A woman is asking about a cesarean birth. The nurse explains that which of the following are appropriate indications for this type of birth? (Select all that apply.)
A.
Active genital herpes
B.
Certain fetal malpresentations
C.
Maternal request
D.
Some multiple gestations
E.
Umbilical cord prolapse
ANS: A, B, D, E
Cesarean birth should be reserved for instances where the health of the mother or her fetus is jeopardized. Many conditions can lead to the need for a cesarean birth, but maternal request is not one of them.
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The nurse is likely to expect to find which of the following symptoms upon assessment of a patient with an acoustic neuroma who has been admitted to the oncology unit?
A) Loss of hearing, tinnitus, and vertigo B) Loss of vision, change in mental status, and hyperthermia C) Loss of hearing, increased sodium retention, and hypertension D) Loss of vision, headache, and tachycardia
What clinical sign is responsible for her blue, highly vascular cervix?
A 26-year-old telephone operator comes to your office for her first prenatal visit. This is her first pregnancy. Her last period was about 2 months ago. She has no current complaints. She is eating healthily, taking vitamins, and exercising. She has a past medical history of an appendectomy as a teenager. Her mother had three children vaginally with no complications. On examination she appears healthy and her vital signs are unremarkable. Her head, eyes, ears, nose, throat, thyroid, cardiac, pulmonary, and abdominal examinations are also unremarkable. By speculum examination, her cervix appears bluish in color and highly vascular. A bimanual examination reveals a soft cervix and a 12-week-sized uterus. No masses are felt in either adnexal area. Results of her Pap, cultures, and blood work are pending. A) Chadwick's sign B) Hegar's sign C) Leopold's sign D) Leo's sign
Religious affiliation is measured on the:
A) Nominal scale B) Ordinal scale C) Interval scale D) Ratio scale
A nurse is developing nursing diagnoses for a group of patients. Which nursing diagnoses will the nurse use? (Select all that apply.)
a. Anxiety related to barium enema b. Impaired gas exchange related to asthma c. Impaired physical mobility related to incisional pain d. Nausea related to adverse effect of cancer medication e. Risk for falls related to nursing assistive personnel leaving bedrail down