A client is a gravida 1 para 0, 42 weeks' gestation in early labor. Her tracing indicates normal variability and variable decelerations. As her nurse you are aware that the decelerations are probably caused by
a. compression of the umbilical cord c. maternal hypotension
b. head compression d. uteroplacental insuf-ficiency
A
In postterm pregnancies, this is an indication of umbilical cord compression. Although severe maternal hypotension can result in variable fetal decelerations, this is not the appropriate indication in this scenario. Uteroplacental insufficiency would cause late decelerations in contraction stress tests, but not specific to postterm pregnancy.
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The patient on the mental health unit who should be assessed as being at highest risk for directing violent behavior toward others is the patient who has:
a. obsessive-compulsive disorder and performs many rituals. b. paranoid delusions of being followed by the Mafia. c. severe depression with feelings of worthlessness and self-loathing. d. completed alcohol withdrawal and is now in a rehabilitation program.
Which options are common outcomes of failure to plan adequately? (Select all that apply.)
a. Working harder, not smarter b. Overlooking priority items c. Feeling guilt, frustration, and anxiety d. Being a master of one's time
What aspects of a patient's culture will the health care provider keep in mind when providing care? Select all that apply:
1. Parts of a person's culture are under conscious control. 2. It is an extension of biological capabilities. 3. It is the medium of social relationships. 4. It identifies food preferences. 5. It explains folklore and music.
A child presents to the emergency department with sickle cell crisis. Which intervention does the nurse perform first?
A. Administer oxygen. B. Assess and treat pain. C. Provide warm blankets. D. Start IV fluids.