Which of the following would indicate concealed hemorrhage in abruptio placentae?
a. Decrease in abdominal pain
b. Bradycardia
c. Hard, boardlike abdomen
d. Decrease in fundal height
C
Concealed hemorrhage occurs when the edges of the placenta do not separate. The formation of a hematoma behind the placenta and subsequent infiltration of the blood into the uterine muscle result in a very firm, boardlike abdomen.
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The nurse is caring for a young child in the clinic. The mother tells the nurse the child sleepwalks every night. Which statement by the nurse is appropriate?
1. "Are you concerned the child is not getting enough sleep?" 2. "What time does your child goes to bed at night?" 3. "Is the child experiencing any stress at home?" 4. "What do you know about children who sleepwalk?"
When there is sustained skin pressure, especially over bony prominences, pressure ulcers may form as a result of:
a. heat from pressure. b. collapse of blood vessels. c. friction from pressure. d. collapse of skin tissue.
The nurse has delegated ambulating a patient to a certified nursing assistant. What statement is true regarding the nurse's legal obligation to the patient? (Select all that apply.)
1. The nurse is responsible for performing the task. 2. The nurse is accountable for the safety of the patient. 3. The nurse is accountable for making sure the task is performed safely. 4. If the patient falls the nurse is accountable and responsible for any patient injury. 5. If the patient falls the CNA is not responsible or accountable.
Inadvertent perioperative hypothermia (IPH) is defined as a core temperature below 36°C
Indicate whether this statement is true or false.