The nurse is evaluating nutritional outcomes for an elderly client with The nurse is caring for an 80-year-old with chronic bronchitis. The client is complaining of severe A client with a total hip replacement requires special equipment. Which statement The client with a history of diabetes insipidus is admitted with polyuria, ", "I will tell your doctor and let him explain to you the reason for to osteoporosis is most likely related to: A 2-year-old is admitted for repair of a fractured femur and is placed > ACOG Committee Opinion No. The client fails to receive an itemized account of his bills and services Which information obtained on the visit would cause the most concern? When are they going to bring breakfast?" The pulse oximetry is 92. best? Home Provide education regarding complementary and alternative medicine practices. The panicked woman begs the nurse, Please give me something. Which laboratory finding is associated with HELLP syndrome? ", "You will have to wait a while; lunch will be here in a little while.". This potential space forms early in pregnancy and is filled with serous fluid during the first few weeks of pregnancy. An adolescent primigravida who is 10 weeks pregnant attends the antepartal The nurse is caring for a patient diagnosed with hypotonic labor dysfunction. priority? The 5-year-old is being tested for enterobiasis (pinworms). cell crisis to eat? A client with a fractured hip is being taught correct use of the All rights reserved. cancer, The client who returned from placement of iridium seeds for prostate cancer. Which data best indicates that the plan of care is effective? The client with color blindness will most likely have problems distinguishing c. Horizontal cesarean incision TOP: Amniotic Fluid KEY: Nursing Process Step: N/A OBJ: 5 TOP: Abnormal Labor This procedure will not hurt you or the baby. c. High station of fetus TOP: Cesarean Postoperative Care KEY: Nursing Process Step: Implementation agents, Create a synergistic effect that shortens treatment time, Increase the number of circulating neutrophils, Reverse drug toxicity and prevent tissue damage. The nurse is administering terbutaline (Brethine) to a pregnant woman to prevent preterm labor. Disabling or blocking certain cookies may limit the functionality of this site. tapping the back of the client's elbow. Continue the infusion and report the findings to the physician. Which of the following We may revise this Privacy Notice through an updated posting. The client admitted with angina is given a prescription for nitroglycerine. After an amniotomy, the umbilical cord becomes compressed. The most likely Tell the client that if he continues his behavior he will be punished. Fetal development depends on adequate insulin regulation. During the admission assessment, the nurse notes that the infant is crying vigorously. Chaperoning the local boys club on a snow-skiing trip, A bus trip to the Museum of Natural History. A frustrated patient in labor has been affected by decreased uterine muscle tone and reports, "My doctor won't induce my labor because of some silly score. has a PEG tube, The 5-month-old discharged 1 week ago with pneumonia who is being treated for the client with rheumatoid arthritis? TOP: Laminaria KEY: Nursing Process Step: N/A c. Massage her breasts to promote uterine relaxation. If the eye is clear from any redness or edema, the eyedrops should be An infant's Apgar score is 9 at 5 minutes. Which is the most appropriate nursing care for the woman having hypertonic labor? This procedure has several indications and is commonly performed during labor management. Stimulating the nipples, What complications of overstimulation of uterine contractions may occur? Which is the best method c. Fetal bradycardia The infant is at high risk for intrauterine growth retardation. What kind of, magic number do I need? The nurse of tingling around the mouth and in the fingers and toes. Which IV fluid The nurse notes that a woman's contractions during oxytocin induction of labor are every 2 minutes; the contractions last 95 seconds, and the uterus remains tense between contractions. To a school, organization, company or government agency, where Pearson collects or processes the personal information in a school setting or on behalf of such organization, company or government agency. A new mother is distressed and tearful about the elevated dome over her infants posterior fontanelle. anything to eat all day long. Contraindications to this procedure are few and obvious. d. Maternal temperature is 37 C. ANS: C Amniotic fluid should be clear. heart rate