Author Question: The nurse is reviewing amniocentesis results. Care was appropriate if the patient: 1. Who is ... (Read 40 times)

sarasara · **on:** Jun 27, 2018

The nurse is reviewing amniocentesis results. Care was appropriate if the patient:

1. Who is Rh-positive received RhoGAM after the amniocentesis.
2. Was monitored for 30 minutes after completion of the test.
3. Began vaginal spotting before leaving for home after the test.
4. Identified that she takes insulin before each meal and at bedtime.

Question 2

The clinic nurse is teaching a patient about how to take the basal body temperature (BBT). Place the steps in the order that the nurse provides to the patient. Click and drag the options below to move them up or down. Choice

1. Choose one site for taking the temperature.
Choice 2. Use the chosen site consistently.
Choice 3. Take the temperature before arising.
Choice 4. Immediately record the temperature.
Choice 5. Shake down the thermometer.

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

Answer to Question 1

2
Rationale 1: Only Rh-negative clients receive RhoGAM after amniocentesis. The Rh-positive client should not ever receive RhoGAM.
Rationale 2: Twenty to 30 minutes of fetal monitoring is performed to assess fetal well-being and to rule out injury of the fetus or placenta during the exam.
Rationale 3: Vaginal spotting after the amniocentesis is not an expected finding. A patient experiencing vaginal bleeding of any amount after amniocentesis requires additional assessment, and should not be sent home.
Rationale 4: Whether a patient takes insulin has nothing to do with amniocentesis.

Answer to Question 2

4,1,2,5,3
Rationale 1: Using a BBT thermometer, the woman chooses one site (oral, vaginal, or rectal).
Rationale 2: The chosen site must be used consistently to provide the most accurate information.
Rationale 3: The temperature must be taken before any activity that will increase the temperature.
Rationale 4: The result is recorded immediately on a special BBT chart, and the temperature dots for each day are connected to form a graph.
Rationale 5: The thermometer is shaken down to be ready for the next day.