The nurse is caring for a term gestation pregnant patient who came into the office for an external cephalic version. Which of the following interventions would not be appropriate for this patient?
Verify the patient's blood type and prepare RhoGAM † necessary.
Have the patient ambulate before the procedure to see if the baby will turn.
Have the patient empty her bladder before the procedure.
Assess for contractions and fetal heart rate pattern before the procedure.
The Correct Answer is B
The patient should not be ambulating before the procedure as this may cause fetal descent and prevent the success of the version. The other interventions listed are appropriate and important for the safety and well-being of the patient and the fetus during the procedure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Effective health communication requires that messages be designed with the audience's needs and characteristics in mind, and pretesting is an important part of this process. Pretesting materials for feedback about comprehension helps to ensure that the messages are clear, understandable, and culturally appropriate for the target audience. This also allows the nurse to make any necessary revisions to improve the materials' effectiveness.
The nurse's target audience should be specific to those who have infants or who are expecting an infant, rather than including all residents, as this is too broad and may not effectively reach the intended audience. Additionally, the use of radio advertisements developed in English only may not be effective for reaching all members of the community, particularly those who do not speak English as their primary language. Lastly, materials written at a high school reading level may not be appropriate for all members of the community, particularly those with lower levels of literacy.
Correct Answer is C
Explanation
This is because magnesium sulfate can cause respiratory depression, and a respiratory rate of 10 breaths/minute is significantly lower than the normal range of 12-20 breaths/minute. Other factors such as blood pressure of 138/88, the urinary output of 40 ml/hr, and patellar reflex of +2 should also be monitored, but they would not necessarily warrant immediate discontinuation of the magnesium sulfate infusion.
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