A woman who is 38 weeks pregnant tells the nurse that the baby has dropped and she is having urinary frequency again. The nurse recognizes this as:
a. lightening.
b. Braxton-Hicks contractions.
c. initiation of labor.
d. engagement.
A
The symptoms of lightening are a return of urinary frequency, and the patient is able to breathe more normally.
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Which physician's order should the nurse question for a patient who is intubated and being mechanically ventilated?
1. Endotracheal suctioning every hour 2. Endotracheal suctioning as needed 3. NPO status 4. Intake and output every 4 hours
Your pregnant patient is having maternal alpha-fetoprotein (AFP) screening. She does not understand how a test on her blood can indicate a birth defect in the fetus. The best reply by the nurse is:
a. "We have done this test for a long time."b. "If babies have a neural tube defect, alpha-fetoprotein leaks out of the fetus and is absorbed into your blood, causing your level to rise. This serum blood test detects that rise."c. "Neural tube defects are a genetic anomaly, and we examine the amount of alpha-fetoprotein in your DNA."d. "If babies have a neural tube defect, this results in a decrease in your level of alpha-fetoprotein."
Which of the following instructions regarding lithium therapy should be included in a nurse's discharge teaching? (Select all that apply.)
1. Avoid excessive use of beverages containing caffeine. 2. Maintain a consistent sodium intake. 3. Consume at least 2,500 to 3,000 mL of fluid per day. 4. Restrict sodium content. 5. Restrict fluids to 1,500 mL per day.
What does SMART stand for?
a. Specific Measured Achievable Realistic Timed b. Small Meaningful Achievable Realistic Timed c. Specific Measured Action Real Timed d. Small Medium Actual Relative Timed