The client who is 35 weeks pregnant tells the nurse she had some contractions last night but they went away when she got up and walked around. The nurse correctly responds by saying:
1. "Those were probably Braxton-Hicks contractions, sometimes called false labor."
2. "You should have gone to the Labor and Delivery unit when the contractions started."
3. "If that happens again, you should lie down on your left side and drink something with sugar."
4. "If you had contractions last night, it probably indicates it will soon be time to deliver."
1
Rationale: Braxton-Hicks contractions, often called "false" labor, do not affect the cervix, and pose no harm to the client. They are often relieved by walking, while normal labor will advance with activity. There is no need for the client to do anything with Braxton-Hicks contractions.
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The client is discussing a newly diagnosed food allergy with the nurse. He is wondering why his infant is so allergic, and what he needs to know. Appropriate responses include:(Select all that apply) Standard Text: Select all that apply
1. Food allergies occur when the immune system reacts to the ingestion of certain food proteins 2. Many food allergies develop during childhood 3. Some of the common allergens are apples and pears 4. Severe allergic reactions can cause death 5. Introducing the suspected food in increasing amounts will allow the child to get over the allergy
The nurse working with a group of students whose friend committed suicide distinguishes between the stages of grief each student is exhibiting. The nurse identifies a student as being in denial when she says:
1. "She was so sad." 2. "She ran away." 3. "If we tell you how we feel, can we leave?" 4. "I don't want to be here."
Which of the following events caused attention that has resulted in the current emphasis on women's health?
a. Hillary Clinton and Sarah Palin's comments during the presidential race b. Political correctness, including addressing the rights of women c. New research studies that are focusing on women d. Women's movement from the 1970s
The nurse is caring for a postoperative patient who is receiving alteplase tPA (Activase) after developing a blood clot. The nurse notes a heart rate of 110 beats per minute and a blood pressure of 90/60 mm Hg. The nurse will perform which action?
a. Ask the patient about itching or shortness of breath. b. Assess the surgical dressing for bleeding. c. Evaluate the patient's urine output and fluid intake. d. Recheck the patient's vital signs in 15 minutes.