A woman presents to the emergency department complaining of bleeding and cramping. The initial nursing history is significant for a last menstrual period 6 weeks ago
On sterile speculum examination, the primary care provider finds that the cervix is closed. The anticipated plan of care for this woman would be based on a probable diagnosis of which type of spontaneous abortion? a. Incomplete
b. Inevitable
c. Threatened
d. Septic
C
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A A woman with an incomplete abortion would present with heavy bleeding, mild-to-severe cramping, and cervical dilation.
B An inevitable abortion presents with the same symptoms as an incomplete abortion: heavy bleeding, mild-to-severe cramping, and cervical dilation.
C A woman with a threatened abortion presents with spotting, mild cramps, and no cervical dilation.
D A woman with a septic abortion presents with malodorous bleeding and typically a dilated cervix.
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A nurse hears screaming from a client's room. A male visitor leaves the client's room. Which is the nurse's priority action?
1. Call the police. 2. Notify the client's physician. 3. Follow the visitor. 4. Check on the client.
The nurse identifies the diagnosis Risk for Injury as appropriate for a client with metabolic acidosis. Which strategies should the nurse use to support this diagnosis?
Select all that apply. A) Apply wrist restraints and secure to the bed frame. B) Discuss chemical restraint use with the healthcare provider. C) Keep the bed in the lowest position. D) Keep bed side rails raised. E) Place a clock and calendar at the bedside.
A nurses who practice therapeutic use of self would include which of the following interventions in their care? (Select all that apply.)
a. Meditation d. Art therapy b. Active listening e. Presence c. Humor f. Progressive muscle relaxation
In a precipitate delivery in which no physician or midwife is present, the nurse should:
a. Press against the baby's head to delay delivery until help arrives. b. Instruct the woman to push during her contractions. c. Apply gentle pressure to the perineum and deliver the head between contractions. d. Use mechanical suction set on "low" to clear the baby's airway.