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a nurse is caring for a pt who is in the latent phase of labor, what clinical manifestation
should the nurse expect - ANSWERS-talkative
a nurse is caring for a pt who is in active labor and notes late decelerations in the FHR
on the external fetal monitor, what actions is the nurse's priority - ANSWERS-change
the pt's positions
a nurse is caring for a pt who is pregnant for the 4th time, she delivered 2 full term
newborns and had one spontaneous abortion at 10wk of gestation, the ob history is -
ANSWERS-G4 P2
a nurse is caring for a pt who is in active labor and notes early decels of the FHR on the
fetal monitor tracing, the nurse should identify that which of the following conditions
causes early decels in the FHR - ANSWERS-head compression
a nurse is providing teaching to a group of young adult women about risk factors for
ovarian cancer, what should the nurse include - ANSWERS-nulliparity
high-fat diet
hormone replacement therapy
a nurse is preparing to administer a repeat dose of butorphanol to a pt who is in labor,
what finding should the nurse identify as a contraindication to the administration of the
medication - ANSWERS-respiratory rate 11/min
, a nurse is teaching a pt about using an IUD for contraception, what statement by the pt
indicates an understanding - ANSWERS-i should check for the string each month after
menstruation
a nurse is preparing to administer nalbuphine to a pt who is in active labor, the pt
requests a bedpan to have a bowel movement, what should the nurse do first -
ANSWERS-evaluate the client's cervix
a nurse is caring for a pt who is at 38 weeks of gestation and is experiencing continuous
abdominal pain and vaginal bleeding, the pt has a history of cocaine use, the nurse
should identify that the pt is likely experiencing what complication - ANSWERS-abruptio
placentae
a nurse is caring for a pt at 39 weeks of gestation who is in active labor and had a
positive GBS culture at 36 weeks of gestation, what action should the nurse take -
ANSWERS-administer prophylactic antibiotics
a nurse is reviewing a pt's medical records and notes that the pt is taking tamoxifen, the
pt should identify that this is used to treat - ANSWERS-breast cancer (estrogen receptor
blockers)
a nurse is assessing a pt who gave birth 1 week ago, the client states "i don't know
what's wrong , i love my baby, but i feel so let down, and i seem to cry for no reason"
the nurse should identify that this is - ANSWERS-postpartum blues
(1-10 days after the birth, depression is 1-12 months after birth)
a nurse is teaching the parents of a newborn how to care for their son's uncircumcised
penis, what instruction should the nurse include - ANSWERS-wash the penis once per
day with soap and water
a nurse is planning care for a pt who is in labor and has an active varicella zoster
infection with skin lesions, what actions should the nurse include in the plan of care -