The nurse is orienting a new graduate nurse to the labor and birth unit. Which statement indicates that teaching about a client admission has been effective?"
1. "A vaginal examination is performed if delivery appears to be imminent."
2. "Her prenatal record is reviewed for indications of domestic abuse."
3. "She will be positioned supine to facilitate a normal blood pressure."
4. "A urine specimen is obtained by catheter to check for protein and ketones."
1
Explanation:
1. Unless delivery seems imminent because the client is bearing down or contractions are very close and strong, the vaginal examination is performed after the vital signs are obtained.
2. Domestic abuse is not the sole reason the prenatal record is examined; any complications of pregnancy are noted.
3. Supine position predisposes the client to supine hypotension syndrome; side-lying is preferred.
4. A midstream clean-catch specimen is obtained to assess for proteinuria and ketonuria.
You might also like to view...
What should the nurse instruct an older patient to do to cope with age-associated cognitive changes? Standard Text: Select all that apply
1. Read daily. 2. Write "notes to self." 3. Play computer games. 4. Learn memory enhancement techniques. 5. Expect others to call attention to any gaffes.
The nurse, caring for a client with an altered breathing pattern, is concerned that the client's health status is changing. Which of the following stimulates ventilation?
1. Decrease in the concentration of hydrogen ions in the blood 2. Increase in the concentration of carbon dioxide in the blood 3. Increase in blood oxygen concentration 4. Increase in concentration of bicarbonate ions in the blood
When assessing a full-term newborn, the nurse notes tremor-like movements. The nurse is aware that further evaluation is indicated to rule out: Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. Low spinal cord defects. 2. Hypoglycemia. 3. Hypocalcemia. 4. Substance withdrawal. 5. Neurologic damage.
An older client has recently moved to a nursing home. The client has trouble concentrating and socially isolates. A physician believes the client would benefit from medication therapy
Which medication should the nurse expect the physician to prescribe? A. Haloperidol (Haldol) B. Donepezil (Aricept) C. Diazepam (Valium) D. Sertraline (Zoloft)