During a non-stress test, the nurse notes that the fetal heart rate decelerates about 15 beats during a period of fetal movement. The decelerations occur twice during the test, and last 20 seconds each
The nurse realizes these results will be interpreted as: 1. A negative test.
2. A reactive test.
3. A non-reactive test.
4. An equivocal test
3
Rationale:
1. Non-stress tests are scored as either reactive or non-reactive.
2. A reactive stress test has the expected results of an increase in heart rate of 15 beats per minute for 15 seconds or more.
3. In a non-reactive stress test, the reactivity criteria are not met. Since this client experienced a deceleration during the test, this is considered non-reactive.
4. Non-stress tests are scored as either reactive or non-reactive.
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The population health nurse is reviewing the goals for managing the care of a client. Which goal should the nurse identify as being client-centered?
1. Cost containment and cost-efficiency. 2. Improved quality of life. 3. Decreased paperwork. 4. Financial viability.
The nurse is administering a back massage to the client. Place the steps in the proper order of performance
Click on the down arrow for each response in the right column and select the correct choice from the list. Response 1. Massage the areas over the right and left iliac crests. Response 2. Move your hands up the center of the back. Response 3. Massage the sacral area using smooth, circular strokes. Response 4. Massage both scapulae. Response 5. Move your hands down the side of the back.
A pediatric nurse is assessing a 4-week-old boy who has just been admitted to the pediatric unit with a diagnosis of possible pyloric stenosis. When assessing this patient, what behavior would indicate pain in this newborn to the nurse?
A) Closed lips B) Extended fingers C) Nasolabial fold D) Eye widening
Organizations are required to follow specific behaviors and actions that provide nurses with the resources they need in order to efficiently delegate. Some of these are listed below. Which is not necessarily correct?
a. Maintain adequate staffing. b. Provide standards for ongoing supervision and periodic licensure/ competency verification and evaluation of all staff. c. Facilitate regular evidence-based reviews of critical standards, policies, procedures, nurses, and nursing diagnosis. d. Consider the need to develop a shared governance model of nursing practice encouraging active participation of all nurses in decision-making and delegation standards.