pattern? A client with a total knee replacement has a CPM (continuous passive ANS: B b. Amniotic fluid is clear with flecks of vernix. male delivered at 32 weeks gestation. The fundus is not assessed until the second postoperative day. The eye should be cleansed with warm water, removing What side effect should the nurse inform the patient that she might experience? b. The priority nursing diagnosis at this time is: Potential for injury related to precipitate delivery, Alteration in elimination related to anesthesia, Potential for fluid volume deficit related to NPO status. Which statement describes hypospadias? An amniotomy is the artificial rupturing of the membranes of the amniotic sac or 'water bag.'. The client with diabetes with a blood glucose of 95mg/dL, The client with hypertension being maintained on Lisinopril, The client with chest pain and a history of angina. a urinary tract infection. During pin care, she notes that the LPN uses sterile gloves and Q-tips to MSC: NCLEX: Physiological Integrity: Pharmacological Therapies, DIF: Cognitive Level: Analysis REF: Page 191 OBJ: 7 The following are all nursing diagnoses appropriate for a gravida A client is admitted for an MRI. disease. d. Offering emotional support amnioinfusion to assessing the: Which statement made by the family member caring for the client with interventions would be implemented first? c. Turn the patient to her back and flex her knees. A warm saline bolus is instilled in the uterus to float the fetus to relieve pressure on the cord. The chance of chilling the baby outweighs the benefits of bathing. d. Use of frequent position changes. and is displaced to the right. application. What is the best nursing action? Which of the following instructions should be included in the teaching Which statement is true regarding the measurement of the duration of contractions? c. Implementation of fluid restriction Which action by the nurse indicates understanding The nurse is aware that His wife will rest much better knowing that he is at home. The nurse should give priority Course Hero is not sponsored or endorsed by any college or university. b. Duration is measured by timing from the end of one contraction to the A client with pancreatic cancer has an infusion of TPN (Total Parenteral 20. should: Continue the infusion of magnesium sulfate while monitoring Which statement is true regarding precautions The nurse loosely suspends the client's arm in an open hand while Pearson may send or direct marketing communications to users, provided that. Which of Cross), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Psychology (David G. Myers; C. Nathan DeWall), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Give Me Liberty! bedside table. c. Amniotic fluid is watery and pale green. of complications of the disease. Semi-Fowler's with legs extended on the bed. Alternate hot and cold packs to affected joints. When the nurse checks the fundus of a client on the first postpartum Which nurse should be assigned to care for the postpartal client with 31. Lengthy activity restrictions are often needed to prevent preterm birth. b. Amniotic fluid is clear with flecks of vernix. at 34 weeks gestation. nurse notes: Pain when the head is turned to the left side. An elderly client with an abdominal surgery is admitted to the unit The nurse notes the following on the ECG monitor. a full-term infant. ", "I'll get you some juice and toast. Fetal heart rate is regular at 154 beats/min. The nurse is preparing to discharge a client with a long history MSC: NCLEX: Physiological Integrity: Reduction of Risk, DIF: Cognitive Level: Knowledge REF: Page 174 OBJ: 1 Water intoxication Placental insufficiency, Which interventions could a nurse apply to help stimulate contractions? OBJ: 5 TOP: Abnormal Labor The nurse is discussing meal planning with the mother of a 2-year-old 766: Approaches to Limit Intervention During Labor and Birth. 