complaining of heartburn. What would be the most helpful nursing order?
a. Rest after each meal. b. Eat smaller and more frequent meals. c. Take an antacid tablet before each meal. d. Avoid fruits and vegetables high in acid content.
After undergoing diagnostic testing, a woman is diagnosed with a corpus luteum cyst. The nurse anticipates that the woman will require:
A) Biopsy B) No treatment C) Oral contraceptives D) Glucophage
Absorption of liquid antipsychotic medication compared to the absorption of the same antipsychotic medication in pill form is:
a. often somewhat faster with the liquid than with the pills b. slightly slower in liquid form compared to pill form c. much slower with the liquid form of the medication d. nearly always approximately the same length of time
An infant returns to the unit following surgical correction of bilateral congenital clubfeet. The infant has bilateral long-leg casts. The nurse notes that the toes on both feet are edematous, but there is color, sensitivity, and movement to them. Which action by the nurse is the priority?
1. Apply a warm, moist pack to the feet. 2. Elevate the legs on pillows. 3. Encourage movement of the toes. 4. Call the surgical provider to report the edema.