The laboring client presses the call light and reports that her water has just broken. What would the nurse's first action be?
1. Check fetal heart tones.
2. Encourage the mother to go for a walk.
3. Change bed linens.
4. Call the physician.
1
Explanation: 1. When the membranes rupture, the nurse notes the color and odor of the amniotic fluid and the time of rupture and immediately auscultates the FHR.
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The laws that formally define and limit the scope of nursing practice in that state are the:
a. standards of care. b. regulation of practice. c. American Nurses' Association Code. d. nurse practice act.
A child with a diagnosis of schizencephaly is assigned to a new nurse on the pediatric floor. The new nurse has not worked with a child with this diagnosis before. A career nurse discusses the plan of care needed for the child with the new nurse
It will be important to: 1. Assess the side of the body that has paralysis for any lesions or sores. 2. Let the patient do as much as possible for activities of daily. 3. Discourage the patient to move the paralyzed side of the body. 4. Provide full care for the patient.
Which should the nurse recognize as a DSM-5 disorder?
A. Obesity B. Generalized anxiety disorder C. Hypertension D. Grief
Which of the following would a community health nurse expect to assess in a perpetrator of intimate partner violence?
A) Occasional marijuana use B) High academic achievement C) Belief in male dominance D) Desire for complacency