Ch 26

A pregnant patient complains of having to go to the bathroom frequently and sometimes even has stress incontinence. Which instruction can the nurse provide to the patient to increase the tone of the perineal muscles? 1 Perform Kegel exercises. 2 Perform pelvic-tilt exercises. 3 Wear an abdominal support. 4 Avoid waiting so long to go to the bathroom.

1 Perform Kegel exercises.

A pregnant woman tells the nurse that the first day of her last menstrual period was on March 1. Which date should the nurse document as the expected date of delivery in the patient? Record your answer using whole numbers and the format month/day (00/00).

12/08

During the prenatal checkup, a patient tells the nurse, "I am feeling very irritated because I am unable to sleep properly due to the frequent need to urinate." Which response by the nurse would be best in this situation? Select all that apply. 1 "Always sleep flat on your back." 2 "Avoid drinking fluids after 6 p.m." 3 "Always try to sleep on your side." 4 "Always drink milk before sleeping." 5 "Avoid having protein-rich food at night."

2 "Avoid drinking fluids after 6 p.m." 3 "Always try to sleep on your side."

A pregnant woman comes to the clinic for a scheduled examination. The McDonald's method is used to measure the height of the uterus. Which action, if taken by the nurse, would result in the most accurate measurement of the fundal height? 1 Using different tools to confirm findings 2 Establishing a protocol for measurement 3 Using several methods of measurement to identify errors 4 Taking measurements with the patient in different positions

2 Establishing a protocol for measurement

While interacting with a patient during a prenatal visit, the nurse suggests the patient avoid wearing high-heeled shoes. Which symptom would the intervention be addressing? 1 Gastric distress 2 Dizziness 3 Backache 4 Heartburn

3 Backache

On reviewing the quadruple marker screening reports of a pregnant patient, the nurse suspects the patient's newborn may have Down syndrome. Which finding enabled the nurse to suspect this? 1 Larger nuchal folds 2 Amniotic fluid of 1200 mL 3 Decreased levels of inhibin A 4 Increased levels of alpha-fetoprotein

3 Decreased levels of inhibin A

A newly pregnant patient comes to the clinic for the first pregnancy examination. Which data would the nurse expect to gather for the initial examination? Select all that apply. 1 Vital signs 2 Urinalysis 3 Pregnancy test 4 Rubella injection 5 Laboratory studies 6 Abdominal ultrasound

1 Vital signs 2 Urinalysis 3 Pregnancy test 5 Laboratory studies

A nurse is taking a health history from a new patient. Which data, if obtained during the interview, would cause the nurse to be concerned about the safety of the infant? 1 "I exercise three times a week." 2 "I use the sauna at the club twice a week." 3 "I delivered my other children at 38 weeks." 4 "I eat three well-balanced meals and a snack daily."

2 "I use the sauna at the club twice a week."

Which maternal changes are presumptive signs of pregnancy? Select all that apply. 1 Hëgar's sign 2 Amenorrhea 3 Chadwick's sign 4 Breast changes 5 Fetal heart tones

2 Amenorrhea 3 Chadwick's sign 4 Breast changes

A woman comes to the clinic for her first prenatal visit. The nurse asks when the first day of her last menstrual cycle was. The woman reports July 10, 2018. Which date would the nurse calculate her estimated date of delivery to be using Nägele's rule? 1 April 3, 2019 2 April 17, 2019 3 March 3, 2019 4 March 17, 2019

2 April 17, 2019

During a prenatal checkup, a patient complains to the nurse, "I think there is some problem with my eyes, because I see two images of a single object." Which intervention would be most appropriate when caring for the patient? 1 Assess the respiratory rate of the patient. 2 Monitor blood pressure (BP) in the patient. 3 Record the body temperature of the patient. 4 Check for blood glucose levels in the patient.

2 Monitor blood pressure (BP) in the patient.

While assessing a pregnant patient, the nurse learns that the patient's mother took medicines containing diethylstilbestrol (DES) to prevent miscarriage. Which inference does the nurse make from this information? 1 The patient will have excessive vaginal bleeding during delivery. 2 The patient may be at risk for having a spontaneous miscarriage. 3 Fetal development may be reduced due to reduced blood supply. 4 The newborn will have Down syndrome and cognitive impairment.

