Blog

The patient L.M. that was just admitted in active labor has the following EFM tracing. She just finished getting her epidural. Her vitals are T 99.7, BP 89/64, HR 125, RR 20 Describe the components of the EFM tracing including the variability, baseline, if accelerations are present/absent, if decelerations are present/absent and if present, what type and why. Are any interventions necessary for this strip and if so,  what interventions would be the priority intervention to implement. What is the frequency and duration of the contraction pattern?  variability [variability] baseline [baseline] accelerations [accelerations] decelerations [decelerations] cause of decel [causeofdeceleration] interventions [interventions] uterine contractions [uterinefrequencyandduration]

In what order do you don the personal protective equipment (PPE)?

A 58-year-old male patient, Mr. Bogg, is admitted to the medical-surgical unit with a diagnosis of acute pancreatitis. He complains of severe abdominal pain, nausea, and vomiting. Based on his assessment and the diagnosis, identify which nursing interventions are appropriate for Mr. Bogg’s care. (Select all that apply.)

Patient S. M., who is now a G1P1, had a spontaneous vaginal delivery. She delivered an infant boy at 38 weeks gestation.  While holding her son, the family notices the head has soft swelling of the scalp that extends across the suture lines of the fetal skull.  The nurse knows this is:

Which nursing action should the nurse take first while assisting a patient who is newly diagnosed with stage 1 hypertension make needed dietary changes help maintain their blood pressure?

What heart defects causes hypoxemia and cyanosis because desaturated venous blood is entering the systemic circulation?

You just received report on your patient who is a 33yo G4P4 that delivered a macrosomic infant of 4280 grams. She has a history of asthma and frequently uses an inhaler. You are coming to assess your postpartum patient and she calls out after feeling a gush of fluid. What is the first nursing assessment/intervention that needs to be done after arriving to the patient’s room [priorityintervention]? What medications will you not use to manage the PPH [medications]?

A pregnant woman is being discharged from the hospital after placement of cerclage because of a history of recurrent pregnancy loss secondary to an incompetent cervix. Discharge teaching should emphasize:

What child has a heart defect that causes hypoxemia and cyanosis because desaturated venous blood enters the systemic circulation?

The parents of a child with cerebral palsy ask the nurse if drugs can decrease their child’s spasticity.  From the class presentation on this subject of CP,  what do you say to the parent?