What action by the nurse prevents infection in the labor and delivery area?
a. Performing vaginal examinations every hour while the woman is in active labor
b. Using clean techniques for all procedures
c. Cleaning secretions from the vaginal area by using back-to-front motion
d. Keeping underpads and linens as dry as possible
D
Bacterial growth prefers a moist, warm environment.
Vaginal examinations should be limited to decrease transmission of vaginal organisms into the uterine cavity.
Use an aseptic technique if membranes are not ruptured; use a sterile technique if membranes are ruptured.
Vaginal drainage should be removed with a front-to-back motion to decrease fecal contami-nation.
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Nurses are attending a course in pathophysiology and are discussing the immune response. Which statement about macrophages by one of the nurses demonstrates a need for further teaching? "The roles of macrophages include
a. deactivation of T cells." b. natural and acquired immunity." c. inflammation." d. phagocytosis."
With anaphylactic shock, which mechanism results in a decreased cardiac output?
a. Peripheral vasodilation b. Increased cardiac output c. Decreased alveolar ventilation d. Fluid retention resulting in congestive heart failure
Which client does the nurse assess to be at greatest risk for pressure ulcer development?
a. Client who has pneumonia b. Client who requires assistance with am-bulation c. Client with hypertension on multiple me-dications d. Incontinent client with limited mobility
A couple request to see their stillborn infant. How should the nurse prepare the infant? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Wrapping the infant in a blanket 2. Removing all blankets from the infant 3. Placing a hat on the infant 4. Removing any identification from the infant 5. Placing a diaper on the infant