2 The patient may be at risk for having a spontaneous miscarriage.

During a prenatal checkup, the nurse suggests the patient feel for fetal movements and share her observation with her primary health care provider during the next visit. Which instruction should the nurse give to the patient to assess fetal movements? 1 "You will experience the kicks from the 20th week of gestation." 2 "You will experience 20 to 25 kicks within a period of 1 hour." 3 "You should count the number of kicks you feel within 1 to 2 hours." 4 "You should stand while counting the number of kicks you felt."

3 "You should count the number of kicks you feel within 1 to 2 hours."

A mother in the 30th week of pregnancy comes to the clinic for a routine visit. Which data, if found during the assessment, would be of great concern? 1 Weight gain of 8 pounds 2 Slight edema of the ankles 3 A fundal height of 20 cm 4 A fetal heart rate of 120 beats/min

3 A fundal height of 20 cm

A transvaginal ultrasound is scheduled for a patient at 27 weeks' gestation. The nurse positions the patient as indicated. When the nurse attempts to insert the transducer, the patient refuses and insists on self-insertion. Which action is the best for the nurse to take? 1 Inform the patient that the fetus will be harmed. 2 Reschedule the examination until the patient cooperates. 3 Allow the patient to insert the transducer into the vagina. 4 Notify the primary health care provider of the patient's decision.

3 Allow the patient to insert the transducer into the vagina.

A Native American patient is in labor. She believes that a medal will ward off evil spirits during the cesarean delivery. When the nurse asks her to remove the necklace, she becomes hysterical. Which action provides culturally competent care by the nurse? 1 Asking a family member to hold the item 2 Demanding that the necklace be removed 3 Allowing the necklace if it does not cause harm 4 Notifying the primary health care provider of the conflict

3 Allowing the necklace if it does not cause harm

On assessing a pregnant patient during the 22nd week of gestation, the nurse observes that the patient has splotches on her cheeks, stretch marks, and acne on her face. Which suggestion would the nurse make for the patient in this situation? 1 Wear a pollen mask while going out. 2 Apply a little petroleum jelly on the acne. 3 Avoid touching and worrying about the marks. 4 Take a steam bath for at least 10 minutes daily

3 Avoid touching and worrying about the marks.

The nurse is assessing a pregnant patient during the 22nd week of gestation. While assessing the patient, the nurse finds that the patient has severe itching of the nipples. Which intervention should the nurse follow while caring for the patient? 1 Clean the patient's nipples with warm water. 2 Use a mild soap to clean the patient's nipples. 3 Apply petroleum jelly on the patient's nipples. 4 Apply a lanolin-based cream to the patient's nipples.

4 Apply a lanolin-based cream to the patient's nipples.

An older pregnant woman comes to the clinic for a prenatal appointment. Per the primary health care provider's orders, the nurse arranges for the patient to have an amniocentesis at 16 weeks. Based on the gestational age, the nurse understands that this test is performed for which reason? 1 Monitoring fetal distress 2 Assessing fetal lung maturity 3 Detecting intrauterine infection 4 Determining chromosomal abnormality

4 Determining chromosomal abnormality

During a prenatal visit, a patient asks the nurse what can be done for swelling ankles. Which instruction would the nurse provide to the patient to reduce the swelling? 1 Exercise the legs. 2 Apply warm packs. 3 Ambulate four times daily. 4 Elevate the legs for an hour twice day.

4 Elevate the legs for an hour twice day.

During a prenatal visit, the nurse advises the patient to sleep laterally positioned. Which symptom would the nurse suggest could be reduced with this intervention? 1 Nosebleeds 2 Vaginal irritation 3 Morning sickness 4 Frequent urination

4 Frequent urination

Based on the definitions of gravida and para, which documentation best describes a woman in the clinic who is currently pregnant and has had two prior children? 1 Gravida I, para I 2 Gravida II, para I 3 Gravida II, para II 4 Gravida III, para II

4 Gravida III, para II

A patient reports severe heartburn during the third trimester of her pregnancy. Which intervention does the nurse expect to be most beneficial for the patient? 1 Adding baking soda to the patient's drinking water 2 Prescribing magnesium trisilicate (Gaviscon) to the patient 3 Suggesting the patient drink a teaspoon of milk of magnesia 4 Instructing the patient to drink milk frequently between meals

