A first-time mother at 18 weeks of gestation comes for her regularly scheduled prenatal visit. The client tells the nurse that she is afraid that she is going into premature labor because she is beginning to have regular contractions

The nurse explains that this is the Braxton Hicks sign and teaches the client that this type of contraction:
a. Is painless. c. Causes cervical dilation.
b. Increases with walking. d. Impedes oxygen flow to the fetus.


ANS: A
Uterine contractions can be felt through the abdominal wall soon after the fourth month of gestation. Braxton Hicks contractions are regular and painless and continue throughout the pregnancy. Although they are not painful, some women complain that they are annoying. Braxton Hicks contractions usually cease with walking or exercise. They can be mistaken for true labor; however, they do not increase in intensity or frequency or cause cervical dilation. In addition, they facilitate uterine blood flow through the intervillous spaces of the placenta and promote oxygen delivery to the fetus.

Nursing

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The proper needle length for a subcutaneous injection in infants and thin children is:

a. 3/8 to 1/2 inch. c. 5/8 to 1 inch. b. 1/2 to 5/8 inch. d. 1 to 1 1/2 inches.

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Benzoyl peroxide (Benoxyl) is primarily used to treat:

a. fungal disorders. c. urinary tract infections. b. ophthalmic infections. d. acne.

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The nurse is caring for a 4-year-old girl who has been hospitalized for over a week with severe burns. Which would be a priority intervention to help satisfy this preschool child's basic needs?

A) Encourage friends to visit as often as possible. B) Suggest that a family member be present with her 24 hours a day. C) Explain necessary procedures in simple language that she will understand. D) Allow her to make choices about her meals and activities as much as permitted.

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Prior to giving an intramuscular injection to a 2½-year-old child, the most appropriate statement by the nurse would be:

1. "We will give you your shot when your mommy comes back." 2. "This is medicine that will make you better. First we will hold your leg, then I will wipe it off with this magic cloth that kills the germs on your leg right here, then I will hold the needle like this and say ‘one, two, three ? go' and give you your shot. After the shot is over with, I will hold the cotton ball until it stops bleeding and then put the Band-Aid on. Are you ready?" 3. "It is all right to cry, I know that this hurts. After we are done, you can go to the box and pick out your favorite sticker." 4. "This is a magic sword that will give you your medicine and make you all better."

Nursing