The nurse is teaching a prenatal class about false labor. The nurse should teach clients that false labor most likely will include which of the following? Select all that apply
1. Contractions that do not intensify while walking
2. An increase in the intensity and frequency of contractions
3. Progressive cervical effacement and dilatation
4. Pain in the abdomen that does not radiate
5. Increased thin vaginal secretions
1, 4
Rationale:
1. True labor contractions intensify while walking.
2. True labor results in increased intensity and frequency of contractions.
3. True labor results in progressive dilation.
4. True labor results in pain beginning low in the abdomen and radiating upward or into the back.
5. True labor results in an increase in vaginal secretions.
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A 77-year-old man's coronary artery bypass graft has been successful and discharge planning is underway. When planning the patient's subsequent care, the nurse should know that the postoperative phase of perioperative nursing ends at what time?
A) When the patient is returned to his room after surgery B) When a follow-up evaluation in the clinical or home setting is done C) When the patient is fully recovered from all effects of the surgery D) When the family becomes partly responsible for the patient's care
A nurse preparing to administer intravenous gentamicin to a patient notes that the dose is half the usual dose for an adult. The nurse suspects that this is because this patient has a history of:
a. antibiotic resistance. b. interpatient variation. c. liver disease. d. renal disease.
The nurse is providing care to a patient who has just undergone a procedure in which epidural anesthesia was used. When the patient returned from the procedure, the nurse administered enoxaparin (Lovenox) 30 mg as ordered
Which of the following findings would warrant an im-mediate call to the prescriber if it occurred after enoxaparin administration? a. The patient's pulse oximetry reading decreases from 99% to 96%. b. The patient complains of pain at the enoxaparin injection site. c. The patient complains of numbness and tingling in the lower extremities. d. The right dorsalis pedis pulse is +3, and the left dorsalis pedis pulse is +2.
Which assessment data alerts the nurse to the fact that the patient is at risk for an embolic stroke?
1. Blood sugar of 110 mg 2. Right partial lung lobectomy 6 months ago 3. BP 108/68 4. History of atrial fibrillation