Author Question: The nurse is supporting an 8-year-old child who is having blood specimens drawn. Which method would ... (Read 92 times)

justinmsk · **on:** Jun 28, 2018

The nurse is supporting an 8-year-old child who is having blood specimens drawn. Which method would be least appropriate to use for distraction?

A) Squeeze my hand as tight as you can.
B) Look at how many dots there are on the ceiling.
C) Count with me slowly from 1 to 20.
D) It's okay to scream if it hurts.

Question 2

A pregnant woman with premature rupture of membranes is at higher risk for postpartum infection. Which assessment data indicate a potential infection?

a. Fetal heart rate 150 beats/min
b. Maternal temperature 99 F
c. Cloudy amniotic fluid with strong odor
d. Lowered maternal pulse and decreased respiratory rates

joechoochoy · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

D

Answer to Question 2

C
Amniotic fluid should be clear and have a mild odor, if any.
Fetal tachycardia of greater than 160 beats/min is often the first sign of intrauterine infection.
A temperature of 100.4 F or higher is a classic symptom of infection.
Vital signs should be assessed hourly to identify tachycardia or tachypnea, which often ac-company temperature elevation.