While auscultating the fetal heart rate at 20 weeks gestation, you get a reading of 90 . What does this most likely represent?
a. Fetal distress
b. Umbilical souffle
c. An accurate reading of the fetal heart rate
d. Uterine souffle
D
Uterine souffle is the sound made by the increased amount of blood perfusing the uterus and mimics the mother's pulse. Umbilical souffle is referred to as tunic souffle.
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A nurse cares for a client who is infected with Burkholderia cepacia. Which action should the nurse take first when admitting this client to a pulmonary care unit?
a. Instruct the client to wash his or her hands after contact with other people. b. Implement Droplet Precautions and don a surgical mask. c. Keep the client isolated from other clients with cystic fibrosis. d. Obtain blood, sputum, and urine culture specimens.
A Native American patient describes a difficult childhood and dropping out of high school. The patient abused alcohol as a teenager to escape feelings of isolation but stopped 10 years ago. The patient now says, "I feel stupid. I've never had a good job
I don't help my people." Which nursing diagnosis applies? a. Risk for other-directed violence b. Chronic low self-esteem c. Deficient knowledge d. Social isolation
A nursing assistant is taking a patient's rectal temperature as directed by the care plan. The nursing assistant should
A. Clean the thermometer with hot, soapy water afterwards. B. Check on the patient often while the thermometer is in place. C. Hold the thermometer in place. D. Document the temperature, noting the route as Ax.
What statement made by a parent indicates an understanding about helping a 13-year-old manage his allowance?
a. "I set amounts he can earn for particular chores." b. "I give him a certain amount of money for each day." c. "I put money into his bank account each month." d. "I told him to ask me when he needs money."