4 Instructing the patient to drink milk frequently between meals

During the initial visit a primary care provider is concerned about the risk of a 45-year-old pregnant patient having an infant with Down syndrome. During the pregnancy, the nurse can anticipate that which assessment tool will be used to evaluate the well-being of the fetus? 1 Contraction stress test 2 Daily fetal movement count 3 Nipple-stimulated contractions 4 Maternal serum alpha-fetoprotein (AFP) screening

4 Maternal serum alpha-fetoprotein (AFP) screening

A patient in the second trimester of pregnancy is experiencing dizziness on standing. Which education would be appropriate to give to the patient? 1 Take several deep breaths before standing. 2 Avoid sitting for a long period before standing. 3 Wear anti-embolism stockings while pregnant. 4 Rise slowly from a sitting to a standing position

4 Rise slowly from a sitting to a standing position

The nurse is assessing a pregnant patient. Which findings obtained by the nurse should be considered danger signs during pregnancy? Select all that apply. 1 Positive Hëgar's sign 2 Positive Goodell's sign 3 Presence of excessive salivation 4 Severe epigastric and abdominal pain 5 Presence of edema in the presacral area

4 Severe epigastric and abdominal pain 5 Presence of edema in the presacral area

The nurse is assessing a pregnant patient during the 18th week of gestation. The patient asks the nurse to tell her the expected date of delivery, but the patient does not remember the date of her last menstrual period. Which parameter would the nurse assess to estimate the date of delivery? 1 Softening of isthmus 2 Discoloration of vulva 3 Palpation of the floating fetus 4 Subjective sensation of fetal movements

4 Subjective sensation of fetal movements

After performing a nonstress test (NST), the primary health care provider (PHP) refers the patient for contraction stress test (CST). Which inference does the nurse make as the reason for this instruction? 1 The fetal heart rate increased by 15 beats/min (bpm) in 15 minutes. 2 The fetus moved three times in 20 minutes. 3 The fetal heart rate increased by 15 bpm in 20 minutes. 4 The fetus has no change in heart rate with movement

4 The fetus has no change in heart rate with movement

A first-time mother has been attending childbirth preparation classes for several weeks. Which behavior by the patient, if witnessed by the nurse, indicates the expecting mother needs additional teaching? 1 Wearing support hose 2 Preparing a hospital bag for the birth 3 Requesting written material 4 Wearing high-heeled shoes

4 Wearing high-heeled shoes

The nurse suggests that a patient lie in the lithotomy position while a transvaginal ultrasound scan examination is performed. Why would the nurse give the patient such a suggestion? 1 To prevent any injury to the fetus 2 To avoid any discomfort for the patient 3 To prevent pain during the examination 4 To improve the imaging of the uterus

4 To improve the imaging of the uterus

At how many weeks' gestation will a first-time mother likely feel the fetus move? 1 10 to 12 2 12 to 14 3 14 to 16 4 16 to 18

4 16 to 18

A pregnant patient complains of being frequently awakened at night by leg cramps. Which instruction would the nurse give this patient? 1 "Dorsiflex you foot when the cramp occurs." 2 "Plantarflex you foot when the cramp occurs." 3 "Walk around the room till the cramp goes away." 4 "Have your spouse rub your leg until the cramp goes away."

1 "Dorsiflex you foot when the cramp occurs."

A patient reports passing dry and hard stools during the 31st week of pregnancy. Which instruction would the nurse provide to the patient to provide relief? Select all that apply. 1 "Exercise regularly." 2 "Eat whole grain foods." 3 "Drink plenty of liquids." 4 "Use castor oil in foods." 5 "Include rice in two meals per day."

1 "Exercise regularly." 2 "Eat whole grain foods." 3 "Drink plenty of liquids."

On interacting with the patient, the nurse learns that the patient was pregnant twice; she had an abortion during her first pregnancy and preterm delivery during the second pregnancy. The patient tells the nurse that her child is healthy, without any birth defects. Which GTPAL numbers would be recorded for this patient? 1 2-0-1-1-1 2 2-0-0-0-1 3 1-1-1-1-1 4 1-0-0-0-2

1 2-0-1-1-1

While assessing a pregnant patient during the 28th week of pregnancy, the nurse finds that the primary health care provider has recommended a biophysical profile test to the patient. Which parameters are assessed in the patient during the test? Select all that apply. 1 Amniotic fluid volume 2 Contraction stress test 3 Fetal tone and posture 4 Human chorionic gonadotropin levels 5 Accelerations associated with fetal movement

