更多"Assessment of a client in active la"的相关试题:
[单项选择]Assessment of a client in active labor reveals meconium-stained amniotic fluid and fetal heart sounds in the upper right quadrant. Which of the following is the most likely cause of this situation（ ）
A. Breech position.
B. Late decelerations.
C. Entrance into the second stage of labor.
D. Multiple gestation.
[单项选择]A client in labor received an epidural anesthetic when her dilation reached 5 cm. Which of the following nursing diagnoses would have the highest priority for her at this time
A. Impaired skin integrity related to inability to move lower extremities.
B. Impaired urinary elimination related to the effects of the epidural.
C. Deficient knowledge related to lack of information about regional anesthesia.
D. Risk for injury related to hypotension secondary to vasodilation and pooling in extremities.
[单项选择]A client with hypotonic labor dysfunction is receiving oxytoein augmentation. Her contractions become more frequent and intense. Dilation progresses to 8 cm, but the fetal head remains at station +1. The nurse notes a soft bulge just above the symphysis. Which of the following actions is best（）
A. Re-evaluate the fetal presentation.
B. Change the client’s position.
C. Offer a narcotic analgesic.
D. Help the client urinate.
[单项选择]A 24-year-old client on the labor unit is being coached in the Lamaze method by her husband. On assessment, the nurse finds the client to be 5 cm dilated, 90% effaced, at +1 station with contractions coming every 2 to 3 minutes and lasting 35 to 40 seconds. The client has asked for pain relief. What’s the nurse’s best action（）
A. Check maternal blood pressure and pulse and fetal heart rate in response to contractions.
B. Realize that it’s too early to give pain medication, and encourage the husband to continue with the Lamaze coaching.
C. Arrange for a sonogram to determine fetal position.
D. Perform a vaginal examination to determine dilation, effacement, and station.
[单项选择]The nurse is caring for a client who is in labor. The physician still isn’t present. After the neonate’s head is delivered, which nursing intervention would be most appropriate（）
A. Checking for the umbilical cord around the neonate’s neck.
B. Placing antibiotic ointment in the neonate’s eyes.
C. Turning the neonate’s head to the side, to drain secretions.
D. Assessing the neonate for respirations.
[单项选择]A client is admitted to the labor and delivery unit in active labor. She has had no prenatal care but appears to be between 32 and 35 weeks’ gestation. History reveals that she’s gravida 5, para 1, abortus 3. She tells the nurse she thinks her friend gave her a cigarette containing crack cocaine. What should the nurse do next
A. Move the precipitant delivery cart to the labor room, and notify the neonatologist on call.
B. Teach the mother controlled breathing techniques.
C. Call a family member to come to the hospital.
D. Call the friend who gave the client the cigarette and find out exactly what the drug was.
[单项选择]A client is admitted to the labor and delivery department in preterm labor. To help manage preterm labor the nurse would expect to administer which of the following medication（ ）
A. Ritodrine (Yutopar).
B. Bromocriptine (Parlodel).
C. Betamethasone (Celestone).
D. Magnesium sulfate.
[单项选择]A client at term arrives at the labor room experiencing contractions every 4 minutes. After a brief assessment, she’s admitted and an electronic fetal monitor is applied. Which of the following would alert the nurse to an increased potential for fetal distress（）
A. Weight gain of 30 lb (13.6 kg).
B. Maternal age of 32 years.
C. Blood pressure of 146/90 mmHg.
D. Treatment for syphilis at 15 weeks’ gestation.
[单项选择]The nurse is caring for a client with mild active bleeding from placenta previa. Which of the following observations indicates that an emergency cesarean section may be necessary（）
A. Increased maternal blood pressure of 150/90 mmHg.
B. Decreased amount of vaginal bleeding.
C. Fetal heart rate of 80 beats per minute.
D. Maternal heart rate of 65 beats per minute.
[单项选择]A client is being admitted to the labor unit. Because she’s well advanced in labor, the nurse must prioritize the admission questions. Which information is most important to obtain when birth is imminent（）
A. Duration of previous labor.
B. Frequency of contractions.
C. Presence of bloody show.
D. Expected due date.
[填空题]Proper Physical Labor
[单项选择] Labor Force
The labor force is the part of a nation’’s population that works for pay or that is looking for a paying job. In 1800, the United States had about 2 million people in its labor force. Most of them worked on farms, most of whom were men. In 1993, about 130 million Americans were in the labor force. 96 million workers were found in large cities, 46 percent of whom were women. New Kinds of Jobs
In the twentieth century, the U. S. labor force has undergone many changes. One of the most significant of these changes is in the decline in the number of blue collar jobs and the rise in the number of white-collar jobs.
A blue-collar job involves manual or outdoor labor. Blue-collar workers include factory assemblers and welders; carpenters, plumbers(水暖工), mechanics, and painters; construction workers, and truck drivers. Although the number of blue-collar workers increased in the twentieth century, the future will see a declining need
A. Y
B. N
C. NG
