An obstetrical nurse is performing labor support for a 30-year-old woman who is experiencing her first pregnancy. The nurse has read in the patient's admission record that she experienced a sexual assault by a neighbor early in her pregnancy
What possible implication for this woman's care should the nurse identify?
A) The woman may be uncomfortable with removing her clothes or having pelvic exams.
B) The woman may have difficulty with initially bonding with her infant after the delivery.
C) The woman would benefit from the participation of a chaplain during her labor.
D) The woman should have a cesarean section rather than a vaginal delivery.
A
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A mother is concerned about what might have caused a heat rash on her infant. The nurse observes tiny pinhead-sized reddened papules on the infant's neck and axilla. What does the nurse explain as the most likely cause of this rash?
a. Sun exposure b. Allergic reaction c. Infection d. Heat and moisture
A client is admitted to the emergency department with a stab wound and is now presenting dyspnea, tachypnea, and sucking noise heard on inspiration and expiration. The nurse should care for the wound in which manner?
A) Clean the wound and leave open to the air. B) Apply vented dressing. C) Apply airtight dressing. D) Apply direct pressure to the wound.
An elevation in low-density lipoprotein (LDL) most likely would be related to which comorbid condition?
1. Diabetes mellitus 2. Renal insufficiency 3. Iron-deficiency anemia 4. Hyperthyroidism
A nurse is teaching a class on diet and nutrition. Which two forms of vitamin D are metabolically active? Select all that apply.
A) Ergocalciferol B) Cholecalciferol C) Tocopherol D) Menaquinone E) Phytonadione