The nurse is caring for a patient at 30 weeks' gestation who is experiencing preterm premature rupture of membranes (PPROM). Which statement indicates that the patient needs additional teaching? "If I:
1. "Were having a singleton pregnancy instead of twins, my membranes would probably not have ruptured."
2. "Develop a urinary tract infection in my next pregnancy, I might rupture membranes early again."
3. "Want to become pregnant again, I will have to plan on being on bed rest for the whole pregnancy."
4. "Have bleeding in the third trimester of my next pregnancy, I might rupture membranes again."
3
Rationale 1: Multifetal gestation increases the risk for PPROM.
Rationale 2: A UTI increases the risk for PPROM.
Rationale 3: There is no evidence that bed rest in a subsequent pregnancy decreases the risk for PPROM.
Rationale 4: Second- or third-trimester bleeding increases the risk for PPROM.
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A student nurse is looking for research articles that can be used to complete a research paper. Where can the nursing student look to quickly find out if an article is research or clinically based?
a. p value b. Abstract c. Analysis d. Literature review
A client was abducted and raped at gunpoint by an unknown assailant. When found she was
confused and disoriented. What behaviors would indicate that the client is in the acute phase of the rape-trauma syndrome? a. Confusion and disbelief b. Flashbacks and dreams c. Decreased motor activity d. Fears and phobias
The nurse is caring for a client postoperatively after undergoing a coronary artery bypass graft. What intervention can the nurse provide to reduce the risk of the development of wound dehiscence?
A) Encourage oral fluids. B) Assess lung sounds every 8 hours. C) Suction the client every 2 hours. D) Assist the client to splint with a pillow when coughing and deep breathing.
Which of the following assessment findings would be least suggestive of child abuse?
A) Consistent delays in seeking treatment for the child's injuries B) Frequent changes in history information with visits C) Injuries that are inconsistent with the reported traumatic event D) Sexual behavior that correlates with child's developmental age