A woman is 32 weeks pregnant. She is HIV-positive but asymptomatic. The nurse knows what would be important in managing her pregnancy and delivery?
1. An amniocentesis at 30 and 36 weeks
2. Weekly non-stress testing beginning at 32 weeks' gestation
3. Application of a fetal scalp electrode as soon as her membranes rupture in labor
4. Administration of intravenous antibiotics during labor and delivery
2
Explanation: 2. Weekly non-stress testing (NST) is begun at 32 weeks' gestation and serial ultrasounds are done to detect IUGR.
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The nurse is teaching new mothers about safety in caring for infants. Which of the following actions will the nurse insist the new mothers adhere to in the day-to-day care of the infant?
a. Put a blanket on the floor around and under the crib. b. Have the crib sides at least halfway up at all times. c. Have at least one hand on the infant then the crib sides are down. d. Leave little toys in the crib so the infant will be entertained.
A nurse is caring for four clients. After receiving the hand-off report, which client should the nurse see first?
a. Client having a radial neck dissection tomorrow who is asking questions b. Client who had a tracheostomy 4 hours ago and needs frequent suctioning c. Client who is 1 day postoperative for an oral tumor resection who is reporting pain d. Client waiting for discharge instructions after a small tumor resection
It has been learned that a particular industry has vastly polluted the surrounding neighborhood. Which of the following actions would most likely be taken by those living in the neighborhood?
a. Band together to shut the industry down b. Nothing, because of family ties and cost of relocation c. Immediately move to a different neighborhood d. Seek legal reimbursement for the hazard exposure
The client, who reports drinking half a case of beer each day, is admitted for detoxification. Which answer explains the onset of withdrawal symptoms 4 hours after last reported drink?
A) The client will progress through detox faster than expected. B) Early onset of withdrawal symptoms indicates underreporting of use. C) Three hours is the normal onset for withdrawal symptoms to begin. D) The withdrawal process will take about 24 hours from time of onset.