The client demonstrates understanding of the implications for future pregnancies secondary to her classic uterine incision when she states which of the following?
1. "The next time I have a baby, I can try to deliver vaginally."
2. "The risk of rupturing my uterus is too high for me to have any more babies."
3. "Every time I have a baby, I will have to have a cesarean delivery."
4. "I can only have one more baby."
3
Explanation: 3. A classic uterine incision is made in the upper uterine segment and is associated with an increased risk of rupture in subsequent pregnancy, labor, and birth. Therefore, subsequent deliveries will be done by cesarean.
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A nurse is teaching a woman pregnant in the second trimester who has been diagnosed with a partial placenta previa. Which information is most important to document?
A. Patient and partner show no anxiety or helplessness and were given educational support material. B. Patient instructed that bleeding may occur as placenta totally covers the cervical os. C. Patient instructed to tell all health-care providers that vaginal exams are prohibited. D. Patient received information about placenta previa and understood it well.
hile completing an assessment the nurse is concerned that an older client is experiencing anemia. Which findings are most concerning for anemia? Select all that apply.
1. Pale, cool, and dry skin 2. Diffuse joint and bone pain 3. Decreased interest in meals 4. Heart rate 112 beats/minute 5. Dyspnea on exertion
The nurse is preparing to conduct a Romberg test with a patient. For how many seconds should the nurse explain to the patient that the position will need to be held?
a. 10 b. 20 c. 30 d. 40
In planning surgical care for an older adult patient, the nurse recognizes which of the following as causing the greatest risk for surgery?
a. Increased tactile sense b. Decreased glomerular filtration rate c. Increased numbers of red blood cells d. Decreased rigidity of arterial walls