During a home visit the nurse observes a pregnant client assess fetal activity. Which observations indicate that the client understands the correct process for this count? Select all that apply
1. Sits in a chair
2. Assumes a side-lying position
3. Counts the same time every day
4. Watches television while counting
5. Begins counting 1 hour after a meal
2, 3, 5
Explanation:
1. The client should be in a side-lying position when assessing fetal activity.
2. A side-lying position is the position for assessing fetal activity.
3. The count should be conducted the same time every day.
4. The environment should be quiet during the count.
5. The count should occur about 1 hour after a meal.
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A patient has had a screening test for gestational diabetes and the 1-hour result is 250 mg/dL. What does the nurse conclude about this patient?
A. Results are high; the patient has gestational diabetes. B. Results are inconclusive; will repeat test in one month. C. Results are lower than expected; seek endocrine consult. D. Results are normal; no gestational diabetes.
During a rectovaginal examination, you should assess all of the following, EXCEPT
a. cervix and uterus for posterior lesions. c. rectovaginal septum for patency. b. rectouterine pouch for contour lesions. d. ovaries and fallopian tubes.
According to Engle's theory of grief, the nurse realizes that the stage of restitution and resolution can last:
a. from minutes to days. b. a few weeks. c. from 6 to 12 months. d. up to several years.
A client is prescribed medication after recovering from surgery to treat acromegaly. Which of the following medications would the nurse expect to see prescribed?
1. None 2. Cabergoline (Dostinex) 1 mg PO twice a week 3. Cortisone acetate (Cortone) 100 mg PO three times a day 4. Octreotide (Sandostatin) 20 mg IM every 4 weeks