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Patient Data

Exhibits

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The client is admitted to the hospital after her membranes rupture at 38 weeks gestation. A vaginal examination is done. The nurse determines that the client is 3 cm dilated, 40% effaced, and the fetal head is at -1 station. The external monitor snows that contractions are occurring every 4 minutes and lasting 70 seconds, and the nurse palpates the quality as strong. Her fasting blood glucose (FSBG) is 86 (4.8 mmol/L).

The client is transferred to the labor- delivery-recovery (LDR) suite. The client dilates quickly to 10 cm and feels a strong urge to push. The fetal heart rate is reassuring with a baseline of 145 and moderate variability. The nurse briefly reviews pushing techniques with her and her husband and notifies the obstetrician of the client's progress. After three cycles of open-glottis pushing, the baby's head is crowning. The head is born easily over an intact perineum. The infant weighs 9 lbs. 9 oz (4.34 kgs) and has an Apgar of 7 at 1 minute, then 9 at 5 minutes.

client is 3 cm dilated, 40% effaced, and the fetal head is at -1 station

contractions are occurring every 4 minutes and lasting 70 seconds

fasting blood glucose (FSBG) is 86 (4.8 mmol/L)

client dilates quickly to 10 cm and feels a strong urge to push

fetal heart rate is reassuring with a baseline of 145 and moderate variability

Apgar of 7 at 1 minute, then 9 at 5 minutes

After three cycles of open-glottis pushing, the baby's head is crowning

infant weighs 9 lbs. 9 oz

membranes rupture at 38 weeks gestation

Answer and Explanation

The Correct Answer is ["A","B","C","D","E","F"]

This blood glucose level is within the normal range, indicating that the client’s blood sugar is well-controlled at this point.

The client is 3 cm dilated, 40% effaced, with contractions every 4 minutes lasting 70 seconds and strong in quality. These are signs of active labor progressing appropriately.

The fetal heart rate is reassuring with a baseline of 145 beats per minute and moderate variability. This indicates good fetal well-being and adequate oxygenation.

The client quickly dilates to 10 cm and experiences a strong urge to push, suggesting efficient progress through labor.

The baby is born with an intact perineum, weighs 9 lbs. 9 oz (4.34 kg), and has excellent Apgar scores of 7 at 1 minute and 9 at 5 minutes. These scores indicate that the infant is in good condition and adapting well to extrauterine life.

Nursing Test Bank

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Free Nursing Study Resources

Correct Answer is D

Explanation

A. Food contamination from flood waters can lead to gastrointestinal issues, but in disaster scenarios, contaminated drinking water is a more common source of widespread diarrhea.

B. Close living quarters at evacuation centers can contribute to the spread of infectious diseases, but they are less likely to be the primary source of contamination compared to drinking water.

C. Nosocomial transmission in the medical area is possible but less likely to be the primary source of widespread diarrhea among disaster victims.

D. Drinking water contaminated by sewage is a common and significant source of gastrointestinal infections, especially in disaster scenarios where infrastructure may be compromised.

A. The client will be afebrile for 24 hours B. The client will have quit smoking C. The client will report pain less than 3 on a pain scale of 0 to 10. D. The client will remain free of skin breakdown E. The client will maintain oxygen saturation of 96% without supplemental oxygen

Correct Answer is ["A","B","E"]

No explanation

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client arrives at a hurricane disaster medical area seeking treatment for diarrhea, Which source of contamination should the nurse consider when interviewing the client about exposure?

Correct Answer is D

Explanation

Patient Data Exhibits Which are the 3 most important goals that would help the nurse evaluate the treatment of this client at discharge?

Correct Answer is ["A","B","E"]

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Patient Data Exhibits The nurse reviews the prescriptions and assessment data. Click to indicate which interventions could help reduce symptoms if added to the plan of care. Each row must have one response option selected.

Patient Data Exhibits Which 2 prescriptions should the nurse complete first?

When planning care for a client with acute pancreatitis, which nursing intervention has the highest priority?

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Exhibits The nurse is considering the possible etiology of the client's symptoms. Click to indicate if the listed assessment findings are consistent with benign prostate hyperplasia, urinary tract infections, or prostatitis. Each column must have at least one response option selected.

The nurse is preparing to administer a suspension ampicillin labeled, 250 mg/5 mL, to a child with impetigo. The prescription is for 500 mg four times a day. How many mL should the child receive per day? (Enter numeric value only.)