A 24-hour urine collection for Vanillylmandelic acid (VMA) has ...

[penza]

A 24-hour urine collection for Vanillylmandelic acid (VMA) has been ordered on a child suspected of having neuroblastoma. The nurse begins the collection
 
  1. at 0700.
  2. after the next time the child voids.
  3. at bedtime.
  4. when the order is noted.

Question 2

The nurse admits into the labor area a patient who is in preterm labor. The assessment finding that would constitute a diagnosis of preterm labor is:
 
  1. Cervical effacement of 30 or more.
  2. Cervical change of 0.5 cm per hour.
  3. Two contractions in 30 minutes.
  4. Eight contractions in 1 hour.

[Chou]

Answer to Question 1

Answer: 2
Rationale: A 24-hour urine collection is started after the child voids. That
specimen is not saved, but all subsequent specimens in that 24-hour period
should be collected. It would not be an accurate collection of 24 hours of urine
if the collection began at 0700, bedtime, or when the order is noted.

Answer to Question 2

4
Rationale 1: Cervical effacement of 80 or more would define preterm labor.
Rationale 2: A cervical change of at least 1 cm per hour would define preterm labor.
Rationale 3: Four contractions in 20 minutes would define preterm labor.
Rationale 4: Eight contractions in 1 hour does define a diagnosis of preterm labor.