The nurse admits a client in the early stage of labor and asks if the membranes have ruptured. The client states, "I don't know if my water broke or not." The nurse plans to call the physician, who will ask if membranes have ruptured
The nurse will: 1. Quote the mother's response and tell the physician that status of membranes is unknown.
2. Assume membranes are intact, or the client would know they ruptured.
3. Perform a pelvic examination to determine if membranes are intact.
4. Perform a Nitrazine test of vaginal secretions for presence of amniotic fluid.
4
Rationale: A Nitrazine test will test positive if amniotic fluid is present in the vaginal secretions, allowing the nurse to relate that the client is unsure if membranes ruptured but the results of the Nitrazine test indicated either negative or positive.
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A pregnant woman states, "My husband hopes I will give him a boy because we have three girls." What will the nurse explain to this woman?
a. The sex chromosome of the fertilized ovum determines the gender of the child. b. When the sperm and ovum are united, there is a 75% chance the child will be a girl. c. When the pH of the female reproductive tract is acidic, the child will be a girl. d. If a sperm carrying a Y chromosome fertilizes an ovum, then a boy is produced.
A parent reports that her child has begun to do poorly at school and experiences episodes where he appears to be staring into space. Of which type of seizure is this behavior a characteristic?
a. Absence b. Akinetic c. Myoclonic d. Complex partial
An adult patient's primary care provider prescribed fluticasone (Flonase) by metered-dose inhaler, which the patient states that she administers whenever she senses the onset of her allergy symptoms
How should the nurse respond to this patient's statement? A) "You need to combine a dose of this drug with an over-the-counter antihistamine to bring about allergy relief." B) "This drug has a long-term effect and won't provide immediate relief of your symptoms." C) "It's better if you can anticipate situations and places that will trigger your allergies and take a dose before you feel symptoms." D) "It sounds like you understand this drug and the best way to use it to treat your allergies."
Which of the following statements accurately describe a component of the inflammatory response? Select all that apply
A) The inflammatory response is a protective mechanism that eliminates the invading pathogen and allows for tissue repair to occur. B) Inflammation helps the body to neutralize, control, or eliminate the offending agent and to prepare the site for repair. C) The inflammatory response involves specific body responses to an invading foreign protein, such as bacteria, or in some cases, to the body's own proteins. D) The antigen–antibody reaction, also known as humoral immunity, is one component of the overall inflammatory response. E) The vascular and cellular stages are the main components of the inflammatory process and these physiological processes are responsible for the appearance of the cardinal signs. F) One of the first lines of defense against infection is the inflammatory response, which helps to keep potentially harmful bacteria from invading the body.