When instructing a client how to perform fetal movement counting, what directions should the nurse include?
a. Record start time. Count until four move-ments are palpated, and record stop time.
b. Count fetal movements anytime during the day.
c. Notify the physician if less than three fetal movements occur within 1 hour.
d. Fetal movements are best felt before meal-time.
C
The health care provider should be notified if less than three movements occur within 1 hour, because this indicates the need for follow-up with a NST or biophysical profile. The mother should count until ten movements are felt. The mother can perform fetal movement counting by selecting a predetermined time interval, but this should be performed at the same time each day. Fetal movements are more noticeable during and immediately after meals.
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The goal of the Community Support Systems model is to
1. monitor clients' behavior. 2. move the mentally ill out of the institution. 3. create a support system through the use of family and friends. 4. create a support system through the use of coordinated services.
A client asks the nurse about a new treatment for Alzheimer disease that the client found during a search of the Internet. The treatment is based upon alternative medicine strategies. How should the nurse respond to questions about this treatment?
1. Since the treatment was discovered on the Internet, it is probably not valid. 2. Because the treatment is based upon alternative medicine strategies, it is probably not valid. 3. The treatment must be researched and found to be valid before it can be added to the Internet. 4. The treatment may be valid, but further investigation should be done before it is trusted.
When the nurse observes small, raised white spots on a newborn infant's chin, nose, and forehead, he or she should document the presence of:
A. lanugo. B. milia. C. vernix caseosa. D. erythema toxicum.
Which of the following would be the most likely source of funding for services provided in a comprehensive primary care center?
A) Government grants B) Medical insurance plans C) Another nurse-managed care center D) Private contracts