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Author Archives: Anonymous

The nurse assesses a sleeping 1-hour-old, 39-weeks’-gestatio…

The nurse assesses a sleeping 1-hour-old, 39-weeks’-gestation newborn. The assessment data that would be of greatest concern would be:

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The nurse teaching the expectant parents about the placenta…

The nurse teaching the expectant parents about the placenta also talks about the circulation and how the fetus gets its oxygen. She will include in this teaching which important fact?

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A client had a temperature of 100.1 F six hours following a…

A client had a temperature of 100.1 F six hours following a vaginal delivery. What is an appropriate action for the nurse to take?

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The labor and delivery nurse is reviewing charts. The nurse…

The labor and delivery nurse is reviewing charts. The nurse should inform the supervisor about which patient?

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A client had a temperature of 100.1 F six hours following a…

A client had a temperature of 100.1 F six hours following a vaginal delivery. What is an appropriate action for the nurse to take?

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The nurse is working with a prenatal patient. Which statemen…

The nurse is working with a prenatal patient. Which statement indicates that additional teaching is necessary?

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The nurse is working with a prenatal patient. Which statemen…

The nurse is working with a prenatal patient. Which statement indicates that additional teaching is necessary?

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During the first prenatal visit, the client denies having ha…

During the first prenatal visit, the client denies having had rubella or the rubella vaccine. Based on this information, which action by the nurse would be appropriate? 

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A nursing instructor is demonstrating an assessment on a new…

A nursing instructor is demonstrating an assessment on a newborn using the Ballard gestational assessment tool. The nurse explains that which of the following tests should be performed after the first hour of birth, when the newborn has had time to recover from the stress of birth?

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The laboring primiparous patient is at 7 cm, with the vertex…

The laboring primiparous patient is at 7 cm, with the vertex at a +1 station. Her birth plan indicates that she and her partner took Lamaze prenatal classes, and they have planned on a natural, unmedicated birth. Her contractions are every 3 minutes and last 60 seconds. She has used relaxation and breathing techniques very successfully in her labor until the last 15 minutes. Now, during contractions, she is writhing on the bed and screaming. Her labor partner is rubbing the patient’s back and speaking to her quietly. Which nursing diagnosis should the nurse incorporate into the plan of care for this patient?

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