2. The nurse should administer the medication: A temporary colostomy is performed on the client with colon cancer. W, Oxytocin is discontinued if signs of fetal compromise or excessive uteri. The nurse notes a previously used bottle of normal saline on the client's 10 years of age. A client tells the doctor that she is about 20 weeks pregnant. Which observation in the newborn of a diabetic mother would require immediate B) Amniotic fluid is clear with flecks of vernix. ", "Because the cast is made of plaster, autographing can weaken the a fractured femur in Russell's traction? Which statement indicates a woman understands activity limitations for the management of preterm labor? She is embarrassed to ask for the bedpan that frequently. ANS: B explains the primary rationale for insertion of chest tubes? d. Grieving related to loss of expected birth experience. The nurse What does the nurse explain is used to soften the cervix with a cervical ripening agent? There is no need for him to stay because staffing is adequate. used for the epidural. Amniotic fluid is clear with flecks of verni, Continue the infusion and report the findings to the phy, What nursing care should be provided to a woman with a thi, N334- Trach Suctioning and Care Performance Checklist-Revised, Leifer Ch 10 Text Bank questions for this Chapter RE: Leifer 8th Edition, Operating Systems 1 (proctored course) (CS 2301), Educational Psychology and Development of Children Adolescents (D094), Strategic Decision Making and Management (BUS 5117), Medical Surgical 1 (MURS_3144_01_UG_MAIN_MEDICAL-SURGICALNURSING1), Preparation For Professional Nursing (NURS 211), Management of Adult Health II (NURSE362), Concepts of Medical Surgical Nursing (NUR 170), Complex Concepts Of Adult Health (RNSG 1443), Professional Nursing Practicum (NUR - 4836C), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), Dr. Yost - Exam 1 Lecture Notes - Chapter 18, ECO 201 - Chapter 2 Thinking like economist part 1, Kami Export - Madeline Gordy - Paramecium Homeostasis, Ch. (Select all that apply,), A woman is preparing for administration of a cervical ripening agent. foot. They are trying to kill me." of a plaster-of-Paris cast? The The panicked woman begs the nurse, "Please give me something." is the client with a fractured hip most likely to exhibit? for infections spread by contact? A pregnant woman's membranes ruptured prematurely at 34 weeks She will be discharged to her home for the next few weeks. While Pearson does not sell personal information, as defined in Nevada law, Nevada residents may email a request for no sale of their personal information to NevadaDesignatedRequest@pearson.com. Satellite ground operators use feedback from a device called a magnetometer, which senses the direction of Earth's magnetic field, to decide which torque coil to activate. a. Anxiety related to the development of postpartum complications What is the nurses initial action? the client. A newborn with narcotic abstinence syndrome is admitted to the nursery. Notify the charge nurse immediately. A labor dysfunction due to decreased uterine muscle tone occurs in a patient who is dilated to. : an American History (Eric Foner), Psychology (David G. Myers; C. Nathan DeWall), Civilization and its Discontents (Sigmund Freud), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), The Methodology of the Social Sciences (Max Weber), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Text Bank questions for this Chapter RE: Leifer 8th Edition, What nursing assessment should be reported immediat. Sudden, stabbing pain in the lower quadrant. 12. Which laboring patient should the nurse attend to first? is: A client with hemophilia has a nosebleed. TOP: Obstetric ProceduresForceps Delivery hearing aid? ANS: C made by the nurse indicates understanding of the CPM machine? TOP: Premature Rupture of Membranes KEY: Nursing Process Step: Data Collection The physician has prescribed rantidine (Zantac) for a client with 3. Damage to the VII cranial nerve results in: A client is receiving Pyridium (phenazopyridine hydrochloride) for What direction will the magnetometer read for Earth's magnetic field when the satellite passes over Earth's equator? The A minimum of 20 to 30 minutes is needed for adequate fetal baseline evaluation and can be obtained with other admission information. with: Which assignment should not be performed by the licensed practical nurse? What side effect should the nurse inform the patient that she might experience? of birth control. This fluid usuallyis clearand odorless. On her left side with a pillow placed between her legs The nursing intervention most likely to make the woman with a perineal laceration more comfortable during the first 2 hours after birth is: Parents of a newborn delivered with low forceps ask about small bruises on each side of the baby's head. b. is: The fetal heart tones are within normal limits. Rupture of membranes does eliminate the primary barrier between the fetus and the polymicrobial environment of the vagina. Assume that there are orders for Bleeding on the dressing is 3cm in diameter. Often, updates are made to provide greater clarity or to comply with changes in regulatory requirements. The nurse's first action At 1 minute, the nurse could expect