A woman is admitted to the birth setting in early labor. She is 3 cm dilated, -2 station, with intact membranes and FHR of 150 beats/min. Her membranes rupture spontaneously, and the FHR drops to 90 beats/min with variable decelerations
What would the initial response from the nurse be? 1. Perform a vaginal exam.
2. Notify the physician.
3. Place the client in a left lateral position.
4. Administer oxygen at 2 L per nasal cannula.
1
Explanation: 1. A drop in fetal heart rate accompanied by variable decelerations is consistent with a prolapsed cord. The nurse would assess for prolapsed cord via vaginal examination.
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Which patient statement indicates the need for additional teaching for a patient with rheumatoid arthritis who is taking meloxicam (Mobic)?
a. "I am keeping a daily record of my blood pressure." b. "I take aspirin before I go to bed." c. "I know I can take meloxicam with or without regard to meals." d. "I weigh every day so I will be aware of any weight gain."
The nurse is caring for an active 14-year-old boy who has recently been diagnosed with scoliosis. He is dismayed that a "jock" like himself could have this condition and is afraid it will affect his spot on the water polo team
Which response by the nurse would best address the boy's concerns? A) "If you wear your brace properly, you may not need surgery." B) "The good news is that you have very minimal curvature of your spine." C) "Let's talk to another patient with scoliosis who is winning for his swim team." D) "Let's talk to the doctor about your treatment options."
The registered nurse who has completed a master's degree program and passed a national certification exam has clinic appointments with patients who are pregnant or seeking well-woman care. The role of this nurse would be considered:
1. Professional nurse. 2. Certified registered nurse (RNC). 3. Clinical nurse specialist. 4. Nurse practitioner.
Which is the last phase of a community analysis that has to be completed by the community health nurse?
A) Categorization B) Comparison C) Inference elaboration D) Summarization