The primigravida client is in the second stage of labor. The fetal heart rate baseline is 170, with minimal variability present. The nurse performs fetal scalp stimulation. The client's partner asks why the nurse did that
What is the best response by the nurse? "I stimulated the top of the baby's head to: A. Wake him up a little."
B. Try to get his heart rate to accelerate."
C. Calm the baby down before birth."
D. Find out if he is in distress."
B
You might also like to view...
A nurse is instructing a colleague on how an antimicrobial produces a therapeutic effect. Which of the following should be included in the nurse's teaching?
A) The first drugs used to treat infections date back to the 17th century. B) Fluoroquinolones interfere with the growth and development of the bacteria cell wall. C) Selective toxicity determines the appropriate drug dosage needed. D) Penicillin interferes with synthesis of the bacteria cell wall.
To evaluate the client's learning about performing infant care, the nurse should:
a. Demonstrate infant care procedures. b. Allow the client to verbalize the procedure. c. Observe the client as she performs the procedure. d. Routinely assess the infant for cleanliness.
The nurse is caring for a newly admitted client with Methicillin-resistant Staphylococcus Aureus (MRSA). Which of the following are appropriate goals of the initial health assessment? Standard Text: Select all that apply
1. Determine the client's current state of health and ongoing health-promotion activities. 2. Predict risks to current health status. 3. Use only objective data to determine client allergies. 4. Determine how frequently the client is able to change positions. 5. Identify health-promoting activities.
The nurse is drawing blood from a client for a RAST test which measures a client's immune response to a specific allergen. Which does the RAST test measure the amount of?
a. viral load c. immunoglobulin G (IgG) b. bacteria d. immunoglobulin E (IgE)