A client states that her water broke 2 hours ago. What findings should the nurse identify as indications of normal labor? Select all that apply
1. Protein of +1 in urine
2. Maternal pulse of 160
3. Blood pressure of 120/80
4. Odorless, clear fluid on underwear
5. Fetal heart rate (FHR) of 130 with average variability
3, 4, 5
Explanation:
1. Proteinuria of +1 or more could be a sign of preeclampsia.
2. A pulse of 60 to 100 is a normal indication.
3. Maternal vital sign of blood pressure below 120/80 is a normal indication.
4. Fluid clear and without odor is a normal indication.
5. FHR 120 to 160 with variability is a normal indication.
You might also like to view...
An excess vitamin C intake:
A) Improves cardiovascular circulation. B) Is recommended for treatment of hypertension. C) Will be eliminated by urination. D) Increases the risk for vitamin toxicity.
The Emergency Department physician has closed a laceration with tissue adhesive. The nurse provides the client with instruction regarding which type of wound healing?
A) Delayed closure B) Secondary healing C) Primary intention D) Open approximation
A nurse is entering the health care workforce. Which of the following expectations should the nurse have for the workforce? (Select all that apply.)
a. There is a shortage of nurses in the United States. b. Schools of nursing turn away qualified applicants due to lack of faculty and limi-tations of clinical sites. c. By 2016 there are expected to be 527,000 new nursing positions. d. More students are choosing laboratory science, pharmacy technology, and radi-ology technology over nursing. e. There is a shortage of physician specialists in the United States.
An older adult male patient with long-term heart failure has presented for an office visit. The nurse obtains information that he has recently begun taking St. John's wort. What results with the use of this herbal supplement?
a. Digoxin toxicity b. Altered potassium electrolyte balance c. Reduced therapeutic benefits of digoxin d. Enhanced digoxin effectiveness without producing toxicity