The nurse is providing care to a patient who was just admitted to ...

[Capo]

The nurse is providing care to a patient who was just admitted to the labor and birth unit in active labor at term. The patient informed the nurse that she has not received any prenatal care because I cannot afford to go to the doctor.
 
  And, this is my third baby, so I know what to expect. What is the nurse's primary concern when developing the patient's plan of care?
 
  a. Low birth weight
  b. Oligohydramnios
  c. Gestational diabetes
  d. Gestational hypertension

Question 2

A nurse is admitting a client to the labor and birth unit in early labor who was sent to the facility following her checkup with her health care provider in the office. The client is a gravida 1, para 0, and is at term.
 
  No health issues are discerned from the initial assessment, and the nurse prepares to initiate physician orders based on standard procedures. Which action is warranted by the nurse manager in response to this situation?
 
  a. No action is indicated because the nurse is acting within the scope of practice.
  b. The nurse manager should intervene and ask the nurse to clarify admission orders directly with the physician.
  c. The nurse manager should review standard procedures with the nurse to validate that orders are being carried out accurately.
  d. The nurse manger should review the admission procedure with the nurse.

[leannegxo]

Answer to Question 1

ANS: A
Because of adverse living conditions, poor health care, and poor nutrition, infants born to low-income women are more likely to begin life with problems such as low birth weight. Oligohydramnios is too little amniotic fluid and is not directly correlated with poverty. Gestational diabetes and gestational hypertension are associated with poverty but are seen during pregnancy. This client is in active labor and the primary concern is the fetus.

Answer to Question 2

ANS: A
Standard procedures are often used in labor and birth settings because they are based on physician-directed orders that apply to general admissions. The nurse is acting appropriately because the client was sent directly to the unit by the health care provider. The nurse manager does not have to intervene at this point. There is no additional need to review standard procedures or the admission process with the nurse at this time. There is no evidence that the nurse needs additional training and/or does not have the prerequisite knowledge to admit the client.

[Capo]

Thanks for the timely response, appreciate it

[AmberC1996]

Excellent