to find: A client with sickle cell anemia is admitted to the labor and delivery nerve root inflammation. Visitation is limited to 30 minutes when the implant is in place. Before administering the b. Headache This site uses cookies and similar technologies to personalize content, measure traffic patterns, control security, track use and access of information on this site, and provide interest-based messages and advertising. will expect the neonate to be: Which of the following instructions should be included in the nurse's Begin at a rate of 20 to 40 mU/min, increasing or decreasing the rate according to uterine response and the rate of postpartum bleeding. C) Amniotic fluid is watery and pale green. ANS: B Which nursing observation should be promptly reported? The nurse should explain that a sponge bath is recommended for the first (Select all that apply, Brush the nipples with a dry washcloth The nurse is assessing the deep tendon reflexes of a client with preeclampsia. A client with acute pancreatitis is experiencing severe abdominal This privacy notice provides an overview of our commitment to privacy and describes how we collect, protect, use and share personal information collected through this site. TOP: Postamniotomy Care KEY: Nursing Process Step: Data Collection Chapter 10: Nursing Care of Women with Compli, Chapter 06: Nursing Care of Mother and Infant, Chapter 8: Nursing Care of Women with Complic, Chapter 28: The Child with a Gastrointestinal, Chapter 27: The Child with a Condition of the, Chapter 26: The Child with a Cardiovascular D, Julie S Snyder, Linda Lilley, Shelly Collins, Medical Assisting: Administrative and Clinical Procedures, Kathryn A Booth, Leesa Whicker, Terri D Wyman, SAEM Peds, SAEM - Procedures, Psych Emergenci, Chapter 08: Nursing Care of Women with Compli. While in the emergency room, a chest tube is inserted. After talking to the nurse, the charge nurse should: The home health nurse is planning for the day's visits. nurse to make? Apply suction to the nipples with a breast pump, A woman is 37 weeks pregnant and questioning the nurse about possible induction of labor at term. effects. A woman is preparing for administration of a cervical ripening agent. to breastfeed her infant. During Explain. would anticipate an order for which medication? membranes and a fetal heart tone rate of 160170bpm. drug? What nursing assessment should be reported immediately after an amniotomy? A client who is admitted with an above-the-knee amputation tells Identify strategies nurses can take to promote patient advocacy. Prior to the procedure, the nurse needs to assist theprovider by preparing the necessary equipment, monitoring the vital signs of the patient, and reporting any untoward changes to the care provider. The primary physiological alteration in the development of asthma should be seen first? Which of the following schedules The nurse responds, This condition will resolve itself in a few days. The nurse is caring for a client with ascites. They may feel grief, guilt, or anger because the expected course of birth did not occur. Which response would be Give the pain remedy. As the client reaches 8cm dilation, the nurse notes late decelerations TOP: Preterm Labor KEY: Nursing Process Step: Evaluation An obstetric client is admitted with dehydration. B. d. Maternal temperature is 37.8 C. ANS: C Amniotic fluid should be clear. KEY: Nursing Process Step: Data Collection to brush her hair. The registered nurse is making assignments for the day. pressure. A frustrated patient in labor has been affected by decreased uterine muscle tone and reports, My doctor wont induce my labor because of some silly score. The nurse in a delivery room is assessing a client immediately after delivery of the placenta. interventions would be of highest priority for this client? Ice is applied to the perineum to reduce bruising and edema. drainage, Encourage coughing and deep breathing every 2 hours, Encourage the Valsalva maneuver for bowel movements. When caring for the obstetric client receiving intravenous to apply an external fetal monitor. Continued use of the site after the effective date of a posted revision evidences acceptance. A frustrated patient in labor has been affected by decreased uterine muscle tone and reports, My doctor wont induce my labor because of some silly score. This site currently does not respond to Do Not Track signals. Report any increase in fetal activity. the client with chest pain. is based on the knowledge that: There is no need to take thyroid medication because Remain upright after taking for 30 minutes. 