The nurse is reviewing the medical history of a pregnant client being considered for cervical ripening. Which data indicate that the order for misoprostol (Cytotec) should be reconsidered? Select all that apply
1. Current fetal heart rate is tachycardic.
2. Client had one cesarean live birth 3 years ago.
3. Uterine contractions are occurring every 2 minutes.
4. Client has 2+ pedal edema and elevated blood pressure.
5. There is a history of placenta previa with one previous pregnancy.
1, 2, 3
Explanation:
1. Absolute contraindications for the use of misoprostol include fetal tachycardia.
2. Absolute contraindications for the use of misoprostol include a history of previous cesarean birth.
3. Absolute contraindications for the use of misoprostol include the presence of uterine contractions 3 times in 10 minutes.
4. Evidence of maternal preeclampsia or eclampsia is not an absolute contraindication for the use of misoprostol.
5. Absolute contraindications for the use of misoprostol include the presence of placenta previa, not a history of placenta previa with a previous pregnancy.
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A community health nurse has been asked to participate in a health fair that is being sponsored by the local senior center. The nurse should select educational focuses in the knowledge that older adults benefit most from what kind of activities?
A) Those that help them eat well B) Those that help them maintain independence C) Those that preserve their social interactions D) Those that promote financial stability
A mother brings her 18-month-old son into the clinic for his diphtheria, tetanus, and pertussis vaccine. The child has a runny nose, a fever of 102.4ºF and is coughing. What should the nurse do?
A) Administer the vaccine but monitor the child afterward for an extended time period. B) Give an antipyretic and administer vaccine when temperature is within normal range. C) Administer a reduced dose of the vaccine today and a normal dose when child is healthy. D) Hold the immunization until the child is free of allergic or cold-like symptoms.
The road map to achieving health relies on the participation of all individuals and nations to address basic needs. The community health nurse has to encourage the community to address what basic needs?
1. Clean water 2. Clean air 3. Sanitation 4. Poverty A) 1, 2, 3 B) 1, 3, 4 C) 1, 2, 4 D) 2, 3, 4
Which of the following is not one of the four premises of the clinical paradigm?
a. There is irrationality behind every act b. Regulating emotions is less important than regulating actions c. Much of mental life lies outside of conscious awareness d. We are products of interpersonal experiences