A nurse for a client who is 32 weeks of gestation and has gestational diabetes mellitus. Which of the following findings should the nurse report to the provider? A. The client has a fasting blood glucose of 90 mg/dl B. The client has nonpitting pedal edema C. The client reports 12 fetal movements in 1hr D. The client has a fundal height of 38cm
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A. The client has a fasting blood glucose of 90 mg/dl
B. The client has nonpitting pedal edema
C. The client reports 12 fetal movements in 1hr
D. The client has a fundal height of 38cm
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- A client with an internal fetal monitor catheter in place has just received IV butorphanol (Stadol) for pain relief. Which of the following monitor tracing changes should the nurse anticipate? 1. Early decelerations. 2. Late decelerations. 3. Diminished short- and long-term variability. 4. Accelerations after contractions.A nurse is performing Leopold maneuvers on a pregnant client presenting to the labor and delivery unit in active labor. The nurse notes the following findings: PMI rightThe recommended dose for dilantin is 4-8 mg/kg/day q 12h. The child weighs 11 pounds. Order: Dilantin 15 mg p.o. q12 h. How much will the nurse administer?
- The nurse should include which of the following statements when providing education to the parents of a child who has had a bone marrow aspirate procedure? Select one: a - Your child should not sit for prolonged geriods of time: b. • Your child can take a shower, if desired: c. You should restrict your child's activity to quiet play for the next 12 hours. O d. • You should not give your child a tub bath for 24 hours.A nurse is caring for a 50-year-old client who has visited the health care facility for a routine checkup. The client has recently been diagnosed with diabetes mellitus. The blood work reveals a glucose level of 140 mg/dL. a. What questions should the nurse ask when assessing the client? b. What information regarding diabetes mellitus should the nurse provide to the client?The recommended dose for dilantin is 4-8 mg/kg/day q12h. The child weighs 11 pounds. Order: Dilantin 15 mg po q12h How much will the nurse administer?
- NER Which physical change would the nurse expec find in a pregnant client? Select all that apply. a. Increased blood volume b. Decreased clotting factors c. Supine hypotension d. Negative Hagar sign e. Increased hemoglobin Which interventions would a pregnant client b taught regarding dietary restrictions during pregnancy? Select all that apply. a. Discard foods that have been left out at rooThe nurse is providing care to a patient with a posterior pituitary tumor. The patient's vital signs are: B/P 100/70 mm Hg, HR 114, Respirations 20/min. Based on the findings, which prescription should the nurse anticipate? a. Initiate NPO status except for medications b. Redraw and confirm the client's laboratory values c. Increase the IV fluid administration rate d. Place client on bedrest with bathroom privilegesAn older adult arrives at the emergency department with reports of severe nausea and vomiting large amounts of liquid brown emesis at home. The client's vital signs are a temperature of 96.4 'F, heart rate 124 beats/minute, respirations of 16 beats/minute, and blood pressure of 75/38 mmHg. Which intervention is the most important for the nurse to implement? A. Maintain strict intake and output B. Monitor blood glucose level C. Keep the head of the bed 45 degrees D. Assess warmth of extremeties
- When taking an obstetrical history on a pregnant client who states, "I had a son born at 38 weeks gestation, a daughter born at 30 weeks gestation and I lost a baby at about 8 weeks," the nurse should record her obstetrical history as which of the following? A. G2 T2 PO AO L2 B. G3 T1 P1 AO L2 C. G3 T2 PO AO L2 O D. G4 T1 P1 A1 L2A client is scheduled for a contraction stress test on the labor and delivery unit following a nonreactive result on a nonstress test at the OB/GYN office. Nipple stimulation will be used to stimulate contractions. What should the nurse tell the client about the purpose of the test and what will be learned about fetal well-being? How can the nurse prepare the client for the test?You will continue to fill up the table using the same case scenario given in lesson 4. This time you will identify at least one nursing problem for each stages of labor and list at least 2 nursing interventions using the attached table. Case Scenario: Mrs. J. is a 25-y/o gravida 2, para 1, who was admitted at full term at 5:00 p.m. She stated that she had been having contractions at 8 to 10 minute intervals since 4 p.m. They lasted 25 seconds. She also stated that she had been having "a lot of false labor" and this makes her still able to feed and able to maintain a conversation and is getting excited. But now she hoped that this was "the real thing". Her membranes were intact. Mrs. J.'s temperature, pulse and respirations were normal and her blood pressure was 115/70. The fetal heart tones were 140 and regular. The nurse examined Mrs. J. and found that the baby's head was at +1 station, and the cervix was 4 cm. dilated and 70 percent effaced. As the labor progresses, there will be…