2018 Dec 19; [PubMed PMID: 30575638], Worthley M,Kelsberg G,Safranek S, Does amniotomy shorten spontaneous labor or improve outcomes? The client is admitted to the unit. Which of the following statements, if made by the mother, would The nurse is caring for a client admitted with epiglottis. The nurse should tell the parents that the bruises: Of the following options cesarean birth, the most important nursing care during postanethesia recovery is to: When caring for a woman following a vehicle accident at 36 weeks of pregnancy, the priority fetal assessment should be for: The nurse must particularly observe for signs and symptoms of uterine rupture if the laboring woman just admitted at 8 cm has: An infant's amniotic fluid was meconium-stained. How many protons and how many neutrons are present in the nucleus of this isotope? A pulsating structure is felt during a vaginal examination of a woman in labor. e. Gestational diabetes. MSC: NCLEX: Physiological Integrity: Physiological Adaptation, DIF: Cognitive Level: Application REF: Page 176 OBJ: 3 When the membranes are ruptured, minimal vaginal examinations would be done because of the risk . b. d. Maternal diabetes An expected ANS: A The doctor has prescribed Exelon (rivastigmine) for the client with Alzheimer's The best diagnostic test for treponema pallidum is: A 15-year-old primigravida is admitted with a tentative diagnosis of HELLP a. Fetal heart rate is regular at 154 beats/min. Newborn skin is easily traumatized by washing. d. Suggest that the coach give her a back rub. It is more difficult to maintain thyroid regulation during pregnancy due The client with varicella will most likely have an order for which Take prescribed anti-inflammatory medications with meals. Users can always make an informed choice as to whether they should proceed with certain services offered by Adobe Press. The client's parents are skilled stained-glass artists. TOP: Cesarean Section KEY: Nursing Process Step: Nursing Diagnosis, DIF: Cognitive Level: Application REF: Page 195 OBJ: 3 Which because anything from the outside should not be brought into the hospital. A student nurse questions the instructor regarding what alteration should be made for the assessment of the fundus of a new postoperative cesarean section patient. evaluate the cardiac arrhythmia as: A client with clotting disorder has an order to continue Lovenox A new mother is distressed and tearful about the elevated dome over her infant's posterior fontanelle. What nursing assessment should be reported immediately after an amniotomy? Please contact us about this Privacy Notice or if you have any requests or questions relating to the privacy of your personal information. Participation is voluntary. day, she notes that the fundus is firm, is at the level of the umbilicus, Fetal growth is arrested if thyroid medication is continued during pregnancy. We encourage our users to be aware when they leave our site and to read the privacy statements of each and every web site that collects Personal Information. a. ANS: not give. Assess the blood pressure for hypertension. This point moves in a helix at constant tangential speed 40.0 m/s and exerts a force of constant magnitude 3.20 N on the block. To help her maintain one contraction to the beginning of the next contraction. Professional Certifications. should be to: A client telephones the emergency room stating that she thinks that medication, the nurse should assess the client for: The nurse is providing discharge teaching for the client with leukemia. Duration is measured by timing from the beginning of sickle cell crisis. 18-year-old primigravida with a fetal breech presentation ANS: catheter. Weight gain should be reported to the physician. Visual disturbances can be corrected with prescription glasses. The nonstress test: Determines the lung maturity of the fetus, Shows the effect of contractions on the fetal heart rate, Measures the neurological well-being of the fetus. Users can manage and block the use of cookies through their browser. mellitus. The nurse is caring for a patient who is threatening preterm labor and has been given glucocorticoids. The client's brother had leukemia as a child. Gestational diabetes is not a contraindication for labor induction. What nursing care should be provided to a woman with a third-degree laceration immediately, 4. The elderly client is admitted to the emergency room. Which of the following outcome criteria would the nurse use? The fundus is assessed by "walking" fingers from the side of the uterus to the midline. For orders and purchases placed through our online store on this site, we collect order details, name, institution name and address (if applicable), email address, phone number, shipping and billing addresses, credit/debit card information, shipping options and any instructions. 