Author Question: The labor nurse is caring for a patient at 38 weeks' gestation who has been diagnosed with ... (Read 47 times)

asmith134 · **on:** Jun 27, 2018

The labor nurse is caring for a patient at 38 weeks' gestation who has been diagnosed with symptomatic placenta previa. Which physician order should the nurse question?

1. Begin oxytocin drip rate at 0.5 milliunits/min.
2. Assess fetal heart rate every 10 minutes.
3. Weigh all vaginal pads.
4. Assess hematocrit and hemoglobin.

Question 2

A client comes to the clinic complaining of a thick, white, tenacious discharge and vulvular soreness.

Which medication treatment will the nurse teach the client about? Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply. 1. Silver sulfadiazine
2. Metronidazole
3. Clindamycin cream
4. Ceftriaxone sodium
5. Doxycycline

vish98 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

1
Rationale 1: This order should be questioned, as this patient is not a good candidate for labor induction.
Rationale 2: The fetal heart rate should be assessed often.
Rationale 3: This is an appropriate order.
Rationale 4: This is an appropriate order.

Answer to Question 2

2, 3
Explanation: 2. Metronidazole is the preferred treatment for vulvovaginal candidiasis.
3. Although less effective than metronidazole, clindamycin cream can be used to treat vulvovaginal candidiasis.