Rupture of the amniotic sac before the onset of true labor, regardless of length of gestation is called premature rupture of membranes (PROM). The first priority for the nurse is to determine whether membranes are truly ruptured
Other explanations for this increase in fluid discharge include all except a. Urinary incontinence
b. Leaking of amniotic fluid
c. Loss of mucous plug
d. An increase in vaginal discharge
B
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A It is not uncommon for patients to mistake urinary incontinence for leakage of
amniotic fluid.
B Leaking of amniotic fluid is an indication of PROM.
C Loss of the mucous plug can lead a woman to believe that her membranes have
ruptured when they have not.
D Late in pregnancy there may be an increase in vaginal discharge. This may be
mistaken for rupture of membranes.
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Hemophilia A is an inherited disease. Which statements would be determined by the family pedigree regarding hemophilia A? (Select all that apply.)
a. It is an X-linked disorder. b. Sons have a 50% chance of having hemophilia. c. It is a Y-linked disorder. d. Daughters have a 50% chance of being a carrier of the trait. e. Sons have a 25% chance of having hemophilia. f. Daughters have a 50% chance of having hemophilia.
How might the nurse best prevent infection in a patient with an indwelling urinary catheter?
A) Vigorously clean the meatus area daily. B) Apply powder to the perineal area twice daily. C) Empty the drainage bag at least every 8 hours. D) Irrigate the catheter every 8 hours with normal saline.
Which of the following clients presents with an increased risk for urinary incontinence? (Select all that apply.)
1. The 74-year-old diagnosed with parkinsonism 5 years ago 2. The 25-year-old with Crohn's disease diagnosed 4 years ago 3. The 62-year-old Alzheimer's disease client diagnosed 8 years ago 4. The 34-year-old mother of two diagnosed with multiple sclerosis 8 years ago 5. The 73-year-old diagnosed with benign prostatic hyperplasia (BPH) 6 years ago 6. The 69-year-old client diagnosed with type 2 diabetes 9 years ago
Which intervention by the nurse best indicates that she values a Native American patient's beliefs and indigenous healthcare system?
a) Incorporating Native American practices into care based on consultation with a cultural resource book b) Explaining the values and beliefs of the traditional healthcare system to the patient so that the patient understands what is occurring c) Contacting a Native American resource group for information about the culture d) Planning how to incorporate traditional practices and beliefs through discussion with the patient