To increase her folic acid intake, what snack would be most beneficial for a pregnant
woman?
- Orange juice and fortified cereal
- Ham sandwich with mustard
- Strawberries with bananas
- Tuna fish salad and tomato
Give this one a try later!
, - Orange juice and fortified cereal
Rationale:
Both orange juice and fortified cereal are excellent sources of folic acid.
Most meats and condiments are not high in folic acid. The bread may have
folic acid added if it is enriched. Strawberries, bananas, most meats and
tomatoes are not high in folic acid.
An important nursing intervention after a woman in labor has had an epidural block is
to
- monitor the woman's bladder.
- monitor bowel sounds.
- decrease intravenous fluids to prevent fluid overload.
- turn her from side to side every 2 hours.
Give this one a try later!
- monitor the woman's bladder.
Rationale:
With the large quantity of IV solutions the woman has received, her bladder
fills quickly. The epidural block decreases the sensation of a full bladder so
the woman may not be aware of her need to void. Epidural blocks do not
alter bowel sounds. IV fluids need to be increased to prevent maternal
hypotension. The woman still has limited movement. She may need
assistance to move her legs as she turns.
The nurse is timing her patient's contractions. The following pattern
occurs:Contraction starts: 7:32Contraction ends: 7:32 (lasts 30 seconds)Contraction
starts: 7:37Contraction ends: 7:38 (lasts 30 seconds)Contraction starts:
7:42Contraction ends: 7:42 (lasts 30 seconds)The nurse records the frequency of the
contraction as
- every 4 to 5 minutes.
- lasting 30 seconds.
- every 5 minutes.
- lasting 30 seconds to 1 minute.
,Give this one a try later!
- every 5 minutes.
Rationale:
Frequency of contractions is the period from the beginning of one
contraction to the beginning of the next contraction. Duration of the
contraction is the length of the contraction from the beginning to the end.
Thirty seconds is the duration of the contractions.
A patient comes to the clinic after being informed by a sexual partner of possible
recent exposure to syphilis. The nurse will examine the patient for what characteristic
finding of syphilis in the primary clinical stage?
- Chancre
- Alopecia
- Condylomata lata
- Regional adenopathy
Give this one a try later!
- Chancre
Rationale:
Chancres appear in the primary stage of the bacterial invasion of
Treponema pallidum, the causative organism of syphilis. The other findings
do not appear until the secondary stage of syphilis, occurring a few weeks
after the chancres appear.
Which mechanism of labor occurs when the largest diameter of the fetal presenting
part passes the pelvic inlet?
- Engagement
- Extension
- Internal rotation
- External rotation
Give this one a try later!
, - Engagement
Rationale:
Engagement is when the fetal presenting part at its widest diameter
reaches the level of the ischial spines of the mother's pelvis. Extension
occurs as the fetal head passes beneath the mother's symphysis pubis.
Internal rotation occurs to allow the largest fetal head diameters to match
the largest maternal pelvic diameters. External rotation occurs to allow the
shoulders to rotate internally to fit the mother's pelvis.
The nurse sees a pattern on the fetal monitor that looks similar to early decelerations,
but the deceleration begins near the acme of the contraction and continues well
beyond the end of the contraction. Which nursing action indicates the proper
evaluation of this situation?
- Continue to monitor these early decelerations, which occur as the fetal head is
compressed during a contraction.
- This deceleration pattern is associated with utero-placental insufficiency, so the
nurse acts quickly to improve placental blood flow and fetal oxygen supply.
- This pattern reflects variable decelerations. No interventions are necessary at this
time.
- Document this reassuring fetal heart rate pattern, but decrease the rate of the
intravenous fluid.
Give this one a try later!
woman?
- Orange juice and fortified cereal
- Ham sandwich with mustard
- Strawberries with bananas
- Tuna fish salad and tomato
Give this one a try later!
, - Orange juice and fortified cereal
Rationale:
Both orange juice and fortified cereal are excellent sources of folic acid.
Most meats and condiments are not high in folic acid. The bread may have
folic acid added if it is enriched. Strawberries, bananas, most meats and
tomatoes are not high in folic acid.
An important nursing intervention after a woman in labor has had an epidural block is
to
- monitor the woman's bladder.
- monitor bowel sounds.
- decrease intravenous fluids to prevent fluid overload.
- turn her from side to side every 2 hours.
Give this one a try later!
- monitor the woman's bladder.
Rationale:
With the large quantity of IV solutions the woman has received, her bladder
fills quickly. The epidural block decreases the sensation of a full bladder so
the woman may not be aware of her need to void. Epidural blocks do not
alter bowel sounds. IV fluids need to be increased to prevent maternal
hypotension. The woman still has limited movement. She may need
assistance to move her legs as she turns.
The nurse is timing her patient's contractions. The following pattern
occurs:Contraction starts: 7:32Contraction ends: 7:32 (lasts 30 seconds)Contraction
starts: 7:37Contraction ends: 7:38 (lasts 30 seconds)Contraction starts:
7:42Contraction ends: 7:42 (lasts 30 seconds)The nurse records the frequency of the
contraction as
- every 4 to 5 minutes.
- lasting 30 seconds.
- every 5 minutes.
- lasting 30 seconds to 1 minute.
,Give this one a try later!
- every 5 minutes.
Rationale:
Frequency of contractions is the period from the beginning of one
contraction to the beginning of the next contraction. Duration of the
contraction is the length of the contraction from the beginning to the end.
Thirty seconds is the duration of the contractions.
A patient comes to the clinic after being informed by a sexual partner of possible
recent exposure to syphilis. The nurse will examine the patient for what characteristic
finding of syphilis in the primary clinical stage?
- Chancre
- Alopecia
- Condylomata lata
- Regional adenopathy
Give this one a try later!
- Chancre
Rationale:
Chancres appear in the primary stage of the bacterial invasion of
Treponema pallidum, the causative organism of syphilis. The other findings
do not appear until the secondary stage of syphilis, occurring a few weeks
after the chancres appear.
Which mechanism of labor occurs when the largest diameter of the fetal presenting
part passes the pelvic inlet?
- Engagement
- Extension
- Internal rotation
- External rotation
Give this one a try later!
, - Engagement
Rationale:
Engagement is when the fetal presenting part at its widest diameter
reaches the level of the ischial spines of the mother's pelvis. Extension
occurs as the fetal head passes beneath the mother's symphysis pubis.
Internal rotation occurs to allow the largest fetal head diameters to match
the largest maternal pelvic diameters. External rotation occurs to allow the
shoulders to rotate internally to fit the mother's pelvis.
The nurse sees a pattern on the fetal monitor that looks similar to early decelerations,
but the deceleration begins near the acme of the contraction and continues well
beyond the end of the contraction. Which nursing action indicates the proper
evaluation of this situation?
- Continue to monitor these early decelerations, which occur as the fetal head is
compressed during a contraction.
- This deceleration pattern is associated with utero-placental insufficiency, so the
nurse acts quickly to improve placental blood flow and fetal oxygen supply.
- This pattern reflects variable decelerations. No interventions are necessary at this
time.
- Document this reassuring fetal heart rate pattern, but decrease the rate of the
intravenous fluid.
Give this one a try later!
