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When educating the patient about taking lithium carbonate, the RN should include the following information:

Your patient is taking a second-generation (atypical) antipsychotic medication. The patient’s spouse tells you that he read that the drug is effective in treating negative symptoms of schizophrenia and asks you to explain what these are. How would you respond to this family member?

**Begin Lita’s Case Study** Lita comes to your unit as a triage patient for complaint of abdominal cramping.  It’s Sunday and her provider’s office is closed, so you don’t have her prenatal records available. Lita is a 25-year-old African American woman who lives with her partner and their 1-year-old daughter who was born at 32 weeks gestation.  Lita works as a server at a restaurant and lives in Miami, but is considering relocating to be closer to family.  She smokes on occasion, but denies using illicit drugs or drinking alcohol. She had one pregnancy loss at 21 weeks gestation.  She tells you that this pregnancy has been uneventful and she started prenatal care but has only had two visits so far but she knows that she is 25 weeks along because she keeps track using an app.  She started taking classes at Miami Dade College but had to withdraw this semester.  She says that she’s healthy and has felt well during this pregnancy so far.  Her last visit to the dentist was while she was in high school but states she is meticulous in her oral care. List five risk factors identified for preterm labor (PTL) in Lita’s history.  Each correct risk factor is worth one point for a total of 5 points.

Anne is seen in the high risk clinic at 38 weeks.  She denies visual changes, RUQ pain.  She reports a mild pressure in her head and her swelling has increased.  She has been taking the methyldopa as ordered but is finding it difficult to maintain bedrest.  Her urine shows +3 proteinuria.  She has increased peripheral edema at 2+ and facial edema is noted on examination.  Blood pressure taken after five minutes of rest and with the patient sitting and the cuff at the level of the heart:  150/102 R arm and 148/100 in the L arm using a manual blood pressure cuff.  The patient is sent to the OB unit for further evaluation and she is assigned to you upon her arrival.  Which of the following nursing assessments is appropriate on admission?  Select all that apply.

What is Lita’s GTPAL?  Record your answer using numbers only, no letter.  Example: 1 2 3 4 5

A parent is in the grocery store with his toddler. The toddler asks for candy and the parent says “no.” The toddler begins to have an emotional outburst. In order to calm the child down and avoid creating a scene the parent gives the child the candy. In this case, the parent’s “giving-in behavior” is                                             reinforced when child stops crying.

A point of care blood glucose check reveals Abby’s infant to have a blood sugar of 32gm/dl at 30 minutes of age.  What are some signs/symptoms that may accompany hypoglycemia in the late preterm infant? (Select all that apply)

Name the space pointed to by the arrow. 

_______________________ is a variety of language where one is distinguished from others by grammar and vocabulary.

An infant should ______ birthweight in 6 months and _______ birthweight in a year.