1 Amniotic fluid volume 3 Fetal tone and posture 5 Accelerations associated with fetal movement

A patient visits the antepartum clinic and gives August 3 as the first day of the last menstrual cycle. Based on Nägele's rule, on which date can this patient expect to deliver? 1 May 3 2 April 3 3 May 10 4 April 10

3 May 10

A pregnant patient asks the nurse about a darkened line on her abdomen. Which nursing response is correct? 1 "That is chloasma, the mask of pregnancy." 2 "That is striae gravidarum, more commonly known as stretch marks." 3 "That is spider nevi, a branched growth of dilated capillaries on the skin." 4 "That is linea nigra, a darkened line from the pubis to the umbilicus resulting from increased hormones."

4 "That is linea nigra, a darkened line from the pubis to the umbilicus resulting from increased hormones."

A pregnant patient is admitted to the obstetrics unit. The patient has been preparing to deliver a baby for the past 4 months. A hydatidiform pregnancy has been diagnosed. The patient becomes hysterical and asks why she is no longer pregnant. How should the nurse respond to the patient? 1 "You had a miscarriage." 2 "The fetus died in your uterus." 3 "Your stomach was filled with fluid." 4 "There was a mass and the fetus never developed."

4 "There was a mass and the fetus never developed."

A 21-year-old patient who believes she may be pregnant telephones the clinic and asks to speak with the nurse. Which statement by the patient would give the best indication that the patient may be pregnant? 1 "I have not been feeling well lately." 2 "I notice that I have gained 10 pounds." 3 "My stomach has been upset for the last week." 4 "Up until the last 2 months I have had regular periods."

4 "Up until the last 2 months I have had regular periods."

While caring for a pregnant patient during the third trimester, the nurse observes that the patient gained 10 pounds since the first trimester of pregnancy. The nurse learns that the patient exercises regularly. Which intervention would be most beneficial for the patient? Select all that apply. 1 Assessing the patient's weight at regular intervals 2 Asking the patient to drink ginger and chamomile tea 3 Providing information related to nutritional requirements 4 Suggesting the patient stop exercising during the pregnancy 5 Encouraging the patient to maintain a daily food journal

1 Assessing the patient's weight at regular intervals 3 Providing information related to nutritional requirements 5 Encouraging the patient to maintain a daily food journal

A patient in the seventh month of pregnancy calls the clinic worried because she has not felt her baby kicking as much. Which immediate instruction would the nurse give to the patient in an effort to begin assessing fetal movement? 1 For the next hour, count the number of kicks or movements felt. 2 Firmly push down on the stomach to make the fetus more active. 3 Lie down on the right side for an hour to see if this stimulates movement. 4 Make an office appointment within 2 days so that the fetal activity can be monitored.

1 For the next hour, count the number of kicks or movements felt.

The nurse is caring for a pregnant patient during the 28th week of gestation. The nurse finds that the patient is at risk for placental insufficiency. Which diagnostic test does the nurse expect to be prescribed to determine fetal movement and heart rate? 1 Nonstress test (NST) 2 Ultrasound scan (US) 3 Contraction stress test (CST) 4 Alpha-fetoprotein (AFP) screening

1 Nonstress test (NST)

During the assessment of a patient in her second trimester, the nurse learns that the patient has abnormal vaginal secretions and severe irritation in that area. Which intervention by the nurse would be helpful to the patient? Select all that apply. 1 Suggesting the patient wash the vagina with warm water 2 Administering metronidazole cream to the patient 3 Suggesting the patient use enemas to keep the vagina moist 4 Administering topical miconazole cream to the patient 5 Suggesting the patient apply plain yogurt to the tissues of the vagina

1 Suggesting the patient wash the vagina with warm water 4 Administering topical miconazole cream to the patient 5 Suggesting the patient apply plain yogurt to the tissues of the vagina

While assessing a patient during the third trimester, the nurse finds that the patient has edema in the ankle. Which suggestions given by the nurse would be beneficial for the patient to relieve the symptom? Select all that apply. 1 Use support stockings before rising. 2 Keep the room temperature warm. 3 Avoid physical activity and exercise. 4 Rest periodically with legs elevated. 5 Drink plenty of fluids for natural diuresis.

1 Use support stockings before rising. 4 Rest periodically with legs elevated. 5 Drink plenty of fluids for natural diuresis.

