The nurse is providing care to a pregnant woman in preterm labor. The patient is 32 weeks pregnant. Initially, the patient states, "I've gained 30 pounds. That should be enough for the baby. Everything will be okay if I deliver now
" After teaching the patient about fetal development, the nurse will know her teaching is effective if the patient makes which of the following statements?
a. "The baby's lungs are well developed now, but he will be at increased risk for SIDS if I deliver early."
b. "We should try to stop this labor now because the baby will be born with sleep apnea if I deliver this early."
c. "If I deliver this early my baby is at risk for respiratory distress syndrome, a condition that can be life threatening."
d. "Thanks for reassuring me; I was pretty sure there isn't much risk to the baby this far along in my pregnancy."
C
Premature infants (younger than 33 weeks' gestation) are born before the alveolar surfactant system is fully developed. Therefore, they are at high risk for respiratory distress syndrome (RDS). RDS is characterized by widespread atelectasis (collapse of alveoli), usually related to a deficiency of surfactant that keeps air sacs open.
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Vaginal exam findings reveal a slitlike opening of the cervix. What is the correct interpretation of this finding with regard to obstetric history?
a. Client has not been pregnant. b. Client has had a C section as a method of birth. c. Client has been treated for an STD with resultant scarring of the cervix. d. Client has a history of pregnancy.
A nurse is assigned to six acutely ill patients. The nurse is very careful with administering all medications and treatments accurately and safely to all clients. Legally, which of the following should the nurse be most concerned with?
a. Hear no evil, see no evil, speak no evil. b. Haste makes waste. c. If it wasn't charted, it wasn't done. d. A bird in the hand is worth more than two in the bush.
Major activities in nursing intervention research include:
A) Conceptualization of the problem B) Identification of possible pitfalls C) Consultation with experts D) A design for a pilot study
A patient will receive intravenous midazolam (Versed) combined with fentanyl while undergoing an endoscopic procedure. The nurse is explaining the reasons for this to a nursing student before the procedure
Which statement by the student indicates understanding of the teaching? a. "The patient may appear anxious and restless during the procedure." b. "The patient will be unconscious during the procedure." c. "The patient will not need cardiorespiratory support during the procedure." d. "The patient will not remember the procedure."