During a visit to the obstetrician, a pregnant client questions the nurse about the potential need for an amniotomy
The nurse explains that an amniotomy is performed to do which of the following? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Stimulate the beginning of labor
2. Augment labor progression
3. Allow application of an internal fetal electrode
4. Allow application of an external fetal monitor
5. Allow insertion of an intrauterine pressure catheter
1, 2, 3, 5
Explanation: 1. Amniotomy is the artificial rupture of the amniotic membranes and can be used to induce labor.
2. Amniotomy can be done to augment labor.
3. Amniotomy allows access to the fetus in order to apply an internal fetal electrode to the fetal scalp.
5. Amniotomy may be performed during labor to allow an intrauterine pressure catheter to be inserted.
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A patient with low back pain confesses that he drinks heavily each night to help him sleep and control pain. What does this behavior exemplify?
a. Alternate pain control methods b. Coping with a chronic condition c. Using a social coping mechanism d. Using a maladaptive coping method
The client receiving mechanical ventilation has become more restless over the course of the shift. Which is the nurse's first action?
a. Sedate the client. b. Call the health care provider. c. Assess the client for pain. d. Assess the client's oxygenation.
A female patient tells the nurse that she does not want to have annual mammograms because the x-rays can cause cancer. How should the nurse respond to this patient?
1. "Breast cancer is the number one type of cancer in females. The risk of developing cancer from the x-rays is considerably lower than the risk of having undiagnosed breast cancer." 2. "I don't blame you. X-rays do cause cancer." 3. "Be sure to do monthly breast exams." 4. "Contact your doctor if you notice any breast changes, feel any lumps, or develop breast pain since these are all symptoms of active breast cancer."