The nurse explains to a pregnant woman that her antepartum assessment will include assessment of clinical pelvimetry. Which client response reflects understanding of the reason for this test?
1. "It will help me understand how big a baby I can have."
2. "It will be used to screen for gestational diabetes."
3. "It will be used to find out whether my baby has a chromosomal abnormality."
4. "It will help tell whether my pelvis is big enough to deliver my baby vaginally."
4
Explanation:
1. Clinical pelvimetry is performed to estimate the adequacy of pelvic size for the purpose of vaginal delivery; delivery of larger infants may be accommodated via cesarean section.
2. Screening for maternal gestational diabetes requires some form of glucose screening.
3. Clinical pelvimetry involves estimating the adequacy of pelvic size for facilitating vaginal birth.
4. Clinical pelvimetry is performed to estimate the ease or difficulty associated with vaginal delivery of an infant.
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ANS:
A nurse caring for geriatric patients is considering becoming certified in gerontological nursing. What does this credential indicate?
1. The nurse has a master's degree in nursing. 2. The nurse works in administration at a nursing home. 3. The nurse has worked full time at least 2 years in gerontological nursing. 4. The nurse's clinical competence in gerontological nursing has been validated.
Which action is recommended for a client diagnosed with Huntington's disease?
a. Place the client in a hospice or long-term care facility. b. Encourage the client to eat frequent, small meals. c. Encourage regular exercise with a family member. d. Suggest genetic counseling for the family.
A client has severe pain and bladder distention related to urinary retention and possible obstruction. An experienced UAP states that she received training in Foley catheter insertion at a previous job. What task can be delegated to this UAP?
a) Assessing the bladder distention and the pain associated with urinary retention b) Inserting the Foley catheter, once you ascertain that she knows sterile technique c) Evaluating the relief of pain and bladder distention after the catheter is inserted d) Measuring the urine output after the catheter is inserted and obtaining a urine specimen