Which of the following routine nursing assessments is contraindicated for a client admitted with suspected placenta previa?

a. Monitoring fetal heart rate and maternal vital signs
b. Observing vaginal bleeding or leakage of amniotic fluid
c. Determining frequency, duration, and intensity of contractions
d. Determining cervical dilation and effacement


D
Vaginal examination of the cervix may result in perforation of the placenta and subsequent hemorrhage.

Nursing

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The nurse is providing discharge instructions to a patient who has had sleep alterations. The following statements by the patient indicate further education is needed

a. "I should avoid drinking caffeine too close to bedtime." b. "I should not eat anything too close to bedtime." c. "I should exercise regularly to help with sleeping." d. "I can gain weight if I don't sleep enough."

Nursing

A patient asks which method of contraception will provide the greatest protection against gonorrhea. What method can the nurse recommend?

1. Oral contraceptives 2. Male condoms 3. Sponges 4. Spermicides

Nursing

A nurse has instructed a clinic patient about collecting a specimen for a routine urinalysis. The patient makes the following statements. Which one indicates a need for more teaching?

A) "I need to tell you that I am having my menstrual period." B) "I will void into the specimen bottle you gave me." C) "I will keep the toilet paper in the specimen." D) "I will be sure that no stool is included in my urine."

Nursing

When a nurse obtains an arterial blood sample from an arterial line, she notices that the specimen obtained is dark. What condition might this finding indicate?

A) Hypoxemia B) Hypoxia C) Anemia D) Infiltration of the line

Nursing