The initial vaginal examination of a woman admitted to the labor unit reveals that the cervix is dilated 9 cm. The panicked woman begs the nurse, "Please give me something."
What is the most appropriate pain relief intervention for a woman in precipitate labor?
a.
Get an order for an intravenous narcotic.
b.
Notify the anesthesiologist for an epidural block.
c.
Stay and breathe with her during contractions.
d.
Tell her to bear with it because she is close to delivery.
ANS: C
The nurse would stay with the woman experiencing precipitate labor and breathe with her during contractions to help the woman focus and cope with each contraction.
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A) Oliguria B) Decreased level of consciousness C) Edema D) Tachycardia
The nurse encourages a patient who has been vomiting to drink fluids because the body fluid lost daily must match the amount of fluid taken in to maintain homeostasis. What is the recommended daily amount of fluid for an adult?
a. 1000 mL b. 1500 mL c. 2050 mL d. 2500 mL
The nurse observes abdominal breathing in a 2-year-old child. What does this finding indicate?
a. Imminent respiratory failure b. Hypoxia c. Normal respiration d. Airway obstruction
Congenital adrenal hyperplasia (CAH) is suspected in a newborn because of ambiguous genitalia. The parents are appropriately upset and concerned about their child's gender. In teaching the parents about CAH, what should the nurse explain?
a. Reconstructive surgery as a female is preferred. b. Sexual assignment should wait until genetic sex is determined. c. Prenatal masculinization will strongly influence the child's development. d. The child should be raised as a boy because of the presence of a penis and scrotum.