A client asks the nurse what the term is when the baby "drops." The nurse explains that the term for the setting of the fetal head into the true pelvis is
a. lightening c. presentation
b. nesting d. station
A
Lightening is the movement of the presenting part of the fetus into the true pelvis. Nesting refers to the energy spurt many pregnant women experience 24 to 48 hours before the onset of labor. Presentation refers to how the fetus is presenting (which body part is positioned to deliver first). Station refers to the relationship between the ischial spines in the passage and the presenting part of the fetus.
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The nurse is to administer an intravenous solution to a patient with diffuse edema. This will pull fluid from the interstitial space to the intravascular space. Which prescription would the nurse question for this patient? A prescription for:
a. 5% Dextrose in water (D5W) b. 10% Dextrose in water (D10W) c. 5% Dextrose in normal saline (D5 0.9% NaCl) d. 5% Dextrose lactated Ringer's (D5LR)
The nurse is caring for a child who has been a patient in the
pediatric unit for several weeks. The child has a terminal illness and is dying. The caregivers and the nurse are in the room when the child takes the last breath and dies. Which nursing action would be considered appropriate at this time? A) The nurse walks out of the room and call the nursing supervisor and chaplain B) The nurse tells the family that he or she shares in their sadness and cries with them C) The nurse maintains his or her professional demeanor and tells the caregivers that a staff person will be in to take the body soon D) The nurse consoles the family members by hugging or rubbing their backs and then moves to a corner in the room to cry
The nurse reviews the aspects of home care the parents might consider for a 12-year-old child with juvenile idiopathic arthritis (JIA), which include the provision of: (Select all that apply.)
a. Velcro fasteners on shoes b. A firm mattress c. Leg braces or crutches d. Elevated toilet seats e. Hand rails in the shower
What should a client receiving lifelong therapy with corticosteroids be instructed to report immediately to the health care provider?
1. A change in prescription bottles 2. A change in health insurance plans 3. Cravings for sweet or salty foods 4. Weight gain of over 2 pounds in one day