A laboring client's obstetrician has suggested amniotomy as a method for inducing labor. Which assessment(s) must be made just before the amniotomy is performed?
1. Maternal temperature, BP, and pulse
2. Estimation of fetal birth weight
3. Fetal presentation, position, and station
4. Biparietal diameter
3
Explanation: 3. Before an amniotomy is performed, the fetus is assessed for presentation, position, station, and FHR.
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Which of these observations of a client's IV infusion site would indicate to the nurse that no complications have developed?
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A client with severe and persistent schizophrenia is seen at the adult outpatient clinic. He is
delusional and experiencing auditory hallucinations. He tells the nurse "I am here to save the world. I threw away the pills because they interfere with hearing God's voice.". The nurse identifies the client's reason for medication nonadherence as a. poor therapeutic alliance with clinicians. b. inadequate discharge planning. c. dislike of side effects. d. poor insight.
Elderly Hispanics rate their overall health significantly higher than those from other ethnic groups
Indicate whether the statement is true or false
A patient with morbid obesity was enrolled in a weight loss program last month and has attended four weekly meetings
But now he believes he no longer needs to attend meetings because he has "learned what to do." He informs the nurse facilitator about his decision to quit the program. What should the nurse tell him? 1) "By now you have successfully completed the steps of the change process. You should be able to successfully lose the rest of the weight on your own." 2) "Although you have learned some healthy habits, you will need at least another 6 weeks before you can quit the program and have success." 3) "You have done well in this program. However, it is important to continue in the program to learn how to maintain weight loss. Otherwise, you are likely to return to your previous lifestyle." 4) "You have entered the ‘determination stage' and are ready to make positive changes that you can keep for the rest of your life. If you need additional help, you can come back at a later time."