A nurse is talking with a client who is at 21 weeks of gestation and is scheduled for an international flight. Which of the following instructions should the nurse include? (Select all that apply.)

Avoid sitting for long periods of time during the flight to prevent swelling and discomfort.

Wear compression stockings during the flight to prevent blood clots.

Avoid using seat belts during the flight to prevent pressure on the abdomen.

Take frequent walks and do leg exercises during the flight to promote circulation.

Avoid using electronic devices during the flight to reduce radiation exposure. Take a high dose of vitamin C before the flight to boost the immune system.

Answer and Explanation

Correct Answer : A,B,D

A. Avoid sitting for long periods of time during the flight to prevent swelling and discomfort. – Correct; prolonged sitting can increase the risk of swelling and deep vein thrombosis (DVT).
B. Wear compression stockings during the flight to prevent blood clots. – Correct; compression stockings help improve circulation and reduce the risk of DVT.
C. Avoid using seat belts during the flight to prevent pressure on the abdomen. – Incorrect; seat belts should be worn low, across the hips, for safety.
D. Take frequent walks and do leg exercises during the flight to promote circulation. – Correct; movement reduces the risk of blood clots and swelling.
E. Avoid using electronic devices during the flight to reduce radiation exposure. Take a high dose of vitamin C before the flight to boost the immune system. – Incorrect; radiation exposure from electronic devices is negligible, and there is no evidence that high doses of vitamin C prevent illness during flights.

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Correct Answer is D

Explanation

A. Fundus soft, 2 fingerbreadths below the umbilicus – Incorrect; the fundus should be firm, not soft, to prevent postpartum hemorrhage.

B. Fundus firm, 2 fingerbreadths above the umbilicus – Incorrect; a fundus above the umbilicus at 12 hours may indicate bladder distension or uterine atony.

C. Fundus soft, to the right of the umbilicus – Incorrect; a deviated and soft fundus suggests bladder distension, requiring intervention.

D. Fundus firm, at the level of the umbilicus – Correct; at 12 hours postpartum, the fundus should be firm and at the level of the umbilicus, gradually decreasing in height each day.

A. Second stage, active phase B. First stage, active phase C. First stage, latent phase D. Second stage, latent phase

Correct Answer is B

Explanation

A. Second stage, active phase – Incorrect; the second stage begins at 10 cm dilation, not 7 cm.
B. First stage, active phase – Correct; the active phase of the first stage occurs from 6-10 cm dilation and includes increased discomfort and pressure.
C. First stage, latent phase – Incorrect; the latent phase occurs 0-5 cm dilation, before active labor.
D. Second stage, latent phase – Incorrect; the second stage starts at 10 cm when pushing begins.

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A nurse is talking with a client who is at 21 weeks of gestation and is scheduled for an international flight. Which of the following instructions should the nurse include? (Select all that apply.)

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Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who is 12 hr postpartum. Which of the following findings should the nurse expect?

Correct Answer is D

Explanation

In which stage and phase of labor is the client who is at 7 cm of cervical dilation and 100% effacement, with the fetus at 1 station and intact amniotic membranes, and reporting the urge to push?

Correct Answer is B

Explanation

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