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A woman in active labor is experiencing precipitous labor with rapid cervical dilation and descent of the fetal presenting part. What maternal complication should the nurse anticipate?
- A. Postpartum hemorrhage
- B. Uterine atony
- C. Shoulder dystocia
- D. Placental abruption
Correct Answer: A
Rationale: Precipitous labor is characterized by rapid cervical dilation and descent of the fetal presenting part, leading to a shortened labor duration of less than 3 hours. This rapid progression can increase the risk of maternal complications, such as postpartum hemorrhage. Postpartum hemorrhage is defined as excessive bleeding of more than 500 ml after vaginal delivery or more than 1000 ml after cesarean delivery. The rapid delivery in precipitous labor can result in inadequate uterine contractions after delivery, leading to poor uterine tone and potential postpartum hemorrhage due to uterine atony. Therefore, the nurse should anticipate postpartum hemorrhage as a potential maternal complication in a woman experiencing precipitous labor.
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Which of the following would prove that the nursing action carried out met, the standards of care on falls ?
- A. Utilizing the nursing process in providing safe, quality nursing care
- B. Documenting the procedures done
- C. Carrying out the doctor's order
- D. Performing physical assessment
Correct Answer: A
Rationale: The correct answer is A: Utilizing the nursing process in providing safe, quality nursing care. This is because the nursing process involves assessment, diagnosis, planning, implementation, and evaluation, which ensures comprehensive and individualized care. Documenting procedures (B) is important but does not guarantee meeting standards of care. Simply carrying out doctor's orders (C) may not address all aspects of patient care. Performing physical assessment (D) is crucial but only one component of the nursing process. Ultimately, utilizing the nursing process ensures holistic and evidence-based care, meeting the standards of care on falls.
In the presentation of results of qualitative research, the nurse researcher uses as a reference in the write-up the
- A. first
- B. fourth
- C. second
- D. third
Correct Answer: C
Rationale: The correct answer is C: second. In qualitative research, the nurse researcher typically uses the second person as a reference in the write-up to maintain objectivity and convey findings accurately. Using "first" may introduce bias, "fourth" is irrelevant, and "third" is too far removed from the perspective of the researcher. By referencing the second person, the researcher can present the results in a clear and unbiased manner, enhancing the credibility of the study.
Nurse has a complaint from a parent for administering gwrong dose of vaccine to the child. This act is a form of _______.
- A. Battery
- B. Negligence
- C. Assault
- D. Malpractice
Correct Answer: B
Rationale: The correct answer is B: Negligence. Negligence refers to the failure to exercise the care that a reasonably prudent person would under similar circumstances. In this case, administering the wrong dose of a vaccine indicates a lack of proper care or attention to detail, which constitutes negligence.
A: Battery involves intentional harmful or offensive contact without consent, which is not applicable in this situation.
C: Assault involves the threat of harm or unwanted physical contact, which is also not relevant here.
D: Malpractice typically refers to professional misconduct or negligence by a healthcare provider, which could be a broader term but not specific to the situation described.
Which is the simple meaning of standards of nursing care?
- A. What protects the nurse
- B. How the nurse will behave
- C. How much work is done
- D. Ask the local offficials
Correct Answer: B
Rationale: The correct answer is B: How the nurse will behave. Standards of nursing care refer to the expected behaviors and practices that nurses should adhere to in providing quality care to patients. This encompasses ethical principles, professional conduct, and best practices in nursing. It is essential for nurses to follow these standards to ensure patient safety and quality outcomes.
Explanation:
- A: What protects the nurse. This choice is incorrect because standards of nursing care primarily focus on patient care and outcomes, rather than protecting the nurse.
- C: How much work is done. This choice is incorrect as it does not directly relate to the behaviors and practices expected of nurses in providing quality care.
- D: Ask the local officials. This choice is unrelated to the concept of standards of nursing care and is not relevant to the question.
Nurse Chona read in one nurse's notes chart this documentation: "Refused to eat and fell from bed". Which of the following is lacking in this documentation?
- A. Time of complaint, for missed and reaction on fall incurred.
- B. Referrals made on fall medications given and reasons of falling.
- C. Contents or complaints, reasons of refusing meal and nature of fall.
- D. Time of eating, medications for back pain and intense of pain.
Correct Answer: C
Rationale: The correct answer is C because the documentation lacks essential details regarding the contents of the complaints, reasons for refusing the meal, and the nature of the fall. This information is crucial for understanding the patient's condition and providing appropriate care. Choice A is not directly related to the documentation provided. Choice B is about referrals and medications, which are not mentioned in the documentation. Choice D is about eating time and medications for pain, which are also not relevant to the documentation provided. Therefore, the correct answer is C as it addresses the specific missing information in the nurse's notes.