The nurse is monitoring a client in labor whose membranes ruptured spontaneously. The initial nursing action is to:
1. Take the client's blood pressure.
2. Provide peripads to the client.
3. Determine the fetal heart rate.
4. Note the amount, color, and odor of the amniotic fluid.
3
Rationale: When the membranes rupture in the birth setting, the nurse immediately assesses the fetal heart rate to detect changes associated with prolapse or compression of the umbilical cord. "Take the client's blood pressure." and "Note the amount, color, and odor of the amniotic fluid." are also appropriate actions, but are not the initial actions in this situation. The nurse may assist the client in cleaning and changing clothing, but determining the fetal heart rate is the initial ac-tion.
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The nurse is assessing an obese patient who expresses an interest in bariatric surgery
The nurse knows that in addition to meeting the criterion of morbid obesity, a candidate for bariatric surgery must also demonstrate which of the following? A) Knowledge of the causes of obesity and its associated risks B) Emotional stability and understanding of required lifestyle changes C) Positive body image and high self-esteem D) Insight into why their past weight loss efforts failed
What is the best response by the nurse when the obese mother of an obese child asks if she passed on the gene for obesity to her child?
A) "Obesity is due to multiple factors, including heredity." B) "Obesity is only due to behavioral factors." C) "Only Environmental factors cause obesity." D) "Only Lifestyle factors cause obesity."
In terms of the incidence and classification of diabetes, maternity nurses should know that:
a. Type 1 diabetes is most common. b. Type 2 diabetes often goes undiagnosed. c. Gestational diabetes mellitus (GDM) means that the woman will be receiving in-sulin treatment until 6 weeks after birth. d. Type 1 diabetes may become type 2 during pregnancy.
Prazosin (Minipress) is prescribed for hypertensive client. Which measure should be used by the nurse to prevent the first-dose phenomenon?
1. Give the dosage early in the morning before breakfast. 2. Give initial low doses at bedtime. 3. Give the dosage with meals. 4. Give initial high dosage and then lower gradually.