Which maternal condition is considered a contraindication for the application of internal monitoring devices?

A. Initiate an intravenous line: Establishing IV access is important for administering medications or fluids, but immediate oxygenation takes priority to prevent hypoxia and tissue damage in a suspected pulmonary embolism.

B. Assess the client's blood pressure: Monitoring vital signs, including blood pressure, is essential for detecting hemodynamic instability, but it is secondary to ensuring adequate oxygenation in the acute phase of a pulmonary embolism.

C. Prepare to administer Morphine sulfate: Morphine may relieve pain and anxiety, but it does not address the primary threat of hypoxemia or impaired oxygen delivery, making it a lower priority intervention.

D. Administer oxygen at 8 to 10L/min by face mask: Supplemental oxygen helps maintain adequate oxygen saturation, reduces hypoxemia, and supports vital organ perfusion. In a client with sudden dyspnea and tachycardia suggestive of a pulmonary embolism, rapid oxygen delivery is the immediate priority.

A. This is considered a developmental delay in the 3-year-old and we should consult a speech therapist: A 3-year-old typically exhibits short, simple sentences; this pattern does not necessarily indicate a developmental delay unless accompanied by other language or cognitive deficits.

B. This is a condition known as echolalia and can be corrected if you work with your daughter on language skills: Echolalia involves repeating words or phrases verbatim, often seen in toddlers or in certain developmental disorders, which is different from the child’s use of simplified speech to convey meaning.

C. This is a normal, common speech pattern in the 3-year-old and is called telegraphic speech: At around age 3, children commonly use telegraphic speech, consisting of short, essential words that omit smaller connecting words. This pattern is developmentally appropriate as children are building vocabulary and sentence structure.

D. This is a condition known as stuttering and it is a normal pattern of speech development in the toddler: Stuttering involves disruptions in the flow of speech, such as repetitions or prolongations, rather than simplified sentence structure. The child’s broken speech in this case is not indicative of stuttering.