The maternalnewborn nurse reviewing charts recognizes that ...

[daltonest1984]

The maternalnewborn nurse reviewing charts recognizes that negligence occurs when there is: Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply.
 
  1. No notification to the physician of change in condition.
  2. A failure to give an ordered medication.
  3. An infant placed in the wrong crib.
  4. Compliance with medication administration principles.
  5. Compliance with the standards of care.

Question 2

The nurse is working in an outpatient clinic. Which patient's indications most warrant fetal monitoring in the third trimester?
 
  1. Gravida 4, para 3, 39 weeks, with a history of one spontaneous abortion at 8 weeks
  2. Gravida 1, para 0, 40 weeks, with a history of endometriosis and a prior appendectomy
  3. Gravida 3, para 2, with a history of gestational diabetes controlled by diet
  4. Gravida 2, para 1, 36 weeks, with hypertension disorder of pregnancy

[Laurenleakan]

Answer to Question 1

1,2,3
Rationale 1: The physician must be notified when there is a change in patient status. Failure to do so is negligence.
Rationale 2: A failure to give a medication or giving the wrong medication is negligence.
Rationale 3: Placing an infant in the wrong crib is negligence.
Rationale 4: Giving medication according to the six rights does not constitute negligence.
Rationale 5: Nursing care that meets the standards of care is not negligence.

Answer to Question 2

4
Rationale 1: The patient with the spontaneous abortion would have needed to be monitored in the first trimester.
Rationale 2: The patient with endometriosis and appendectomy would have been a concern with conception.
Rationale 3: The patient with a history of gestational diabetes controlled by diet would need maternal monitoring and fetal monitoring if she developed gestational diabetes again.
Rationale 4: The preterm patient with a pregnancy-associated disorder needs close monitoring for preterm labor onset or the need to induce preterm labor.