A home care nurse is looking over the charts of four elderly ...

[strangeaffliction]

A home care nurse is looking over the charts of four elderly female patients. The nurse knows that which patient has the highest risk for developing diabetes and heart disease?
 
  1. A Caucasian woman.
  2. A woman of Italian descent.
  3. An Amish woman.
  4. An African American woman

Question 2

The nurse is training a nurse new to the labor and delivery unit. They are caring for a laboring patient who will have a forceps delivery. Which action or assessment finding requires intervention?
 
  1. Regional anesthesia is administered via pudendal block.
  2. The patient is instructed to push between contractions.
  3. Fetal heart tones are consistently between 110 and 115.
  4. The patient's bladder is emptied using a straight catheter.

[upturnedfurball]

Answer to Question 1

4
Rationale 1: Caucasian women do not have as great a risk of high blood pressure and heart disease as they do of lung cancer.
Rationale 2: A woman of Italian descent does not have a great risk for high blood pressure and diabetes.
Rationale 3: An Amish woman is Caucasian, and does not have a great risk of high blood pressure or diabetes.
Rationale 4: An African American woman has a great risk of high blood pressure and diabetes.

Answer to Question 2

2
Rationale 1: Regional anesthesia is important to facilitate application of the forceps and cooperation with pushing efforts.
Rationale 2: The patient should push only during contractions, not between contractions.
Rationale 3: These are normal fetal heart tones. No intervention is needed.
Rationale 4: The urinary bladder is emptied to prevent the full bladder from impeding descent of the fetal head.

[strangeaffliction]

Thank you

[upturnedfurball]

Happy to help you