The nurse caring for a patient in labor anticipates fetal macrosomia and shoulder dystocia
Appropriate management of shoulder dystocia is essential in order to prevent which fetal complications? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Brachial plexus injury
2. Fractured clavicle
3. Asphyxia
4. Neurological damage
5. Puerperal infection
1,2,3,4
Rationale 1: Brachial plexus injury occurs due to improper or excessive traction applied to the fetal head.
Rationale 2: Fractured clavicles can occur as a result of the excessive traction applied to the fetal head.
Rationale 3: Asphyxia of the fetus can occur during this obstetric emergency and the possible inability to deliver the fetal body.
Rationale 4: Neurological damage can result from excessive traction applied to the fetal head and the increased incidence of vacuum and forceps birth.
Rationale 5: This is a risk for the mother, not for the fetus.
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When a nurse is to administer a medication to a client using the Z-track method, which of these sites is preferred?
a. deltoid c. dorsogluteal b. quadriceps d. ventrogluteal
The nurse is performing a detailed mental status assessment of an older adult patient who has a diagnosis of mild Alzheimer's disease. What assessment most accurately gauges the patient's abstract reasoning?
A) "What city and state are we in right now?" B) "What would you do if you found a stamped envelope on the street?" C) "If you divide 16 by four and then double it, what do you get?" D) "How do you believe that Alzheimer's disease is affecting you?"
As an adjunct to inductions, a number of procedures to ripen the cervix are employed. One of these methods is the vaginal administration of preparations using prostaglandins
Before administering this medication, the nurse should be aware that this class of drug is an appropriate choice for women who have had a prior cesarean birth. Is this statement true or false? Indicate whether the statement is true or false
Which of the following statements represents a true difference between the fluids and electrolytes of a child compared to those of an adult?
a. Water constitutes a smaller percent of the body weight of children. b. A smaller percent of the body weight is in the extracellular compartment in children. c. Infants and children have a relatively greater body surface area than adults. d. Infants and children have a lower basal metabolic rate than adults.