Temp 98.6 (0)
Sp02 98% on RA
What three priority assessments will you make for this patient?
Abdominal girth q 2 hours.
Assess amount of bleeding
Pelvic exam for cervical dilation.
Fetal heart rate patterns
Maternal vital signs
Attach internal fetal scalp electrode.
Correct Answer : B,D,E
A. Abdominal girth is not a primary concern for this patient. Monitoring for signs of abdominal distention and changes in the uterus is more relevant for conditions like preeclampsia or uterine rupture.
B. Assessing the amount of bleeding is essential as vaginal bleeding can indicate serious complications like placental abruption or previa.
C. A pelvic exam is not indicated without signs of cervical change or labor. The priority is to assess for active bleeding and fetal well-being.
D. Fetal heart rate patterns are crucial to assess the status of the fetus, particularly with the concern of placental issues.
E. Maternal vital signs are important to monitor to detect signs of shock or bleeding complications that may not be immediately obvious.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["D","E"]
Explanation
A. Avoiding large meals prior to sex does not significantly affect fertility.
B. Wearing boxer shorts is not conclusively proven to enhance male fertility.
C. Having sex immediately after a period ends is not the best time for conception, as it may not align with ovulation.
D. Using an ovulation predictor kit helps identify the most fertile days in a woman’s cycle, optimizing the chances of conception.
E. Hot tubs may raise body temperature, which can negatively impact sperm quality, so it is advised to avoid them when trying to conceive.
Correct Answer is ["A","B","E"]
Explanation
A. Monitoring oxygen saturation is important to assess respiratory status, as epiglottitis can cause airway obstruction.
B. Droplet precautions are required for Haemophilus influenzae type B to prevent transmission.
C. Inspecting the epiglottis is contraindicated as it can trigger airway spasm and worsen obstruction.
D. A throat culture is not appropriate in a child with suspected epiglottitis due to the risk of airway obstruction. The diagnosis is typically confirmed through other methods, such as imaging.
E. IV access should be established to provide fluids and medications, especially if the child requires emergency interventions.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.