The patient at 38 weeks' gestation has been diagnosed with oligohydramnios. Which statement indicates that teaching about the condition has been effective?
1. "My gestational diabetes might have caused this problem to develop."
2. "When I go into labor, I should come to the hospital right away."
3. "This problem is common, and will likely occur with my next pregnancy."
4. "Women with this condition usually go into labor after their due date."
2
Rationale 1: Gestational diabetes can lead to polyhydramnios, but does not cause oligohydramnios.
Rationale 2: The incidence of cord compression and resulting fetal distress is high when there is an inadequate amount of amniotic fluid to cushion the umbilical cord. Thus the patient with oligohydramnios should come to the hospital in early labor so that any fetal intolerance of labor that might develop is detected.
Rationale 3: Oligohydramnios occurs in 1% to 3% of pregnancies. It rarely recurs in subsequent pregnancies.
Rationale 4: The risk of fetal demise is increased with oligohydramnios. Labor is usually induced when the patient reaches term pregnancy to prevent fetal demise.
You might also like to view...
A nurse has an interview with the nurse recruiter at a large metropolitan hospital. During the nurse's education, clinical practice was conducted in smaller facilities
Which topics would be good for the applicant to focus on during the interview? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. Information regarding the position and the organization 2. The nurse's past experiences 3. Salary 4. Benefits 5. The nurse's strengths and weaknesses
The best response for the nurse who receives a query from another mental health professional
seeking to understand the difference between a DSM-IV-TR diagnosis and a nursing diagnosis would be a. "There is no functional difference between the two; both serve to identify a human deviance.". b. "The DSM-IV-TR diagnosis disregards culture, whereas the nursing diagnosis takes culture into account.". c. "The DSM-IV-TR diagnosis is associated with present distress or disability, whereas a nursing diagnosis considers past and present responses to actual mental health problems.". d. "The DSM-IV-TR diagnosis affects the choice of medical treatment, whereas the nursing diagnosis offers a framework for identifying interventions for phenomena a client is experiencing.".
An older diabetic patient has impaired mobility and decreased vision. The nurse examines the patient's feet at each clinical visit. The patient asks why this is necessary. What response by the nurse is best?
a. "It's part of our diabetic clinic visit pro-tocol." b. "You may not be able to see a sore on your feet." c. "Limited mobility may keep you from checking your feet. d. "You may get an ulcer and not be able to feel it."
I prefer to tell my staff what to do and rarely integrate them in the decision-making process. Which of my followers will benefit most from my use of these behaviors?
a. D1 b. D2 c. D3 d. D4