When using intermittent auscultation (IA) to assess uterine activity, the nurse should be cognizant that:
a. The examiner's hand should be placed over the fundus before, during, and after contractions.
b. The frequency and duration of contractions is measured in seconds for consistency.
c. Contraction intensity is given a judgment number of 1 to 7 by the nurse and client together.
d. The resting tone between contractions is described as either placid or turbulent.
ANS: A
The assessment is done by palpation; duration, frequency, intensity, and resting tone must be assessed. The duration of contractions is measured in seconds; the frequency is measured in minutes. The intensity of contractions usually is described as mild, moderate, or strong. The resting tone usually is characterized as soft or relaxed.
You might also like to view...
Which of the following is a key issue that the Canadian healthcare system must improve as it moves into a new era?
1) Quality of care marked by errors in healthcare 2) Affordability of healthcare services for low-income and high-risk clients 3) Appropriateness of services offered to citizens and noncitizens 4) Ability to fund healthcare services for noncontributing members of the system
The grounded theory method is concerned with:
a. developing theories and hypotheses. b. establishing an emic perspective of research. c. providing validity checks for constructs. d. testing theories and hypotheses.
The nurse is transfusing red blood cells to a client who has sickle cell disease. Which laboratory result indicates that the nurse should discontinue the transfusion?
a. Hematocrit level (Hct), 32% b. Hemoglobin S, 88% c. Serum iron level, 300 mcg/dL d. Total white blood cell count, 12,000/mm3
To be sure the maximum save dose was not exceeded, you must determine the ______ dose of a heparin
infusion. Fill in the blank(s) with correct word