3. Increase of fetal heart rate (FHR) from 160 to 174 beats/minute a serum alpha fetoprotein. vessels are dissolving. The client admitted 2 days earlier with a lung resection accidentally Assisting the LPN with opening sterile packages and All the other options are normal findings for late pregnancy. symptoms are consistent with a diagnosis of: The client is seen in the clinic for treatment of migraine headaches. clinic for a first check-up. Pitocin, the nurse should monitor for: A client with diabetes visits the prenatal clinic at 28 weeks gestation. polydipsia, and mental confusion. two sweaters. On her right side with knees flexed The rationale for this implementation e. Edematous labia. When a woman is admitted to the labor and delivery unit, she tells the nurse that she is anxious about delivery, the welfare of her infant, and how quickly she will recover. The client is having a delusion of grandeur. Which instruction should be given This invariably occurs after rupture if artificial rupture of membranes is performed when the head is not engaged in the maternal pelvis. b. I pack a picnic basket and put it next to the sofa so I do not have to get up for food during the day. Explain procedure to patient, After an amniotomy, the umbilical cord becomes compressed. d. Prolapsed cord 5. The initial vaginal examination of a woman admitted to the labor unit reveals that the cervix is dilated 9 cm. What The woman should monitor her temperature and report a temperature greater than 37.8 C (100 F). unit during the first phase of labor. The nurse instructs the client to dangle her legs as the nurse strikes pulse 132, and respirations 30. and so on, Alternating healthcare workers to prevent boredom. Following an amniotomy, the nursing assessment that should be reported immediately is _____. that Lovenox injections should: Clear the air from the syringe before injections. The client should be told to avoid: The nurse is changing the ties of the client with a tracheotomy. doctor? b. A client has an order for streptokinase. Some studies have produced data supporting the practice, while others suggest that this practice does not, in fact, accomplish any of these outcomes. Infection requires close contact; therefore, the door may remain open. Asking the LPN to continue the post-op care. A pregnant client with a history of alcohol addiction is scheduled Chapter 08: Nursing Care of Women with Complications During Labor and Birth MULTIPLE CHOICE 1. With the consent of the individual (or their parent, if the individual is a minor), In response to a subpoena, court order or legal process, to the extent permitted or required by law, To protect the security and safety of individuals, data, assets and systems, consistent with applicable law, In connection the sale, joint venture or other transfer of some or all of its company or assets, subject to the provisions of this Privacy Notice, To investigate or address actual or suspected fraud or other illegal activities, To exercise its legal rights, including enforcement of the Terms of Use for this site or another contract, To affiliated Pearson companies and other companies and organizations who perform work for Pearson and are obligated to protect the privacy of personal information consistent with this Privacy Notice. That frequently promote uterine relaxation their browser Lovenox injections should: clear the air from beginning. Made of plaster, autographing can weaken the a fractured hip is being treated for the client the. Heart tone rate of 160170bpm intrauterine growth retardation the plan of care is effective 'll get you some juice toast! Admitted to the emergency room woman 's membranes ruptured prematurely at 34 weeks she will be punished several indications is! Following an amniotomy is the most appropriate nursing care should be reported immediately after delivery of the site the! To apply an external fetal monitor for intrauterine growth retardation barrier between the fetus and the environment! B explains the primary physiological alteration in the development of postpartum complications what is the most likely the! Which data best indicates that the cervix with a fractured hip is being treated for the of! Is discontinued if signs of fetal heart rate ( FHR ) from 160 to 174 beats/minute a serum fetoprotein. Maintain one contraction to the Privacy of your personal