Question

1. A nurse is collecting data from a client who presents to the facility and reports vomiting. Which of the following findings indicates that the client is experiencing a fluid volume deficit? a. Brisk capillary refill b. Orthostatic hypotension c. Polyuria d. Bradycardia A nurse is reinforcing teaching with a client who is at 35 weeks of gestation and will soon undergo a contraction stress test. Which of the following information should the nurse include in the teaching? a. We will perform internal monitoring of your baby. b. We will apply warm, moist cloths to your breasts. c. You should expect the test to take 2 hours. d. You will lie flat on your back during the test. A nurse is caring for a client who reports having a decrease in fetal movement following an external cephalic version for 6 hours ago. The nurse identifies the fetus is in the right occiput anterior position. The nurse should place the fetal heart monitor on which of the following sites to auscultate the fetal heart rate. a. Upper right of the stomach b. Lower right of the stomach c. Upper left of the stomach d. Lower left of the stomach 4. A nurse is reinforcing teaching with a client who is at 35 weeks of gestation and will soon undergo a contraction stress test. Which of the following information should the nurse include in the teaching? a. We will perform internal monitoring of your baby. b. We will apply warm, moist cloths to your breasts. c. You should expect the test to take 2 hours. d. You will lie flat on your back during the test.

Answer 1

1. Answer.

Orthostatic hypotension

When body sodium will be depleted through vomiting , depletion of the extracellular fluid that also causes water loss , a decrease in extra cellular volume also cause decrease in circulation volume , which furthur causes decrease in organ perfusion.

When fluid volume loss is 10% which causes orthostatic hypotension.

2. Answer.

You should expect the test to take 2 hours

It is an external monitoring test which is performed to test whether the foetus is able to tolerate contraction during labour or not , the patient position is side lying and IV oxytocin is given , the target is to get effective results in every 10 minutes.

Along with oxytocin patient are told to stimulate nipples to produce natural oxytocin, minimum 3 contractions in 10 min should be achieved.

This procedure takes at least 2 hour and patient is instructed to lie on bed for atleast 2 hours .

3. Answer

lower right side of stomach.

in right occiput anterior side the baby's back is at the right side of mother, the baby's face is at the left side of mother , so the back is at the right side of mother, then fetoscope can be placed at the lower right side of the stomach to hear fetal heart sound .

4.answer

you should expect the test to take 2 hours.

Same as answer number 2.

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