J.F. progresses in labor, and at 4-cm dilation her membranes spontaneously rupture. The small amount of
amniotic fluid is green.
What does the green amniotic fluid indicate? What are the risks?
What will be an ideal response?
Green amniotic fluid indicates that the fetus has had a bowel movement, known as meconium. The
risks include:
• The fetus has had some degree of stress indicated by the passing of meconium and the small
amount of amniotic fluid.
• The fetus will have to be closely monitored in labor.
• If the meconium were swallowed, it could lead to serious respiratory distress.
• The fetus might not tolerate labor well and is at higher risk for an emergency cesarean delivery.
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A patient with multiple trauma, including blunt trauma to the abdomen, is admitted to the critical care unit. The patient has unstable vital signs and is scheduled for immediate surgery
While completing the admission health history, what aspect would the nurse be most likely to defer until after the patient is stabilized? A) Allergies B) Diet preferences C) Quality of abdominal pain D) Location of abdominal pain
The nurse is using Giger and Davidhizar's Transcultural Assessment Model to gain information about a patient from an unfamiliar culture. What questions does the nurse ask that are relevant to this mode? (Select all that apply.)
a. "Who would you like present to help answer questions?" b. "What do you believe caused your current illness?" c. "How important is planning for the future to you?" d. "Why don't you want to shake my hand?" e. "What activities would you do to control your health?"
The nurse wishes to use guided imagery to help a patient relax. Which comments would be appropriate to include in the guided imagery script? Select all that apply
a. "Imagine others treating you the way they should, the way you want to be treated …" b. "With each breath, you feel calmer, more relaxed, almost as if you are floating …" c. "You are alone on a beach, the sun is warm, and you hear only the sound of the surf …" d. "You have taken control, nothing can hurt you now. Everything is going your way…" e. "You have grown calm, your mind is still, there is nothing to disturb your well-being …" f. "You will feel better as work calms down, as your boss becomes more understanding …"
Ally, a 50-year-old woman, has been experiencing severe bone pain in her pelvic region. She visits Dr. Carl for a consultation, and he instructs her to undergo a few diagnostic tests. When Dr. Carl examines an X-ray of Ally's pelvic region, he observes microfractures along her bones and notices that her bones are thick and calcified. After examining the other medical reports, Dr. Carl confirms his diagnosis and tells Ally that she is suffering from a bone disorder that is characterized by hyperactive bone metabolism. Based on the information provided in this scenario, from which of the following conditions is Ally suffering?
A. Paget's disease B. Graves' disease C. Hypocalcemia D. Osteoporosis