The nurse is caring for a laboring client. To identify the duration of a contraction, the nurse should:
A. Start timing from the beginning of one contraction to the completion of the same contraction.
B. Time from the beginning of one contraction to the beginning of the next contraction.
C. Palpate the uterus through the lower abdomen at the peak of a contraction for the intensity.
D. Time from the beginning of one contraction to the peak of the same contraction.
A
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The perinatal nurse completes the Ballard Gestational Age by Maturity rating tool. The nurse assesses which components as part of this tool? (Select all that apply.)
A. Behavioral B. Neuromuscular C. Physical D. Psychological E. Reflexive
Immobility affects the body in many ways. What is one serious effect of immobility on the cardiovascular system?
A) increased cardiac workload C) increased venous return B) decreased cardiac workload D) increased peripheral resistance
The school-age child will gain approximately how much weight during this phase?
1. 10 kg/year 2. 3 kg/year 3. No weight gain at this age 4. 1-2 kg/year
The nurse is assisting with a lumbar puncture of an infant who is irritable and feverish. The manometer indicates increased intracranial pressure and the cerebral spinal fluid appears cloudy. The nurse will institute which interventions as a result of these findings?
A. Prepare to send the infant for a CT scan to look for an area of bleeding. B. Assess the infant's anterior fontanel for any bulging. C. Place the child in respiratory isolation because of possible meningitis. D. Administer an antipyretic and prepare to send the infant home.