1. During routine prenatal examination, a client who is at 32 weeks gestation becomes dizzy, lightheaded and pale. After placing the client in a supine position, what is the priority nursing action? 1. Listen to fetal heart tones 2. Take the client's blood pressure 3. Ask the client to breathe deeply 4. Turn the client on her left side
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- 25 year old G1P0 seeks consult at 20 weeks AOG for initial obstetric visit. The nursing student is preparing to instruct the pregnant client in performing Kegel exercises. The nursing instructor asks the student the purpose of Kegel exercises. Which response made by the student indicates an understanding of the purpose? “The exercises will help strengthen the pelvic flood in preparation for delivery.” “The exercises will help reduce backaches.” “The exercises will help prevent ankle edema.” “The exercises will help prevent urinary tract infections.”A pregnant woman is scheduled for a non-stress test (NST) to assess fetal well-being. The nurse educates the woman that during the NST, fetal heart rate accelerations indicate: a) Fetal hypoxia b) Fetal distress c) Fetal well-being d) Fetal immaturityDescribe five (5) common laboratory or diagnostic tests done during the antenatal period. For each test, state their purpose(s)
- 1. A pregnant client, gravida 1 para 0, comes to the labor and delivery area stating that she thinks she is in labor. She reports short, somewhat irregular contractions occurring in the lower portion of the abdomen that seem to lessen when she walks. Her estimated date of delivery is tomorrow. a. Is the client experiencing true labor? Why or why not? b. What information would be most important for the nurse to explain to the client about labor? 2, 3, 4 2. A postpartum client who is breastfeeding calls the clinic because her breasts have become quite tender. She is 4 days postpartum and is told to come to the clinic for evaluation. At the clinic, assessment reveals that her breasts are shiny and red, hard, and very warm to the touch. Her nipples are intact and her temperature is slightly elevated. The newborn has been feeding well and appears satisfied after breastfeeding. a. What would the nurse explain as the underlying condition occurring? b. What measures would be important for the…10. A nurse is caring for a 58-year-old male who recently underwent an open radical prostatectomy. Which of the following nursing interventions would be appropriate for the client? (Select all that apply)a. Pain managementb. Venous thromboembolism prevention c. Monitor intake and outputd. Maintain bedrest e. Monitor for signs of infection2.A woman with severe preeclampsia, 38 weeks’ gestation, is being induced with IV oxytocin (Pitocin). Which of the following would warrant the nurse to stop the infusion? I. Blood pressure 160/110. II. Frequency of contractions every 3 minutes. III. Duration of contractions of 130 seconds. IV. Fetal heart rate 156 with early decelerations. Fast please
- 1. What Labs, radiology and other tests to monitor for in a woman who is in labor on admission?9. The nurse prepares to perform light palpation. How is light palpation performed? a. By indenting the skin ½ inch to ¾ inch (1.3cm-1.9cm) b. By indenting the skin 2.5cm to 5cm c. By indenting the skin 1 inch using both hands d. By indenting the skin 1 inch, and then releasing the pressure quicklyCase Analysis: You are a daycare provider and find a 3-year-old child who is unresponsive. She had laid down for a nap because she was not feeling well. When you checked on her, she was not breathing and appeared blue. You are by yourself. What will you do?
- The nurse is reviewing the use of obstetric drugs. Which situation is an indication for an oxytocin (Pitocin) infusion? a )Termination of a pregnancy at 12 weeksb) Hypertonic uterusc )Cervical stenosis in a patient who is in labord )Induction of labor at full termA pregnant client comes to the clinic for a visit. She had a miscarriage at 12 weeks and gave birth to a son, now 3 years old, at 32 weeks. Using the GTPAL system, how would the nurse document the client’s obstetric history? Question 24 options: a) G3-T0-P1-A1-L1 b) G3-T1-P0-A2-L1 c) G2-T1-P1-A0-L1 d) G2-T2-P0-A1-L111. The nurse has begun a client's assessment and is applying the blood pressure cuff on a client's arm. Which action would be most appropriate? A. The cuff is wrapped loosely around the arm. B. The cuff is placed about 1 in above the antecubital area. C. The bladder inside the cuff encircles 50% of the arm circumference. D. The nurse can fit three to four fingers under the inflated cuff. Explain each choices why it is and why it is not the answer