The nurse is analyzing a fetal heart rate (FHR) monitor strip. The nurse notes that some early decelerations are present. The nurse explains to the client that early decelerations are most often related to:
1. Umbilical cord compression.
2. Fetal head compression.
3. Uteroplacental insufficiency.
4. Fetal hypoxia.
2
Rationale:
1. Cord compression results in variable decelerations.
2. Early decelerations are most often related to fetal head compression.
3. Uteroplacental insufficiency results in late decelerations.
4. Hypoxia results in decreased variability.
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The mother of a 4-year-old child with leukemia says to the nurse, "I don't understand why he is crying about his legs hurting." The nurse's most informative response would be based on the information that bone pain is related to:
a. Elevated WBCs in differential b. Long periods of inactivity c. Splenomegaly d. Bone marrow congested with white cells
At which developmental stage is the child first able to localize pain and describe both the amount and the intensity of the pain felt?
a. Toddler stage b. Preschool stage c. School-age stage d. Adolescent stage
A student nurse mistakenly delivers a double dose of digoxin (Lanoxin) to a patient. What is the correct documentation of this error?
a. "Digoxin 0.25 mg accidently given to patient. Incident report completed.". b. "Digoxin 0.25 mg given, Digoxin 0.125 mg ordered. BP 110/70, heart rate 64 bpm.". c. "Digoxin 0.25 mg given.". d. "Digoxin 0.125 mg given.".
Which of the following is done to determine the degree of spread of a neoplasm?
a. Grading b. Excision c. Staging d. Radiation