The nurse is orienting a new graduate nurse to the labor and birth unit. Which statement indicates that teaching about a client admission has been effective?"
1. "A vaginal examination is performed if delivery appears to be imminent."
2. "Her prenatal record is reviewed for indications of domestic abuse."
3. "She will be positioned supine to facilitate a normal blood pressure."
4. "A urine specimen is obtained by catheter to check for protein and ketones."
1
Explanation:
1. Unless delivery seems imminent because the client is bearing down or contractions are very close and strong, the vaginal examination is performed after the vital signs are obtained.
2. Domestic abuse is not the sole reason the prenatal record is examined; any complications of pregnancy are noted.
3. Supine position predisposes the client to supine hypotension syndrome; side-lying is preferred.
4. A midstream clean-catch specimen is obtained to assess for proteinuria and ketonuria.
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