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EHR Continued Nursing 2/11 1200 Neuro/Cognitive: A/Ox3. Speech even and clear. Pupils 3 mm PERRLA. Denies any visual changes or disturbances. DTRs 4+, +clonus-one beat. Epidural in place. Client able to move legs slightly. No sensation up to hips. Respiratory: Lung sounds clear bilaterally, breathing unlabored. Cardiovascular: Apical pulse 76 beats per minute, regular, S1 & S2 sounds present. Peripheral Vascular: Skin pink, warm, and dry. +3 pitting edema in left and right lower extremities. Gastrointestinal: Abdomen distended consistent with pregnancy. Bowel sounds present. Last bowel movement two days ago. Genitourinary: Indwelling urinary catheter in place, draining freely. Urine dark yellow, clear. Pain: Client denies feeling any pain, only pressure from contractions. 2/11 1200 Nursing Note: Contractions palpated, moderate intensity, occurring every 2-2 ½ minutes lasting 80-100 sec. Fetal heart rate tracings indicate late decelerations. Sterile vaginal exam performed. Client is 7 cm dilated, 80% effaced, at 0 station. Client’s sister at the bedside for support. intake and output Date Intake Source & Amount Output Source & Amount 2/11 1100 IV Fluids: 125 mLIce chips: 240 mL Urine: 40mL 2/11 1200 IV Fluids: 125 mLIce chips: 240 mL Urine: 35 mL   Before answering this question, review the client’s health information in the EHR. The nurse will implement the following interventions based on the fetal heart rate tracings. Select all that apply.    

Report: Hi, this is Dr. King calling. I am sending in Lelna Mengistu, a 37-year-old G4P2A1L2 at 32+1 weeksgestation. She is experiencing vaginal bleeding and says she doesn’t think she is having anycontractions. She is O+, hep-, and rubella immune. You will find all relevant prenatal labs andinformation in her EHR, and I will put in some preliminary prescriptions now. I’m downstairs in the oncall room. Call me once she has arrived and is on the fetal monitor.  EHR: NURSING ASSESSMENT & NOTES 12/12 0230 Nursing Note: Client arrived to triage by herself. She got up to go to the bathroom and saw that she bled through her underwear and pajama bottoms.  She did not notice any blood in the toilet but there was bright red blood on the toilet paper when she wiped. She placed a pad on and immediately called Dr. King who instructed her to come in. She states she was told her placenta is lying low but it would “probably resolve” before delivery, and she is scheduled for an ultrasound later this week. Husband at home trying to find a babysitter so he can join her, as they have no family nearby. She denies feeling any contractions. Dr. King notified of client’s arrival. PROVIDER PRESCRIPTIONS & NOTES 12/12 0250 Prescriptions: Admit to labor and delivery for observation Continuous external fetal and contraction monitoring Vaginal exam Complete blood count Place IV saline lock Type and screen COAG Panel: PT, PTT, Fibrinogen Transvaginal ultrasound Complete bedrest Place indwelling urinary catheter Other 12/12 0230 Client Information:Obstetric History: G4T2P0A1L2; LMP 5/01 EDD 2/5 Transvaginal ultrasound at 18 weeks identified a low-lying placenta Scheduled for repeat ultrasound at 32 weeks   Medical History: Myomectomy Spontaneous vaginal delivery x2 Elective abortion   Before answering this question, review the client’s health information in the EHR. Identify symptoms or risk factors that are related to placenta previa, placental abruption, or both. Select the correct answer. Question Placenta previa   Placental abruption Both Uterine contractions [AnswerA] History of abortion  [AnswerB]  History of smoking [AnswerC] Vaginal bleeding [AnswerD] Advanced maternal age [AnswerE] Abnormal placental location[AnswerF] Increase in fundal height disproportionate to gestational weeks [AnswerG] Recent blunt external abdominal trauma [AnswerH] Abdominal tenderness/pain [AnswerI]

