Which client's indications most warrant fetal monitoring in the ...

[Marty]

Which client's indications most warrant fetal monitoring in the third trimester?
 
  1. Gravida 4, para 3, 39 weeks, with a history of one spontaneous abortion at 8 weeks
  2. Gravida 1, para 0, 40 weeks, with a history of endometriosis and a prior appendectomy
  3. Gravida 3, para 2, with a history of gestational diabetes controlled by diet
  4. Gravida 2, para 1, 36 weeks, with hypertension disorder of pregnancy

Question 2

The school nurse is trying to prevent the spread of a flu virus through the school. Infection control strategies that may be employed include: (Select all that apply.)
 
  1. Teaching parents safe food-preparation and storage techniques.
  2. Withholding immunizations for children with compromised immune systems.
  3. Sanitizing toys, telephones, and doorknobs to kill pathogens.
  4. Separating children with infections from well children.
  5. Teaching children to wash their hands after using the bathroom.

[kardosa007]

Answer to Question 1

4
Rationale:
1. The client with the spontaneous abortion would have needed to be monitored in the first trimester.
2. The client with endometriosis and appendectomy would have been a concern with conception.
3. The client with a history of gestational diabetes controlled by diet would need maternal monitoring and fetal monitoring if she developed gestational diabetes again.
4. The preterm client with a pregnancy-associated disorder needs close monitoring for preterm labor onset or the need to induce preterm labor.

Answer to Question 2

3; 4; 5
Rationale:
1. Teaching parents safe food-preparation and storage techniques is another tool to prevent the spread of microorganisms, but is not related to the flu virus.
2. Immunizations should not be withheld from immunocompromised children, and this is not an infection-control strategy.
3. To prevent the spread of communicable diseases, microorganisms must be killed, or their growth controlled. Sanitizing toys and all contact surfaces, separating children with infections, and teaching children to wash their hands all control the growth and spread of microorganisms.
4. To prevent the spread of communicable diseases, microorganisms must be killed, or their growth controlled. Sanitizing toys and all contact surfaces, separating children with infections, and teaching children to wash their hands all control the growth and spread of microorganisms.
5. To prevent the spread of communicable diseases, microorganisms must be killed, or their growth controlled. Sanitizing toys and all contact surfaces, separating children with infections, and teaching children to wash their hands all control the growth and spread of microorganisms.

[Marty]

Excellent

[Mochi]

TYSM