A woman who is 39 weeks' pregnant has been diagnosed with oligohydramnios. The nurse recognizes that following birth her newborn must be assessed for which type of fetal abnormality?
a. Cardiac
b. Gastrointestinal
c. Renal
d. Neurologic
ANS: C
Although most amniotic fluid appears to be derived from maternal blood, the fetus also adds to the fluid by excreting urine into it. Oligohydramnios, or decreased amniotic fluid, is therefore associated with renal anomalies.
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A 23-year-old female has been diagnosed with genital warts. Which action by the nurse is best?
a. Encourage the client to have an annual Papanicolaou (Pap) test. b. Recommend an over-the-counter wart treatment for genital tissue. c. Report the case to the Centers for Disease Control and Prevention (CDC). d. Discuss popular options for contraception.
A client with borderline personality disorder has had 21 admissions to the mental health unit, each
precipitated by a suicide attempt, usually resulting in superficial cuts on the arm. On this admission the client has developed a relationship with a highly supportive nurse. The client has progressed to having a pass to spend an afternoon in a nearby shopping mall. The nurse is shocked when the emergency department calls to say that the client had just been brought in with multiple self-inflicted lacerations. The nurse asks a peer, "Why? Everything was going well. How could she do this to me?" What response by the other nurse reflects understanding of the client's borderline disorder? a. "I know what you mean. You put a lot of energy into working with this client. It must be disappointing to have her do something like this.". b. "I could have told you this would happen. A client like this always gets you in the end. I hope this will teach you not to get so involved.". c. "I know the client's behavior seems personal, but it's really not. Clients with borderline disorder act out to relieve anxiety, and I suspect having the pass provoked a great deal of anxiety.". d. "I wonder if all this could have been avoided if I'd clued you in on the client. This is a usual pattern for her. She burned me once, too, when I first worked here.".
The patient comes to the emergency department complaining of chest pain. What question by the nurse will encourage the patient to provide the most details about the pain?
a. "When did your chest pain begin?" b. "On a scale of 0 to 10, what is your pain level?" c. "Would you please tell me more about the pain you are having?" d. "Have you taken any medication for your pain?"
In the United States the en face position is preferred immediately after birth. Nurses can facilitate this process by all of these actions except:
a. Washing both the infant's face and the mother's face. b. Placing the infant on the mother's abdomen or breast with their heads on the same plane. c. Dimming the lights. d. Delaying the instillation of prophylactic antibiotic ointment in the infant's eyes.