Patient Report: I’ve had such a long day at work already, and it’s only 3:00 pm! I have a major project due todaythat’s giving me heartburn, and I struggled to get it done before this appointment. I think that’s why Ihave this nagging headache too. I don’t know if it’s from the day’s stress or because I haven’t beendrinking as much water as I normally do. I’ll be happy to get this over with today, so I can go home,fill up on some water, pop a few Tums and just chill. Let’s hook me up so I can hear my peanut’sheart rate and get out of here…no offense!  EHR: NURSING ASSESSMENT & NOTES 2/10 1540 Nursing Note: Client arrives for scheduled NST. Client is G1P0 at 37 weeks gestation. She is a single mom. She conceived through intrauterine insemination with donor sperm. EFM and toco applied. FHR: 132. Client states she has had a “nagging” headache since this morning and has been “struggling” with heartburn since yesterday. Blood pressure 162/100 mm Hg. Repeat blood pressure 164/100 mm Hg. Urine dipped for protein, 3+. 2/10 1540 Neuro/Cognitive: A/Ox3. Speech even and clear. Pupils 3 mm PERRLA. Denies any visual changes or disturbances. DTRs 3+, negative clonus. Respiratory: Lung sounds clear bilaterally, breathing unlabored. Cardiovascular: Apical pulse 77, regular, S1 & S2 sounds present. Peripheral Vascular: Skin pink, warm, and dry. +2 pitting edema in left and right lower extremities. Gastrointestinal: Abdomen distended consistent with pregnancy. States she had a bowel movement today. Bowel sounds x 4 quadrants. Last bowel movement yesterday. Genitourinary: Voided 150 mL dark, clear yellow urine. +Proteinuria. Pain: Headache started in morning rates 3/10, describes as nagging. Heartburn rated 3/10, describes as burning, gnawing sensation.     Before answering this question, review the client’s health information in the EHR. Complete the sentence using the drop-down choices.    The nurse’s greatest concern is the client’s risk of developing [AnswerA] related to [AnswerB], [AnswerC], and [AnswerD]. 

A financial planner believes his clients received a larger tax refund on their 2023 tax returns than on their 2022 tax returns, on average. The financial planner randomly selects 60 of his clients. Each person provides the amount received from both their 2022 and 2023 tax refund. (Money owed was recorded as a negative.) Which one of the significance tests given below should be used?     

Does Walmart have better Black Friday deals than Target? To investigate, 50 items sold at both retailers are selected. The price of each item on Black Friday at Walmart and Target is recorded. Which one of the significance tests given below should be used?                                        

A new program claims that it significantly decreases the hours of in-school suspension for at-risk middle school students.  In the findings of the study report about the new program, you read that the 95% confidence interval estimate for the mean hour reduction of in-school suspension to be between 0.02 and 0.05 of an hour.  These results are

Select all that are true.

For this question, enter your final answer here in the Canvas exam.  You may show your work here or on scratch paper. Label each part of the question clearly.  If showing work on scratch paper, submit a photo of the work in the designated area in Canvas within 5 minutes of completing the exam.  Researchers conducted a study to determine whether meditation may help the body respond to stressful situations.  In the study, people with anxiety disorder were randomly assigned to one of two groups: one group took an eight-week course in mindfulness meditation, in which they learned to focus on the present moment and accept difficult thoughts or feelings.  The other group took a course in stress management that did not involve meditation.  For each group, the researchers measured participants’ levels of stress hormones (measured in pg/mL) during a stressful event, compared with how their bodies reacted before the course.  A partial analysis of the results follows: Group n Sample Mean Std Dev Meditation improvement 80 10 20 Stress Management improvement 80 -5 25 df 150.7 Difference in mean improvement: (Meditation – Stress Management) 15 95% Confidence Interval (7.928, 22.07)   a. [4] Interpret the confidence interval estimate in the context of this scenario. b. [2] Based on the confidence interval in part a, is the difference in mean improvement in stress hormone levels between the two groups significantly different? Explain.

A new program claims that it decreases the hours of in-school suspension for at-risk middle school students. A small study using 10 students found a statistically significant decrease. If, in fact, the mean in-school suspension hours is not decreased by this program, this study’s conclusion is an instance of

It can be assumed that men have a mean hemoglobin level (Hb) of 15.50 g/dL with standard deviation 1.07 g/dL and that hemoglobin levels are normally distributed. A lab is testing some new equipment for measuring blood samples, and using the Hb levels for six men, constructed a 98% confidence interval  (14.03, 16.97). Use this information to fill in the blanks below.    The margin of error in this confidence interval is