A client pregnant at 41 weeks asks if labor induction is necessary. Which response is best for the nurse to make?

1. "The healthcare provider wants to be proactive in preventing any problems with your baby if the baby gets any bigger."
2. "Sometimes the placenta ages excessively, and we want to take care of that problem before it happens."
3. "When infants are born 2 or more weeks after their due date, they have meconium in the amniotic fluid."
4. "Babies can develop postmaturity syndrome, which increases their chances of having complications after birth."


4
Explanation:
1. Although this is true, the answer is incomplete. The risk of postmaturity syndrome is also an issue.
2. Although this statement is true, it is too vague. It is better to be specific and call postmaturity syndrome by its name.
3. Although this statement is partially true, meconium-stained amniotic fluid is not always present or the only complication of postmaturity syndrome.
4. This statement is correct. Babies older than 41 weeks' gestation are prone to developing postmaturity syndrome.

Nursing

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Mrs. Silver is currently taking Lasix, 40 mg bid; digoxin, 125 mg qd; and Inderal, 20 mg qd. Which of the following laboratory values would be of concern to you?

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A diabetic client visits the health care facility for a fasting blood glucose test. How should the nurse ensure that the test is accurate?

A) By modifying the diet to get the correct glucose level B) By withholding food and fluids to check the glucose level C) By asking the client to eat just an hour before taking the test D) By asking the client to perform light exercise before taking the test

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In caring for a client who has chosen not to pursue aggressive therapy for a serious health problem, the nurse feels angry at the client for not doing more to improve or prolong life. What is this realization called?

a. self-actualization c. self-concept b. self-awareness d. self-esteem

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A group of nurses at the managed behavioral health organization have the task of revising the

current admission criteria. 1 . Clear risk of client danger to self or others 2 . Dangerous decompensation of a client under long-term treatment 3 . Failure of community-based treatment demonstrating clear need for intensive, structured treatment 4 . Medical need unassociated with psychiatric treatment or associated with treatment 5 . Provision of respite for caregivers Which, if any, of the criteria should be deleted? A. none B. 1 C. 2 D. 3 E. 4 F. 5

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