Question 37 A client, 34 weeks pregnant, arrives at the ER with severe abdominal pain, uterine tenderness and an increased uterine tone. The client denies vaginal bleeding. The external fetal monitor shows fetal distress with severe, variable decels. The client most likely has which of the following?  

Question 5 A primigravida asks when she will be able to hear the fetal heartbeat for the first time. The nurse should explain that the heartbeat can be heard with what?

Question 9 A 33-year-old woman suspects she is pregnant and visits her primary health care provider for confirmation. The office nurse takes the client’s history and performs an initial assessment. After verifying her pregnancy, the nurse collects additional data to determine her risk for common complications of pregnancy. Complete the following sentence by choosing the most likely option for the missing information from the list of options provided. The nurse also schedules the client for a glucose tolerance test because some pregnant women develop _______________________ during pregnancy.

Question 21 Which probable diagnosis would the nurse expect for a client at 12 weeks’ gestation who arrives in the prenatal clinic complaining of cramping and vaginal spotting, but a pelvic examination reveals that the cervix is closed?

Question 10 A pregnant client’s mother is worried that her daughter is not “big enough” at 20 weeks. The nurse palpates and measures the fundal height at 20 cm, which is even with the woman’s umbilicus. What should the nurse report to the woman and her mother?

A 32-year-old male suffers blunt trauma to the orbit and presents with complete loss of vision in the right eye. A CT scan reveals a fracture near the optic canal. Which cranial nerve is most likely injured?

A 54-year-old man presents with facial weakness. He cannot close his right eye, raise his right eyebrow, or smile on the right side. Taste sensation is also diminished on the anterior two-thirds of the tongue. Where is the lesion most likely located?

Lesions of the trochlear nerve (CN IV) cause difficulty looking up and medially.

Identify the action/function of each cranial nerve and integrate injury to nerve with clinical presentation.

A 59-year-old man presents with progressive weakness in the hands and legs. He has muscle atrophy and fasciculations in the arms, hyperreflexia in the legs, and no sensory deficits. He was diagnosed with Amyotrophic Lateral Sclerosis (ALS). Which of the following best explains his pattern of paralysis?