While assessing a pregnant patient during the third trimester, the nurse teaches Kegel exercises and instructs the patient to do them regularly. These exercises would result in the reduction of which symptom? 1 Hypertension 2 Pain during labor 3 Urinary urgency 4 Reduced respiratory distress

3 Urinary urgency

During a prenatal checkup, a pregnant patient reports slight itching and pain in the breasts. Which intervention does the nurse suggest to the patient to reduce the symptoms? 1 "Wear snug-fitting bras." 2 "Wear a bra, even while sleeping." 3 "Bathe with cold water twice a day." 4 "Wear larger-sized bras and clothes."

4 "Wear larger-sized bras and clothes."

On assessing a pregnant patient, the nurse discovers that shortness of breath occurs when the patient lies flat. Which intervention should the nurse implement? 1 Administer a sedative to promote sleep. 2 Massage the chest immediately before sleep. 3 Instruct the patient to lie on either side during sleep. 4 Acquire additional pillows and have the patient elevate the head.

4 Acquire additional pillows and have the patient elevate the head.

A new mother is concerned about her newborn infant contracting measles and other childhood diseases from visitors. Which information would be the most accurate for the nurse to share with the mother about the illnesses? 1 If the visitors do not come, the infant will not be exposed. 2 Unless the visitor shows signs of being ill, the infant is safe. 3 The infant is vaccinated at birth for these and other illnesses. 4 Antibodies from the mother will protect the infant for months.

4 Antibodies from the mother will protect the infant for months.

A woman who is 6 weeks pregnant arrives at the clinic for an examination. Which prescription written by the primary health care provider would the nurse question? 1 Nasal spray 2 Calcium supplements 3 Tylenol (acetaminophen) 4 Tetracycline acne medication

4 Tetracycline acne medication

On assessing a pregnant patient during the first trimester, the nurse learns that the patient had an irregular menstrual cycle. After receiving the ultrasound report, the nurse documents the gestational age of the fetus, using which parameter? 1 Crown-rump length 2 Biparietal diameter 3 Days from ovulation 4 Fetal head circumference

1 Crown-rump length

On reviewing the assessment reports of a pregnant patient, the nurse finds that fetal development would be affected due to intrauterine growth restriction. Which finding has enabled the nurse to make such a conclusion? 1 Decreased fundal height 2 Decreased fetal heart rate 3 Increased crown-rump length 4 Increased fetal body movements

1 Decreased fundal height

A parental preparation class is being taught for a group of expecting families. Which intervention would best reinforce teaching for parents who are expecting their first child? 1 Providing written handouts and materials to the parents 2 Assigning research topics to parents attending newborn classes 3 Having the parents write down all questions and answer them 4 Instructing parents to notify the primary health care provider of all questions

1 Providing written handouts and materials to the parents

A student nurse has been assigned to a private practice for completion of a maternal newborn practicum. The preceptor asks the student to define presumptive signs of pregnancy. The student nurse is correct if which signs are identified as presumptive? Select all that apply. 1 Quickening 2 Fetal heartbeat 3 Enlarged uterus 4 Swelling breasts 5 Bulging abdomen

1 Quickening 4 Swelling breasts 5 Bulging abdomen

The student nurse is observing a radiology technician conduct an ultrasound scan for a pregnant patient. Arrange the order of the steps that the student nurse should expect the technician to follow while conducting the test for the patient. 1.Instruct the patient to drink water and not void before the test. 2.Position the patient comfortably by placing pillows under her neck. 3.Gently apply ultrasonic gel on the patient's abdomen. 4.Move the scanner over the patient's abdomen.

1.Instruct the patient to drink water and not void before the test. 2.Position the patient comfortably by placing pillows under her neck. 3.Gently apply ultrasonic gel on the patient's abdomen. 4.Move the scanner over the patient's abdomen.

On reviewing the obstetric history of a patient, the nurse observes a five-digit number "2-0-1-1-1." Which inference does the nurse make from this observation? 1 The patient gave birth to two children in the 38th and 36th week of gestation. 2 The patient was pregnant twice, miscarried once, and had a preterm delivery once. 3 The patient gave birth to a child in the 35th week of gestation and the child survived. 4 The patient was pregnant three times, miscarried once, and had a preterm delivery twice.

