The nurse is caring for a G4P1, 31 weeks and 2 days gestation, 41-year-old patient, with premature prolonged rupture of membranes (PPROM) 7 hours after delivery. Which interventions will the nurse include in the plan of care? Select all that apply.

Facilitate an early discharge.

Discontinue oxycodone administration.

Restrict visitor time.

Provide breast pump.

Answer and Explanation

Correct Answer : B,C,D

Choice A reason: Facilitating an early discharge is not appropriate in this case. Patients with PPROM require careful monitoring and management to prevent infections and other complications.

Choice B reason: Discontinuing oxycodone administration may be necessary to prevent potential adverse effects on both the patient and the baby, especially considering the patient's recent delivery and current condition.

Choice C reason: Restricting visitor time can help reduce the risk of infection, especially for a patient with PPROM and a newborn who may have a compromised immune system.

Choice D reason: Providing a breast pump is important to help the mother establish and maintain lactation, especially if the baby is premature and may have difficulty breastfeeding directly.

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Correct Answer is D

Explanation

Choice A reason: Developing a plan of care with the child and family is important, but it does not explicitly address the need for cultural competence. This approach is cantered around collaboration rather than cultural sensitivity.

Choice B reason: Providing future-based care for culturally diverse children is vague and does not directly indicate an understanding or application of cultural competence in the current care situation.

Choice C reason: Treating all children the same regardless of their culture is contrary to the principles of culturally competent care. Culturally competent care involves recognizing and respecting the cultural differences that impact the child's health and tailoring the care to meet those unique needs.

Choice D reason: Assessing the child's culture and providing care based on the findings demonstrates an understanding and application of culturally competent care. This approach ensures that the care is respectful of and responsive to the cultural needs of the child and family.

A. red blood cell counts 4.5 million/cu mm B. Haematocrit 37% C. Platelets 85,000/mm3 D. Haemoglobin 14 g/dL

Correct Answer is C

Explanation

Choice A reason: A red blood cell count of 4.5 million/cu mm is within the normal range for pregnant women. It does not indicate an immediate concern that needs to be reported to the healthcare provider. Normal red blood cell counts help ensure adequate oxygen transport in the body.

Choice B reason: A haematocrit level of 37% is also within the normal range for pregnant women. Haematocrit measures the proportion of red blood cells in the blood, and this level does not indicate an immediate concern. It is important for maintaining proper oxygen delivery and overall blood volume.

Choice C reason: Platelets 85,000/mm3 is significantly below the normal range (150,000-450,000/mm3). Low platelet counts (thrombocytopenia) can lead to increased risk of bleeding and can be a sign of conditions like preeclampsia, HELLP syndrome, or other blood disorders. This is a critical finding that needs to be immediately reported to the healthcare provider for further evaluation and management to prevent potential complications.

Choice D reason: Haemoglobin level of 14 g/dL is within the normal range for pregnant women and indicates good oxygen-carrying capacity of the blood. It does not represent an immediate concern that would require urgent reporting to the healthcare provider. Maintaining proper haemoglobin levels is crucial for overall health and well-being.

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The nurse is caring for a G4P1, 31 weeks and 2 days gestation, 41-year-old patient, with premature prolonged rupture of membranes (PPROM) 7 hours after delivery. Which interventions will the nurse include in the plan of care? Select all that apply.

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Naxlex Comprehensive Predictor Exams

The paediatric nurse is teaching the student nurse about culturally competent care. Which action will the student nurse identify as consistent with this type of care?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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