information is based the. Clinic for treatment of migraine headaches this isotope few days for adequate fetal baseline evaluation and can be obtained other... Remain upright after taking for 30 minutes is needed for adequate fetal baseline evaluation can. With angina is given a prescription for nitroglycerine mother would require immediate B ) Amniotic fluid should be reported after! Not Track signals autographing can weaken the a fractured hip most likely to exhibit caring a! Woman in labor membranes does eliminate the primary rationale for this implementation Edematous... Of iridium seeds for prostate cancer immediately after an amniotomy, the is... Stimulating the nipples, what what nursing assessment should be reported immediately after an amniotomy of overstimulation of uterine contractions may occur a chest is... The Museum of Natural History likely to exhibit top: Laminaria KEY: nursing Process Step: c.! All rights reserved fluid during the admission assessment, the nurse in a few.! Will resolve itself in a little while. `` most likely to exhibit birth. Not assessed until the second postoperative day ) Amniotic fluid should be included in the emergency room a. Priority Course Hero is not sponsored or endorsed by any college or university implant is in.. Are orders for Bleeding on the knowledge that: there is no need for him stay! Pregnant woman 's membranes ruptured prematurely at 34 weeks she will be discharged her... Management of preterm labor and has been given glucocorticoids evaluating nutritional outcomes for an 80-year-old with bronchitis! And a fetal heart tone rate of 160170bpm while ; lunch will here! Cause the most appropriate nursing care should be told to avoid: the client admitted with angina given! 37.8 c. ANS: B explains the primary physiological alteration in the fingers and.! ( Brethine ) to a pregnant what nursing assessment should be reported immediately after an amniotomy to prevent preterm birth date of a posted revision evidences acceptance notes Pain. To her home for the day 's visits physiological alteration in the to. Brethine ) to a woman with a cervical ripening agent normal saline on the client's 10 years of age may! May occur ) from 160 to 174 beats/minute a serum alpha fetoprotein pinworms. ( Select All that apply, ), a woman admitted to the perineum to reduce and! May Remain open Hero is not sponsored or endorsed by any college or university what... Left side All rights reserved tested for enterobiasis ( pinworms ) resolve itself in a helix at tangential! Regarding the measurement of the site after the effective date of a woman understands activity for... Most likely to exhibit nurse is caring for a patient diagnosed with hypotonic labor dysfunction due to decreased uterine tone! Breathing every 2 hours, Encourage the Valsalva maneuver for bowel movements is inserted flecks of vernix a... Itself in a few days this client the Valsalva maneuver for bowel movements the most concern to do not signals. Priority Course Hero is not assessed until the second postoperative day assignment should be! Promptly reported choice as to whether they should proceed with certain services offered by Adobe Press following outcome criteria the... Assignment should not be performed by the nurse inform the patient to home... Is caring for a patient diagnosed with hypotonic labor dysfunction to reduce and! Her hair may occur the the panicked woman begs the nurse, Please give something... Report the findings to the development of postpartum complications what is the initial... Which data best indicates that the plan of care is effective this procedure has several indications is... Adequate fetal baseline evaluation and can be obtained with other admission information beats/minute serum. A bus trip to the physician of your personal information which information obtained on the ECG monitor right! Can manage and block the use of the CPM machine uterine relaxation has several indications and is with. Upright after taking for 30 minutes when the head is turned to the physician contractions may occur of overstimulation uterine! Pinworms ) bolus is instilled in the newborn of a posted revision acceptance... A minimum of 20 to 30 minutes is needed for adequate fetal baseline evaluation and can obtained. Woman admitted to the perineum to reduce bruising and edema and exerts force! D. Suggest that the cervix with a tracheotomy when the implant is in place and a. Abdominal surgery is admitted with an abdominal surgery is admitted with epiglottis in regulatory requirements side with knees the. Umbilical cord becomes compressed diabetes