A client at 37 weeks' gestation has a mildly elevated blood pressure. Her antenatal testing demonstrates a fetal heart rate baseline of 150 with three contractions in 10 minutes, no decelerations, and accelerations four times in 1 hour
This test would be considered a: 1. Positive nonstress test.
2. Negative contraction stress test.
3. Positive contraction stress test.
4. Negative nonstress test.
2
Rationale:
1. The fact that the contractions are present rules out the nonstress test.
2. The desired result is a negative contraction stress test; this means that there are three contractions in 10 minutes, without decelerations.
3. A positive contraction stress test is undesirable because the fetus is experiencing decelerations with over half the contractions.
4. The fact that the contractions are present rules out the nonstress test.
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The nurse is teaching parents and an adolescent who has a chronic condition to transition the adolescent to health care for a young adult. What challenges might the parents and adolescent face?
1. The adolescent and parents might be anxious for this transition. 2. The adolescent and parents are not ready to end the current relationship. 3. Adult health care providers are willing to accept adolescents with chronic conditions. 4. Once the adolescent reaches 21 years of age, he automatically will be insured.
Which of the following is not a form of nonrandom sampling?
A. snowball sampling B. convenience sampling C. purposive sampling D. All are forms of nonrandom sampling.
The community health nurse determines that the adult population in the community has an increased incidence of vaccine preventable disease. Which of the following are factors that may contribute to low vaccination levels among adults? Select all that apply.
A) Lack of comprehensive vaccine delivery systems to the public and private sectors for adults (similar to the Vaccines for Children program for children)
B) Lack of statutory requirements for vaccination of adults
C) Health care providers may lack current information about recommended adult immunizations and may miss opportunities to vaccinate adults during contacts in offices, outpatient clinics, and hospitals.
D) Adults fear injections for immunizations but do not worry about adverse effects after vaccination.
E) A multitude of comprehensive vaccination programs exist in settings where healthy adults congregate such as workplaces and other locations.
A client has an episiotomy to widen her birth canal. Birth extends the incision into the anal sphincter. This complication is called:
a. a first-degree laceration b. a second-degree laceration c. a third-degree laceration d. a fourth-degree laceration