A laboring woman complains of sudden, sharp, severe pain during a contraction, and when the contraction ceases, the pain is gone. What assessment by the nurse takes priority?
A. Abdominal palpation
B. Fetal heart tracing
C. Maternal vital signs
D. Intrauterine pressure
ANS: B
A ruptured uterus is an obstetrical emergency. A classic sign is sudden pain during a contraction that ceases abruptly. Uterine rupture may be incomplete and the woman may be asymptomatic. Changes in fetal heart tracings (e.g., sudden bradycardia, prolonged late or variable decelerations) are the most common signs and symptoms and frequently precede the onset of maternal symptoms (i.e., pain, bleeding). Although all assessments are appropriate, the first thing the nurse should do is assess the fetal heart tracings.
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The nurse is instructing a patient with hypertension about lifestyle modifications. Which instructions would be appropriate to include? Note: Credit will be given only if all correct choices and no incorrect choices are selected
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The nurse is admitting an 82-year-old woman to the short stay unit for same-day surgery. What information should the nurse have before beginning the interview process?
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