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,26-week gestational primigravida who is carrying twins is
seen in the clinic today. Her fundal height in measured at
29cm. Based on these findings what actions the nurse
implement.
a. Notify the healthcare provider of the finding
b. Document the finding in the medical record
c. Schedule the client for a biophysical profile
d. Request another nurse measure the fundus - ANSWER-
b. Document the finding in the medical record
A 24-hour-old newborn has a pink papular rash with
vesicles superimposed on the thorax, back, and
abdomen. What action should the nurse implement?
documented the findings in the infant's record -
ANSWER-Erythema toxicum (or erythema neonatorum) is
a newborn rash that is commonly referred to as "flea
,bites," but is a normal finding that is documented in the
infant's record.
A 25-year-old client who had a severe postpartum
hemorrhage following the vaginal birth of twins is
transferred to the postpartum unit. The nurse knows that
assessment for what complication has the highest
priority for this client?
a. postpartum psychosis
b. hard, painful uterine afterpains
c. placenta accreta
d. disseminated intravascular coagulation* - ANSWER-d.
disseminated intravascular coagulation*
A 26-week gestation primigravida who is carrying twins is
seen in the clinic today. Her final height is measured at
29 cm. Based on these findings, what action should the
nurse implement?
a. notify the HCP of the finding
b. schedule the client for a biophysical profile
c. document the finding in the medical record
, d. request another nurse measure the fundus - ANSWER-
c. document the finding in the medical record
A 26-week gestational primigravida who is carrying twins
is seen in the clinic today. Her fundal height in measured
at 29cm. Based on these findings what actions the nurse
implement.
A) Notify the healthcare provider of the finding
B) Document the finding in the medical record
C) Schedule the client for a biophysical profile
D) Request another nurse measure the fundus -
ANSWER-B) Document the finding in the medical record
A 26-year-old, gravida 2, para 1 client is admitted to the
hospital at 28-weeks gestation in preterm labor. She is
given 3 doses of terbutaline sulfate (Brethine) 0.25 mg
subcutaneously to stop her labor contractions. The nurse
plans to monitor for which primary side effect of
terbutaline sulfate? - ANSWER-Tachycardia and a feeling
of nervousness