The nurse caring for the laboring woman should understand that early decelerations are caused by:
a. Altered fetal cerebral blood flow. c. Uteroplacental insufficiency.
b. Umbilical cord compression. d. Spontaneous rupture of membranes.
ANS: A
Early decelerations are the fetus's response to fetal head compression. Variable decelerations are associated with umbilical cord compression. Late decelerations are associated with uteroplacental insufficiency. Spontaneous rupture of membranes has no bearing on the fetal heart rate unless the umbilical cord prolapses, which would result in variable or prolonged bradycardia.
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The nurse observes the unlicensed assistive personnel (UAP) obtaining vital signs. Which would indicate a safe temperature measurement procedure?
1. Taking an oral temperature on a 2-year-old child 2. Taking a rectal temperature on a client who had a hemorrhoidectomy earlier this morning 3. Taking an axillary temperature on a confused client who was combative earlier in the day 4. Taking a tympanic temperature on a client with a large amount of cerumen in the ear
Surveys can be cross-sectional or longitudinal
A) True B) False
A patient diagnosed with anorexia nervosa has the nursing diagnosis imbalanced nutrition, less than body requirements, related to inadequate food intake. The long-term goal of the treatment plan is that the patient will
a. gain 1 to 3 lb weekly. b. exhibit fewer signs of malnutrition. c. restore healthy eating patterns and normalize weight. d. identify cognitive distortions about weight and shape.
A patient is diagnosed with left-sided heart failure. When describing this disease process to the patient, the nurse will include: Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. Pumping action of the heart is impaired. 2. Filling action of the heart is impaired. 3. Blood backs up in the left side of the heart. 4. Extra fluid can build up in the lungs. 5. Extra fluid can build up in the lower extremities.