The nurse received report about a client in labor. The client’s assessment findings include: last vaginal examination the cervix was dilated 3cm, effaced 30%, contractions are 22 minutes apart, and last 20 seconds. The nurse’s interpretation is that the client is in which stage of labor?
When the day shift nurse was performing their assessments an…
When the day shift nurse was performing their assessments and gathering data on a newly admitted patient, they noted the following to be possible signs of poor nutrition.
A young woman is seen in the emergency department. She state…
A young woman is seen in the emergency department. She states “I took a pregnancy test today. I’m pregnant. My parents will be furious with me!! I have to do something!” Which of the following responses by the nurse is most appropriate?
The client you are caring for has had an epidural placed for…
The client you are caring for has had an epidural placed for pain control during labor. The nurse’s priority nursing assessment would be to monitor the client for what complication related to the placement of the epidural?
A nurse works with families in crisis at a community mental…
A nurse works with families in crisis at a community mental health clinic. What is the best broad definition of a family?
A new mother, who recently gave birth to a full-term infant,…
A new mother, who recently gave birth to a full-term infant, expresses concerns about caring for her newborn once discharged from the hospital. As the nurse, what community resources would you recommend to support the mother and her newborn?
When caring for a newborn several hours after birth, the nur…
When caring for a newborn several hours after birth, the nurse assess their respiratory rate. The nurse validates that the normal respiratory range for a healthy newborn should be?
A client experiencing homelessness arrives in labor and stat…
A client experiencing homelessness arrives in labor and states she has not received prenatal care. What is the nurse’s priority action?
When providing care to a client, the nurse utilizes a family…
When providing care to a client, the nurse utilizes a family-centered nursing approach. What is the rationale for this nursing action?
An adult client asks appropriate questions and understands w…
An adult client asks appropriate questions and understands written materials related to self-administering home insulin when being discharged from the hospital. Which of the below options correctly identifies this learning domain?