A multipara's labor plan includes the use of jet hydrotherapy during the active phase of labor. What is the priority patient assessment prior to assisting the patient with this request?

a. Maternal pulse
b. Maternal temperature
c. Maternal blood pressure
d. Maternal blood glucose level


ANS: B
A shower, tub bath, or whirlpool bath is relaxing and provides thermal stimulation. Several studies have shown benefits of water therapy during labor, including immersion in a tub or whirlpool (jet hydrotherapy, or Jacuzzi). The major concern about immersion therapy has been newborn and postpartum maternal infections caused by microorganisms in the water. Infections can be caused by the woman's own ascending vaginal bacteria or by preexisting organisms in an improperly cleaned tub. However, several studies have not found a significant association between newborn or postpartum maternal infections and the use of immersion hydrotherapy with proper cleaning.

Nursing

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Fill in the blank(s) with correct word

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Polypharmacy is best described as taking

A. More than nine medications per day B. More than five medications per day C. Even a single medication if there is not a clear indication for its use D. When a drug is given to treat the side effect of another drug

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The term used to describe an elevated blood pressure is:

a. hypotension. b. bradycardia. c. hypertension. d. tachycardia.

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A patient has polycythemia vera and presents to the Emergency Department with plethora and neurological changes. The student asks the healthcare professional to explain the primary cause of these symptoms. What response by the professional is best?

a. Decreased erythrocyte count b. Destruction of erythrocytes c. Increased blood viscosity d. Tissue destruction by macrophages

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