The nurse is teaching a class to pregnant women about common physiological changes during pregnancy. Which information should the nurse include in the teaching session?
a. Pregnancy is not a time to be having sexual activity.
b. Urinary frequency will occur early in the pregnancy.
c. Breast tenderness should be reported as soon as possible.
d. Late in the pregnancy Braxton Hicks contraction may occur.
ANS: D
During the third trimester (late pregnancy), increases in Braxton Hicks contractions (irregular, short contractions), fatigue, and urinary frequency (not early) occur. Normally, women commonly have morning sickness, breast enlargement and tenderness, and fatigue. Women need to be reassured that sexual activity will not harm the fetus.
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Nursing process is best defined as a:
a. method to ensure that the physician's orders are implemented correctly. b. series of assessments that isolate a patient's health problem. c. framework for the organization of individualized nursing care. d. preset formula for the design of nursing care.
A patient with end-stage renal disease is scheduled for a fistula creation. The nurse would include which of the following in teaching the patient about the fistula?
A) A vein and an artery in your arm will be attached surgically. B) The arm should be immobilized for 4 to 6 weeks. C) One needle will be inserted into the fistula for each dialysis treatment. D) The fistula can be used immediately after the surgery for dialysis treatment.
The nurse notices that the mother of a 2-year-old boy brings him into the clinic quite frequently for various injuries and suspects there may be some child abuse involved. During an inspection of his mouth, the nurse should look for:
a. Swollen, red tonsils. b. Ulcerations on the hard palate. c. Bruising on the buccal mucosa or gums. d. Small yellow papules along the hard palate.
Which of the following is an aspect or dimension of the interpretive task? Select all that apply
A) The accuracy or credibility of the results B) The meaning of the results C) The vigor of the results D) The implications of the results