This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: The perinatal nurse is providing care to a 32-year-old G1 TPAL 0000 at 34 weeks' gestation. Her ... (Read 50 times)

evelyn o bentley

  • Hero Member
  • *****
  • Posts: 564
on: Jun 28, 2018
The perinatal nurse is providing care to a 32-year-old G1 TPAL 0000 at 34 weeks' gestation. Her blood pressure is 170/100 mm Hg, reflexes are +3, urine is 2+ for protein, and the patient is complaining of a headache.
 
  An intravenous solution of magnesium sulfate is begun with an hourly dose of 2 g. Which laboratory value would be assessed most carefully by the nurse?
  A.
  Aspartate aminotransferase (AST)
  B.
  Gamma-glutamyl transpeptidase
  C.
  Hematocrit
  D.
  Neutrophil count

Question 2

The perinatal nurse is asked to assess a 35-year-old woman who is a G1 TPAL 0000 at 34 weeks' gestation with a twin gestation. The patient complains of regular contractions with low abdominal pain that moves into the lumbar section of her back.
 
  The perinatal nurse's most appropriate initial nursing action is to do which of the following?
  A.
  Assess the patient's contractions.
  B.
  Initiate continuous fetal monitoring.
  C.
  Reassure the patient and her partner.
  D.
  Review the patient's birth plan.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

ultraflyy23

  • Sr. Member
  • ****
  • Posts: 312
Reply #1 on: Jun 28, 2018
Answer to Question 1

ANS: A
Laboratory tests include a complete blood count with platelets, coagulation profile to assess for disseminated intravascular coagulation, metabolic studies for determination of liver enzymes (aspartate aminotransferase, alanine aminotransferase, lactate dehydrogenase), and electrolyte studies to establish renal functioning. The other laboratory values are not as critical in this situation.

Answer to Question 2

ANS: B
Electronic fetal monitoring is applied in the case of a multiple gestation. It is important to identify each of the individual fetal heart rates, and the use of a separate monitor for each fetus is preferable. The other interventions are also appropriate, but do not take priority over fetal monitoring.


evelyn o bentley

  • Member
  • Posts: 564
Reply 2 on: Jun 28, 2018
Gracias!

parshano

  • Member
  • Posts: 333
Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

« previous next »
 

Did you know?

The toxic levels for lithium carbonate are close to the therapeutic levels. Signs of toxicity include fine hand tremor, polyuria, mild thirst, nausea, general discomfort, diarrhea, vomiting, drowsiness, muscular weakness, lack of coordination, ataxia, giddiness, tinnitus, and blurred vision.

Did you know?

A seasonal flu vaccine is the best way to reduce the chances you will get seasonal influenza and spread it to others.

Did you know?

Only one in 10 cancer deaths is caused by the primary tumor. The vast majority of cancer mortality is caused by cells breaking away from the main tumor and metastasizing to other parts of the body, such as the brain, bones, or liver.

Did you know?

Of the estimated 2 million heroin users in the United States, 600,000–800,000 are considered hardcore addicts. Heroin addiction is considered to be one of the hardest addictions to recover from.

Did you know?

The tallest man ever known was Robert Wadlow, an American, who reached the height of 8 feet 11 inches. He died at age 26 years from an infection caused by the immense weight of his body (491 pounds) and the stress on his leg bones and muscles.

Defensive mutualism involves species that receive food or shelter in return for providing protection Defensive mutualism involves species that receive food or shelter in return for providing protection
The tone of the nurse-patient introduction sets the stage for the patient interview and patient care The tone of the nurse-patient introduction sets the stage for the patient interview and patient care
Documenting the health history is a crucial step in providing patient care Documenting the health history is a crucial step in providing patient care
Cross-sectional data showing that the amount of effort spent on personal health care increases with Cross-sectional data showing that the amount of effort spent on personal health care increases with
Post Care of a Hip Fracture Post Care of a Hip Fracture
Video: Phases of the ovarian cycle

For a complete list of videos, visit our video library