A primigravida client has just arrived in the birthing unit. What steps would be most important for the nurse to perform to gain an understanding of the physical status of the client and her fetus? (Select all that apply.)
A. Check for ruptured membranes, and apply a fetal scalp electrode.
B. Auscultate the fetal heart rate between and during contractions.
C. Palpate contractions and resting uterine tone.
D. Assess the blood pressure, temperature, respiratory rate, and pulse rate.
E. Perform a vaginal exam for cervical dilation, and perform Leopold's maneuvers.
C
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The high content of which substance in cerebrospinal fluid (CSF) can differentiate it from other body fluids?
a. glucose c. salts b. protein d. urea
The physician has ordered Ampicillin 0.25 gram po every 4 hours. The medication is available as Ampicillin 250 mg capsules. How many capsules should the nurse administer?
A) 1 B) 2 C) 3 D) 4
The nurse is caring for a 15-year-old boy with burn injuries. The nurse observes the burn developing a dark brown/purplish color with discharge and a foul odor. The nurse suspects which of the following infections?
A) Burn wound cellulitis B) Invasive burn cellulitis C) Burn impetigo D) Staphylococcal scalded skin syndrome
You are the nurse taking a health history on a young girl with symptoms of precocious puberty. You would most want to ask the girl and her family to do which of the following things?
a. to make a log of all the foods the girl eats during a week and to answer if alcohol is available in the household b. to show you the beauty products used by the young girl and to determine if birth control pills are available in the household c. to share with you what they know about birth control and the prevention of pregnancy d. to share with you what they know about precocious puberty