2 The patient was pregnant twice, miscarried once, and had a preterm delivery once.

A pregnant woman in the third trimester comes to a clinic appointment accompanied by her husband, who asks privately if it is normal for his wife to experience anxiety and mood swings. Which response by the nurse would be most appropriate? 1 "Just ignore the behavior; it will go away." 2 "Give her some time, and she will be better." 3 "Continue to reassure her and offer support." 4 "All of the abnormal behavior will stop after birth."

3 "Continue to reassure her and offer support."

After reviewing the biophysical reports of a fetus, the nurse notes the score of the fetal tone and posture to be zero. Which finding enabled the nurse to give such a score for the fetus? 1 Opening and closing of the hands and rapid flexion 2 Accelerations of fetal movement with maternal palpation 3 Flaccid extremity positions and two limb movements in 30 minutes 4 Four discrete body movements in 30 minutes and brisk repositioning

3 Flaccid extremity positions and two limb movements in 30 minutes

While assessing a pregnant patient, the nurse finds that the patient has a history of cholelithiasis. Which condition does the nurse expect to worsen in this patient? 1 Nausea 2 Ptyalism 3 Pyrosis 4 Constipation

4 Constipation

After assessing a pregnant patient, the nurse advises the patient to do regular exercises. Which suggestion made by the nurse ensures safety of the patient? Select all that apply. 1 You can start swimming or jogging for 30 minutes daily. 2 You should avoid high-fat, high-calorie foods, such as cheese. 3 You should slow down when your pulse rate is 90 beats/min. 4 You should decrease the intensity of exercise as the pregnancy progresses. 5 You should consult your primary health care provider to select an exercise.

4 You should decrease the intensity of exercise as the pregnancy progresses. 5 You should consult your primary health care provider to select an exercise.

A pregnant patient comes to the clinic for a prenatal visit. At how many weeks' gestation would the patient be able to hear fetal heart tones via a Doppler scan? 1 4 weeks 2 10 weeks 3 16 weeks 4 18 weeks

2 10 weeks

A nurse is collecting data on a patient who is 28 weeks pregnant. Which measurement would the nurse expect the fundal height to measure in centimeters? 1 20 cm 2 28 cm 3 32 cm 4 36 cm

2 28 cm

While assessing a pregnant patient, the nurse informs the patient about self-care during pregnancy. Which actions should the nurse take to ensure the patient's safety and prevent accidental falls? Select all that apply. 1 Encourage the patient to maintain a nutritious diet. 2 Advise that the patient follow good body mechanics. 3 Suggest the patient reschedule daily activities and rest. 4 Teach the patient to perform Kegel and breathing exercises. 5 Suggest the patient use safety features on vehicles when driving.

2 Advise that the patient follow good body mechanics. 3 Suggest the patient reschedule daily activities and rest. 5 Suggest the patient use safety features on vehicles when driving.

During the prenatal checkup, the nurse finds that the patient has nausea and vomiting early in the morning. Which suggestion should the nurse provide to the patient to prevent nausea and discomfort? 1 Eat food that has high amounts of fat. 2 Eat a few soda crackers before rising from the bed. 3 Avoid frequent fluid intake during the day. 4 Avoid eating frequent, small amounts of food.

2 Eat a few soda crackers before rising from the bed.

A pregnant patient with hemorrhoids comes into the clinic for a routine checkup. The primary health care provider counsels the patient on self-care. Which statement, if made during follow-up, would indicate that further teaching is needed? 1 "I will drink plenty of water." 2 "I will eat more fruits and vegetables." 3 "I should eliminate fiber from my diet." 4 "Exercise may help prevent constipation."

3 "I should eliminate fiber from my diet."

A patient comes to the clinic for a 30-week checkup. The nurse offers information on common problems occurring at this stage of gestation. Which statement, if made by the patient, indicates that she understands safe remedies for heartburn? 1 "I will limit meals to twice daily." 2 "I should lie flat after every meal." 3 "I will drink milk between small meals." 4 "I can take sodium bicarbonate as needed."

3 "I will drink milk between small meals."

A woman in the fifth month of gestation has been hospitalized. She rings the call bell and informs the nurse of a scant amount of blood draining from the left nostril. Which action should the nurse implement? 1 Prescribe an antibiotic nose drop. 2 Immediately document the episode. 3 Notify the primary health care provider. 4 Place petroleum jelly in the patient's nostril.

4 Place petroleum jelly in the patient's nostril.