The nurse is admitting a client with possible hydramnios. When is ...

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The nurse is admitting a client with possible hydramnios. When is hydramnios most likely suspected?
 
  1. Hydramnios is most likely suspected when there is less amniotic fluid than normal for gestation.
  2. Hydramnios is most likely suspected when the fundal height increases disproportionately to the gestation.
  3. Hydramnios is most likely suspected when the woman has a twin gestation.
  4. Hydramnios is most likely suspected when the quadruple screen comes back positive.

Question 2

The nurse is caring for a 2-year-old child in the postoperative period. The pain-assessment tool most appropriate for assessment of pain intensity in a 2-year-old is the
 
  1. FLACC Behavioral Pain AssessmentScale.
  2. faces pain scale.
  3. Oucher scale.
  4. poker-chip tool.

[EAN94]

Answer to Question 1

2
Explanation: 2. Hydramnios should be suspected when the fundal height increases out of proportion to the gestational age.

Answer to Question 2

Answer:1
Rationale: The FLACC scale is an appropriate tool for infants and young children who cannot self-report pain. The faces scale,Oucher scale,and poker-chip tool are all self-report scales.