A 32-year-old patient reports ongoing anxiety, poor sleep, a…

A 32-year-old patient reports ongoing anxiety, poor sleep, and trouble focusing. The nurse learns the patient has a history of childhood trauma, current financial stress, and limited social support. Based on the stress-vulnerability model, what answer best explains why this patient may be at increased risk for an anxiety disorder?

IMPORTANT: FAILURE TO FOLLOW PROCTORING DIRECTIONS CAN RESUL…

IMPORTANT: FAILURE TO FOLLOW PROCTORING DIRECTIONS CAN RESULT IN A PENALTY  Honorlock lists a number of proctoring expectations which you must follow (unless you have approved accommodations). These are as follows:  scratch paper allowed open book not allowed notes not allowed restroom breaks not allowed handheld calculator not allowed headphones not allowed hats not allowed public area not allowed background noise not allowed mobile phone use not allowed In addition, we expect you to be in front of the camera while taking the exam, to not communicate with anyone, to not have people in the room with you, to not have a smartwatch, to not have other monitors, computers, or tablets around you, and to make sure that everything connected to your computer by things like Handoff is not used by anyone else. FAILURE TO FOLLOW PROCTORING DIRECTIONS CAN WARRARNT A PENALTY UP TO A ZERO AS WE SEE FIT AND/OR REFERRAL TO HONOR COURT   I understand that by typing my name in the box below, I am electronically signing this document and signifying the following statement:      On my honor, I have neither given nor received unauthorized aid doing this exam.

Case study:  Patient: A 32-year-old G2P1 woman at 38 weeks g…

Case study:  Patient: A 32-year-old G2P1 woman at 38 weeks gestation presents to the labor and delivery unit for induction of labor due to gestational hypertension. Initial Assessment: Vitals: Blood pressure 150/90 mmHg, heart rate 90 bpm, respiratory rate 18 breaths/min, temperature 98.6°F (37°C), oxygen saturation 98% on room air.  The patient progresses very slowly at first and then starts to progress until the patient suddenly develops severe dyspnea, tachycardia, and hypotension.  BP drops to 90/68, heart rate 110, and pulse oximetry is 90%.   The client develops bleeding from multiple sites (e.g. IV sites, incisional sites, vagina). What is the nurses first priority based on these assessment findings when caring for this patient who has developed an intrapartum complication?

Case study: Patient Information: Age: 28 Gestation: 32…

Case study: Patient Information: Age: 28 Gestation: 32 weeks, 3 days Gravida/Para: G2 P1 Presenting Complaint: Regular uterine contractions, reported as painful, increasing in intensity and frequency over the past 4 hours. Reports a “gush of fluid” an hour ago, but denies foul odor or fever. Past Medical History: Previous spontaneous preterm birth at 35 weeks (currently 3-year-old healthy child). Gestational diabetes managed with diet in current pregnancy. No known drug allergies. Social History: Non-smoker, occasional social alcohol use (denied in pregnancy). Initial Assessment Findings: Vital Signs: BP 128/78 mmHg, HR 92 bpm, RR 18 breaths/min, Temp 98.8°F (37.1°C), SpO2 98% on room air. Fetal Heart Rate (FHR): 140-150 bpm, moderate variability, accelerations present, no decelerations. Uterine Contractions: Palpable every 3-4 minutes, lasting 45-60 seconds, moderate intensity. Vaginal Exam: Cervix 3 cm dilated, 80% effaced, -2 station. Amniotic fluid noted in posterior fornix (nitrazine positive). Labs: CBC, urinalysis, group B strep (GBS) swab collected. Fetal fibronectin (fFN) pending. 1.  What are the potential complications/conditions (select one)?______________________. Potential Complication/Condition neonatal respiratory distress syndrome infection increase maternal bleeding Preterm birth 2.  What actions should the nurse take (select 4)?______________________.  Actions to Take Monitor fetal heart rate and contraction pattern Massage fundus Administer pain medication Fluid bolus Administer tocolytic  Perform patient education Administer Betamethasone

A G1P0 has been pushing for 1 1/2 hours without success.   S…

A G1P0 has been pushing for 1 1/2 hours without success.   She is complete and pushing at a 0 Station.  She has been up through the night laboring.  The physician orders a vacuum extraction.  The nurse knows which maternal indication listed below would be indicated on the client’s chart for use of a vacuum extractions:  

Scenario: A laboring client, G1P0, at 39 weeks gestation, ha…

Scenario: A laboring client, G1P0, at 39 weeks gestation, has been admitted with ruptured membranes for 12 hours. The nurse is developing the plan of care to reduce the risk of infection and chorioamnionitis. Question: Which nursing interventions are appropriate to include in this client’s plan of care? Select all that apply.