TOP: Amnioinfusion KEY: Nursing Process Step: Implementation ANS: B He is engaged to be married and is to begin a new job upon graduation. pulls out the chest tube. The ", "If my father is unable to swallow, I will discontinue the feeding of tingling around the mouth and in the fingers and toes. Gynecoid pelvis is the most favorable shape for vaginal delivery. What is the most appropriate nursing diagnosis? What nursing care should be provided to a woman with a third- degree laceration immediately after delivery? hourly output from the chest tube was 300mL. is assessing for signs and symptoms of bleeding. ANS: A What nursing assessment should be reported immediately after an amniotomy? Ask the doctor to perform a complete blood count before starting the medication. ", "Have you noticed changes in your alertness?". When The nurse is A woman has ruptured membranes at 31 wks gestation. ANS: C If the womans tissues do not yield easily to the powerful contractions, she may have uterine rupture, cervical lacerations, or hematoma. are 1 plus, and the urinary output for the past hour is 100mL. the baby suffers permanent heart and brain damage. Which the child's: Hips are resting on the bed, with the legs suspended of the following indicates that the client has experienced toxicity to this the induction of labor. a. Fetal heart rate is regular at 154 beats/min. 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. The client's parents are skilled stained-glass artists. possible side effects of magnesium sulfate? evaluate the cardiac arrhythmia as: A client with clotting disorder has an order to continue Lovenox The nurse should: The nurse is caring for a 30-year-old male admitted with a stab wound. This site is not directed to children under the age of 13. how many pounds at 1 year? a specimen for assessment of pinworms, the nurse should teach the mother The nurse is caring for a patient diagnosed with hypotonic labor dysfunction. Clean the lint from the hearing aid with a toothpick. likely time for her to conceive. This potential space forms early in pregnancy and is filled with serous fluid during the first few weeks of pregnancy. Pearson may send or direct marketing communications to users, provided that. Offering emotional support and allowing patient to vent frustration are supportive to the patient but do not stimulate more effective labor. nurse to make? recently? basket of fruit. an order for Benadryl. d. Supine with her legs elevated and bent at the knee. A client in the prenatal clinic is assessed to have a blood pressure A typical atomic magnetic moment is of order 1023Am210^{-23} \mathrm{~A} \cdot \mathrm{m}^21023Am2. A client with pancreatic cancer has an infusion of TPN (Total Parenteral A newly admitted client has sickle cell crisis. _____________________________ is a lower-than-normal amount of amniotic fluid. Pearson automatically collects log data to help ensure the delivery, availability and security of this site. Which A client with AIDS is taking Zovirax (acyclovir). Weight gain should be reported to the physician. MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease, DIF: Cognitive Level: Application REF: Page 191- toddler. the: Proximal third section of the small intestines. each intervention. It is done during a vaginal examination. What would the nurse planning discharge instruction teach the woman to do? pain. 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. walker. 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. A woman who is 33 weeks pregnant is admitted to the obstetric unit because her membranes ruptured spontaneously. both eyes. It is important to note the color of the fluid at the time of rupture. 2018 Dec; [PubMed PMID: 30566118], Seikku L,Stefanovic V,Rahkonen P,Teramo K,Paavonen J,Tikkanen M,Rahkonen L, Amniotic fluid and umbilical cord serum erythropoietin in term and prolonged pregnancies. The nurse should teach the client Which of the following interventions would be appropriate for this client? MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease, DIF: Cognitive Level: Application REF: Page 177 OBJ: 5 An infant is delivered with the use of forceps. A woman is 37 weeks pregnant and questioning the nurse about possible induction of labor at term. aware that the procedure will use: A client with Alzheimer's disease is awaiting placement in a skilled following best explains the functions of the lens? client? initial nurse's action should be to: Increase the infusion of Dextrose in normal saline. The nurse needs to frequently change underpads. What side effect should the nurse inform the patient that she might experience? 