Blog

A 25-year-old woman at 35 weeks’ gestation is brought to the labor and delivery unit by her husband. She is lethargic and complains of low abdominal pain. Her husband states she started vomiting the previous day and has not eaten anything since. He checked her blood glucose at home, and it was 320 mg/dL. She is gravida 1 para 0. Her medical history includes type 1 diabetes for two years. The client’s vital signs are temperature 98.6 F (37 C), heart rate 110 beats per minute, respiratory rate 24 breaths per minute, and blood pressure 106/70. Her electronic medical record indicates her fundal height was 36 cm one week ago, with a weight of 180 lb. The fetal heart rate monitor shows the fetal heart rate at 120 beats per minute with minimal variability and no decelerations with irregular contractions every 5 to 7 minutes, lasting 30 to 45 seconds, which are mild on palpation. Urinalysis Result Reference value Glucose 4+ Negative Ketones 4+ Negative Protein Negative Positive Specific gravity 1.035 1.001-1.035 What client information requires immediate follow-up? (Select all that apply)

The nurse is counseling a woman contemplating pregnancy. She has a history of systemic lupus erythematosus (SLE). The nurse counsels the client to

The nurse is assessing clients for their risk of developing preeclampsia. Which of these clients should the nurse consider at least risk?

Acme Company uses a standard cost accounting system. The company’s standard is 8.0 direct labor hours per unit of finished goods. For the current month, budgeted production is 700 units of finished goods and budgeted direct labor costs are $352,800. Actual production is 670 units, actual direct labor costs are $342,270, and actual direct labor hours worked are 5,690 hours. What is the direct labor rate variance? 

All of the following are examples of Type I hypersensitivity reaction EXCEPT: 

Secretory IgA are the hallmark of antibody responses in mucosal tissues. These immunoglobulins are found in mucosal secretion:

Secondary (memory) antibody responses are different from primary antibody responses because the kinetic of secondary responses is slower

A group of graduate students injected rabbits with a mixture of polysaccharides. One week after injection, the students collected blood to measure anti-polysaccharide antibody responses. The isotype and affinity of the antigen-specific antibodies they will detect will be:

Horizontal displacement of the jaw (lateralization) is accomplished primarily through unilateral activation of the [pro] muscle to protrude the jaw and activation of the [ret] muscle on the other (contralateral) side to retract the jaw.

Strength and persistence of MHC-TCR signals control the lineage commitment of T cells into CD4+ and CD8+ T cells. Which one of the following statements about the underlying mechanisms is NOT accurate?