Blog

  Based on the above figure, total revenue is at its highest ____________________________________

The nurse is caring for a 28 year old woman on the postpartum unit. Four hours ago she delivered a 39 week gestation baby boy weighing 9lb 13oz. The mother has a stage 3 laceration. Her labor history includes gestational diabetes. She is G2-P0-T2-A1-L2.   The nursing assistant has just completed their rounds and reports back to you the following vital signs.  HR 122 bpm, BP 100/65, O2 Sat 94 %, RR 22, Temp 99.0 F   The nursing assistant states that the patient, “…was really hard to wake up. I kept trying. When I finally woke her up, she was saying she is extremely tired and would like to send the baby to the nursery so she can sleep.” You immediately go assess the patient. She has soaked one peri-pad in less than 1 hour.  Indicate whether the nursing interventions below are Indicated (appropriate or necessary), Contraindicated (could be harmful), or Non-Essential (makes no difference or is not priority at this time) for the patient’s care at this time. Assess the fundus[1]    Administer Pain medication (ordered prn)  [2]   Perform a vaginal exam [3]  Administer Oxytocin and Methergine (ordered prn) [4]    Provide comfort measures including warm blanket and ice pack to perineal area[5]    Complete a full head to toe assessment [6]

A gestational diabetic mother who was insulin dependent gave birth 4 hours ago. Before labor began, she required approximately 20 units of regular insulin per day to maintain her blood glucose. The nurse should anticipate her insulin dose to currently be:

Which of the following contribute to respiratory distress syndrome in the newborn: Select All That Apply

A 26 week prenatal patient complains of a persistent headache and blurred vision for the last few days. The priority nursing intervention is: 

The nurse is caring for a full-term breastfeeding baby who weighs 9 pounds 12 oz (4300 grams). The Temp is 98.6, HR is 142, RR is 60. The baby is jittery, sweating, and lethargic. Which of the following is a priority nursing intervention? 

You are observing for fetal heart rate (FHR) accelerations in a nonstress test (NST) for a woman who is 26 weeks pregnant.  The average FHR baseline is 145 beats per minute (bpm).  Within 20 minutes, the FHR accelerated to 160 bpm six times, for 15 seconds.  How should you interpret this information?

A medication order reads, “Potassium 20 mEq 1-tab po BID”. What does the nurse need to do FIRST when administering this medication?  

The med surg nurse is completing an admission assessment on a post- op client. The nurse assesses the lung sounds and hears high- pitched continuous sounds. What does this assessment finding indicate?

A pregnant client comes into the clinic for her monthly exam. Her urine test is positive for glucose. A glucose tolerance test is ordered and is positive for gestational diabetes. The client is confused by the diagnosis, stating she is conscientious about her health, and asks the nurse to explain gestational diabetes. The nurse should explain that gestational diabetes is the result of what ideologic factor?