The nurse has admitted a woman with cervical insufficiency. The nurse is aware that causes of this condition include: Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Congenital factors.
2. Intercourse during pregnancy.
3. Infection.
4. Increased uterine volume.
5. Past cervical surgeries.
1,3,4,5
Rationale 1: Congenital factors such as a bicornuate uterus can cause cervical insufficiency.
Rationale 2: In a healthy pregnancy, intercourse does not cause cervical insufficiency.
Rationale 3: Infection or trauma can cause acquired cervical incompetence.
Rationale 4: Cervical insufficiency can occur in multiple-gestation pregnancies.
Rationale 5: Past surgeries or biopsies on the cervix that have shortened it can lead to cervical insufficiency.
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In a routine prenatal visit, the nurse examining a patient who is 37 weeks pregnant notices that the fetal heart rate (FHR) has dropped to 120 beats/min from a rate of 160 beats/min earlier in the pregnancy. What is the nurse's first action?
a. Ask if the patient has taken a sedative. b. Notify the physician. c. Turn the patient to her right side. d. Record the rate as a normal finding.
During an inpatient educational group, a client shouts out, "This information is worthless. Nothing you have said can help me." These statements indicate to a nurse leader that the client is assuming which group role?
1. The group role of aggressor 2. The group role of initiator 3. The group role of gatekeeper 4. The group role of blocker
The nurse is caring for a 15-year-old who just delivered a 32-weeks'-gestation stillborn infant with numerous defects. In caring for this client, the nurse knows which of the following?
1. The client will likely do no grieving, as she is so young and the pregnancy was probably a mistake in any case. 2. Adolescents have a sense of invulnerability, an "It can't happen to me" mentality. 3. The client's mother will handle her daughter's grief, so the nurse doesn't need to be concerned. 4. The nurse will remove the baby before the client sees it.
A client is diagnosed with Alzheimer's disease. In developing a teaching plan for the client's family members, the nurse bases the plan on the idea that Alzheimer's disease is a(n):
a. curable dementia-type illness. b. form of mental illness. c. chronic, progressive condition. d. acute, treatable disease.