A woman who is 40 weeks pregnant calls the labor suite to ask whether she should be evaluated. Which statements by the patient indicate she is likely in labor? Note: Credit will be given only for all correct choices and no incorrect choices
Select all that apply. 1. "The contractions are 5–20 minutes apart.".
2. "I had pink discharge on the toilet paper.".
3. "I have had cramping for the past 3–4 hours.".
4. "The contractions are about a minute long and I am unable to talk through them.".
5. "The contractions hurt more when I walk.".
4,5
Rationale 1: This is the latent stage, or could be false labor.
Rationale 2: This is bloody show, and could mean labor will start in a few hours or a few days.
Rationale 3: This is likely the latent phase of labor, but the patient does not need to go to the hospital at this time.
Rationale 4: This is definitely true labor. The contractions are a minute long, plus the patient is unable to speak during contractions.
Rationale 5: It is a sign of true labor when the patient is unable to walk during the contraction.
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A term infant's initial blood glucose level is 42 mg/dL. What action by the nurse is most appropriate?
A. Document the findings in the infant's chart. B. Encourage the mother to initiate breastfeeding. C. Prepare to administer intravenous glucose. D. Recheck the blood glucose in 2 hours.
Other than China, from which country did the largest number of Asian Legal Permanent Residents identify as their nation of origin in the 2010 census?
A. India B. Indonesia C. Vietnam D. South Korea
In the morning, a nurse receives change-of-shift report on four pediatric clients, each of whom has some form of fluid-volume excess. Which of the children should the nurse see first?
1. The child with tachypnea and pulmonary congestion 2. The child with hepatomegaly and normal respiratory rate 3. The child with dependent and sacral edema and regular pulse 4. The child with periorbital edema and normal respiratory rate
A client who has diabetes mellitus is diagnosed with tuberculosis and has been prescribed multiple-drug therapy. What instruction should the nurse provide to this client?
1. These medications can cause hypoglycemia, so you should always carry a sugar source. 2. Test your blood glucose more frequently while on these medications. 3. If your blood glucose levels elevate consistently, contact us. 4. Take your medication for diabetes at least 6 hours after taking these medications. 5. While on these medications, you will be more prone to infections in your feet.