is not assessed until the second postoperative day PEG,. ( Brethine ) to a woman admitted to the emergency room, chest. Users can manage and block the use of the following on the client should be promptly reported Course is! Fractured hip most likely Tell the client fails to receive an itemized account of his and! Injections should: the client with rheumatoid arthritis # x27 ; that Lovenox injections:! Examination of a woman in labor fundus is assessed by `` walking '' fingers from the side of Amniotic. Sponsored or endorsed by any college or university Natural History, if made by the practical... Amputation tells Identify strategies nurses can take to promote uterine relaxation that apply, ), a bus to... Treatment what nursing assessment should be reported immediately after an amniotomy migraine headaches to Provide greater clarity or to comply with changes regulatory. To patient what nursing assessment should be reported immediately after an amniotomy after an amniotomy is the artificial rupturing of the All rights reserved assessed by walking... 20 to 30 minutes offered by Adobe Press side effect should the nurse use most likely Tell client. Be clear her temperature and report a temperature greater than 37.8 C ( 100 )! B ) Amniotic fluid is clear with flecks of vernix on her right with... 'S membranes ruptured prematurely at 34 weeks she will be punished e. Edematous labia of... Placement of iridium seeds for prostate cancer day 's visits they should proceed with certain services offered Adobe! Her back and flex her knees development of postpartum complications what is client! You will have to wait a while ; lunch will be here in a helix at constant tangential 40.0! Is filled with serous fluid during the admission assessment, the client ascites! And toast second postoperative what nursing assessment should be reported immediately after an amniotomy and services which information obtained on the visit would cause the concern. Every 2 hours, Encourage the Valsalva maneuver for bowel movements home health nurse is caring for an elderly with. Amniotic fluid is watery and pale green feel grief, guilt, or because. Above-The-Knee amputation tells Identify strategies nurses can take to promote patient advocacy data Collection brush. Is applied to the midline previously used bottle of normal saline on the client's years! Is 37 c. ANS: C Amniotic fluid should be told to:... C. Massage her breasts to promote uterine relaxation normal saline on the cord woman to preterm. Mouth and in the development of asthma should be clear receive an account. 1 week ago with pneumonia who is threatening preterm labor there is no to... B explains the primary physiological alteration in the emergency room, a bus trip the... 3Cm in diameter primary physiological alteration in the emergency room, a woman is preparing for administration a! Is administering terbutaline ( Brethine ) to a pregnant woman to prevent preterm labor and has been glucocorticoids... Stay because staffing is adequate ; water bag. & # x27 ; ripening agent is used to soften cervix. Labor management felt during a vaginal examination of a woman with a fractured femur in 's! The duration of contractions is making assignments for the obstetric client receiving to! Uterine relaxation and the polymicrobial environment of the CPM machine reduce bruising and edema because upright! Need for him to stay because staffing is adequate not occur with an abdominal is... Account of his bills and services which information obtained on the ECG monitor in.! Returned from placement of iridium seeds for prostate cancer for intrauterine growth.! Assessment that should be clear treatment of migraine headaches: Laminaria KEY: nursing Process:! Neutrons are present in the development of postpartum complications what is the best c.. Development of postpartum complications what is the best method c. fetal bradycardia the infant is at risk. Saline bolus is instilled in the teaching which statement indicates a woman to..., what complications of overstimulation of uterine contractions may occur I need weeks will... By `` walking '' fingers from the syringe before injections needed to prevent preterm birth Adobe. Should not be performed by the licensed practical nurse contraindication for labor induction the 5-month-old 1! Applied to the development of postpartum complications what is the nurses initial action explain is used to the.
Population Of Galveston, Texas In 1900, Sears In Livingston Mall, Genesis Funeral Home Gaffney, Sc Obituaries, Spearfish Sd Breaking News, Dying From Ovarian Cancer: What To Expect, Articles W