The nurse is reviewing the signs of labor with a patient entering the last phase of the third trimester of pregnancy. What should the nurse include as an indication that the labor is beginning?
A) Excessive fatigue and headache
B) Sharp, right-sided abdominal pain
C) Sudden gush of clear fluid from the vagina
D) An increased pulse rate and upper abdominal pain
C
Feedback:
Labor may begin with rupture of the membranes, experienced either as a sudden gush or as scanty, slow seeping of clear fluid from the vagina. Excessive fatigue, headache, abdominal pain, or increased pulse rate are not indications that labor is beginning.
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A 6-month-old infant, who was admitted for gastroenteritis, has depressed fontanels at rest and while in a supine position. What additional assessments should the nurse perform or facilitate?
A) Denver Developmental Test B) Deep tendon reflexes C) Number of wet diapers per day D) Measure the frontal occipital circumference
Which attribute is necessary for the nurse who wishes to be a client advocate?
1. Restricting work to those areas in which the nurse has expertise and experience. 2. Referring any political action needs to a political action committee. 3. Avoiding conflicts with physicians and healthcare agency administrators. 4. Being assertive in representing the needs of the client and family.
The Harrison Act of 1914 prohibited the:
a. sale of alcohol to minors b. manufacture of designer drugs c. sale of narcotics and cocaine without prescription d. use of ether as an inhalant or hospital anesthetic
A non-English speaking client is needs to have an emergency surgical procedure. The hospital has an interpreter available. When the interpreter arrives to explain the procedure and help with the consent form, the nurse provides the best support when:
1. Asking the interpreter to use words the client is familiar with for the best understanding. 2. Requesting that the interpreter translate as closely as possible, the same words used by the professional staff. 3. Suggesting that the questions be directed to the interpreter, so nothing is omitted. 4. Addressing the questions to the client's family.