beta-adrenergic receptors in the uterine muscle to stop contractions. The
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beta-adrenergic agonist properties of the drug may cause tachycardia,
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increased cardiac output, restlessness, headache, and a feeling of
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"nervousness".
j
3. When do the anterior and posterior fontanels close?
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anterior fontanel closes at 12 to 18 months and the posterior by the
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end of the second month.
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,4. When assessing a client who is at 12-weeks gestation, the
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nurse recommends that she and her husband consider
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attending childbirth
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preparation classes. When is the best time for the couple to attend j j j j j j j j j j j
these classes?
j j
30 weeks gestation
j j
at 30 weeks gestation is closest (of the options) to the time parents would be
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ready for such classes. Learning is facilitated by an interested pupil!
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The couple is most interested in childbirth toward the end of the pregnancy
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when they are psychologically ready for the termination of the pregnancy, and
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the birth of their child is an immediate concern.
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5. The nurse should encourage the laboring client to begin pushing
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j when... the cervix is completely dilated. j j j j j
Pushing begins with the second stage of labor, i.e., when the cervix is
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completely dilated at 10 cm (C). If pushing begins before the cervix is
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completely dilated the cervix can become edematous and may never
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completely dilate, necessitating an operative delivery. Many primigravida’s
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begin active labor 100% effaced and then proceed to dilate.
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6. The nurse instructs a laboring client to use accelerated-blow
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breathing. The client begins to complain of tingling fingers and
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dizziness. What action should the nurse take?
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Have the client breathe into her cupped hands
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Tingling fingers and dizziness are signs of hyperventilation (blowing off too
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much carbon dioxide). Hyperventilation is treated by retaining carbon
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dioxide. This can be facilitated by breathing into a paper bag or cupped
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hands.
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7. Twenty-four hours after admission to the newborn nursery, a full- j j j j j j j j j
term male infant develops localized edema on the right side of his
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head. The nurse knows that, in the newborn, an accumulation of
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blood between the periosteum and skull which does not cross the
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suture line is a newborn variation known as...
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, a cephalohematoma, caused by forceps trauma and may last up
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to 8 weeks.
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Cephalohematoma, a slight abnormal variation of the newborn, usually arises j j j j j j j j j
within the first 24 hours after delivery. Trauma from delivery causes capillary
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bleeding between the periosteum and the skull.
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8. When does the head return to its normal shape?
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7-10 days j
9. What did Nurse theorist Reva Rubin describe?
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The initial postpartum period as the "taking-in phase," which is
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characterized by maternal reliance on others to satisfy the needs
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for comfort, rest, nourishment, and closeness to families and the
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newborn.
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10. A couple, concerned because the woman has not been able to
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conceive, is referred to a healthcare provider for a fertility workup
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and a hysterosalpingography is scheduled. Which post procedure
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complaint indicates that the fallopian tubes are patent?
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Shoulder pain j
If the tubes are patent (open), pain is referred to the shoulder from a sub
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diaphragmatic collection of peritoneal dye/gas.
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11. Which nursing intervention is most helpful in relieving
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postpartum uterine contractions or "afterpains?"
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Lying prone with a pillow on the abdomenj j j j j j j
Lying prone keeps the fundus contracted and is especially useful with
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multiparas, who commonly experience afterpains due to lack of uterine
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tone.
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12. Which maternal behavior is the nurse most likely to see when
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a new mother receives her infant for the first time?
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