Author Question: The nurse is scheduling a patient for an external cephalic version (ECV). Which finding in the ... (Read 59 times)

fasfsadfdsfa · **on:** Jun 27, 2018

The nurse is scheduling a patient for an external cephalic version (ECV). Which finding in the patient's chart requires immediate intervention?

1. Multip, previous birth by cesarean
2. Primip, frank breech ballotable
3. Multip, 37 weeks, complete breech
4. Primip, failed ECV last week

Question 2

The nurse is on a panel at a conference discussing poverty and health care for those living below the poverty level. Which statements should the nurse include? Note: Credit will be given only if all correct and no incorrect choices are selected.

Select all that apply. 1. The poverty level is defined as a family of four living on less than 23,550 per year.
2. Two-thirds of Americans living in poverty are women and children.
3. The majority of single-parent families are headed by women.
4. The greatest number of people living under the poverty level are the elderly.
5. Parental race does not affect the level of poverty.

jasonq · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

1
Rationale 1: Any previous uterine scar is a contraindication to ECV. The scar could rupture, leading to both fetal and maternal morbidity and to mortality.
Rationale 2: There is no contraindication to ECV for this patient.
Rationale 3: ECV is not attempted until 36 or 37 weeks. There is no contraindication for ECV for this patient.
Rationale 4: Although this patient is less likely to have a successful ECV this week if it was unsuccessful last week, there is no contraindication to attempting the procedure.

Answer to Question 2

1, 2, 3
Explanation: 1. Increasing numbers of U.S. women and their children are attempting to live on 23,550 or less, which is the current income that defines the poverty level for a family of four.
2. Currently, two-thirds of Americans living in poverty are women and children.
3. The majority of single parent-families are headed by women, and these families are four times more likely to live in poverty than families with two parents.