A nurse is caring for a patient who had a laminaria tent inserted 6 hours ago. What action by the nurse is most appropriate?
A.
Assess and record maternal temperature.
B.
Document fetal and maternal heart rate.
C.
Perform an amniotic membrane stripping.
D.
Remove the laminaria tent and assess cervical dilation.
ANS: D
A laminaria tent is a hydroscopic cervical dilator made of seaweed, which swells as it absorbs moisture. Hydroscopic dilators remain in place for 6 to 12 hours, after which time they are removed and the woman is assessed for cervical dilation. The other interventions are not specific to this type of dilator.
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Which statement made by an older adult patient would require further teaching by the nurse?
a. "Nonprescription drugs will not interfere with my prescribed medications." b. "I can get non-childproof lids for my pills from the pharmacist." c. "Alcohol can affect drug action." d. "I will report any signs of drug toxicity to my doctor."
The nurse is reviewing the medical records of several patients diagnosed with major depression. The nurse identifies which patient as least likely to commit suicide?
A) Divorced man B) Widowed woman C) Single woman D) Married man
Which of the following are necessary components of a nurse's personal preparedness? Select all that apply
A) Workplace and community disaster plans have been reviewed by the nurse. B) An individual disaster plan for the nurse's own family has been developed. C) The nurse participated in disaster drills at the workplace and had a family disaster drill to practice what actions to take in the event of a disaster. D) It is not necessary for the nurse to bring copies of their nursing license and driver's license. E) In the case of an actual disaster, the nurse will be able to use equipment made available to them.
The nurse is discussing parent–infant attachment with a prenatal class. Which statement indicates that teaching was successful?
1. "Giving the baby his first bath can really give me a chance to get to know him." 2. "Newborns cannot focus their eyes, so it does not matter how I hold my new baby." 3. "My baby will be very sleepy immediately after birth, so he can go to the nursery." 4. "I should avoid looking directly into the baby's eyes to prevent frightening the baby."