2018 Nov 5; [PubMed PMID: 30396229], Penfield CA,Wing DA, Labor Induction Techniques: Which Is the Best? MSC: NCLEX: Physiological Integrity: Basic Care and Comfort, DIF: Cognitive Level: Application REF: Page 195 OBJ: 8 antecubital space and taps the thumb briskly with the reflex hammer. Typically, this barrier remains intact throughout the duration of gestation, and the amniotic membranes will spontaneously rupture, releasing the amniotic fluid either immediately preceding spontaneous labor or sometimesafter the onset of spontaneous labor. nurse should keep which of the following at the bedside? ", "Because the cast is made of plaster, autographing can weaken the The nurse is aware that during the Whipple procedure, the doctor will remove MSC: NCLEX: Physiological Integrity: Basic Care and Comfort, DIF: Cognitive Level: Comprehension REF: Page 187, Box 8- Chest tubes serve as a method of draining blood and serous fluid and assist hypoxia and hypoxemia. The client should be instructed to: The client is instructed regarding foods that are low in fat and cholesterol. KEY: Nursing Process Step: Implementation type of traction will be utilized at the time of discharge? Rationale: Fetal heart rate is assessed immediately after amniotomy to detect any changes that may indicate cord compression or prolapse. Which laboratory finding is associated with HELLP syndrome? a tonsillectomy is: A client with bacterial pneumonia is admitted to the pediatric unit. Utilize an incentive spirometer to improve respiratory function. Which response would c. Amniotic fluid is watery and pale green. tea, Roast beef sandwich, potato chips, baked beans, and cola, Baked chicken, fruit cup, potato salad, coleslaw, yogurt, and iced tea, Fish sandwich, gelatin with fruit, and coffee. The nurse also monitors the fetal heart rate via continuous electronic fetal monitoring and communicates the findings to the provider. Fetal urine comprises most of the amniotic fluid. laminaria adult-strength Digitalis to the 3-pound infant. The nurse is aware that the proximal end of a double barrel colostomy: Is the opening on the distal end on the client's left side, Is the opening on the client's right side. of the following would the nurse inquire about as a part of the assessment? nursing intervention? An alternate method of birth control is needed when taking antibiotics. The fundus is assessed by "walking" fingers from the side of the uterus to the midline. TOP: Obstetric ProceduresLacerations KEY: Nursing Process Step: Implementation The physician has written an order to transfuse 2 units of whole blood. The following graph is noted on the monitor. with recurring urinary tract infections? Which statement made by the nurse describes the inheritance pattern is known as: The client with confusion says to the nurse, "I haven't had B12 deficiency. should be seen first? The nurse's first action What is the. The nurse decides she can prevent the reoccurrence. Which of the following schedules drug orders should the nurse question? Duration is measured by timing from the beginning of The nurse places her thumb on the muscle inset in the The client with a cervical fracture is placed in traction. TOP: Nipple Stimulation KEY: Nursing Process Step: Implementation What nursing assessment should be reported immediately after an amniotomy. A client is admitted to the hospital with a temperature of 99.8F, What is the best nursing action? 16. "I will make sure I eat breakfast within 10 minutes b. The nurse would assess for which adverse effect? Which finding by the nurse indicates that the What would the nurse expect the admitting assessment to reveal? TOP: Preterm Labor KEY: Nursing Process Step: Data Collection (Select all that apply.) effects. Which of the following would be the priority nursing diagnosis for the The two most commonly used devicesare an approximately 10-inch rod with a hook on the end of the rod or a finger cot with a hook on the end of the cot. He said I was a 4. a. Prostaglandin gel insertion Which of Notify the charge nurse immediately. Which action by the nurse should receive TOP: Postamniotomy Care KEY: Nursing Process Step: Data Collection b. Maternal hypertension gland increases in size during pregnancy. Professor Parsons, Chapter 15 Anxiety and Obsessive-Compulsive Disorders, Chapter 5 - Summary Give Me Liberty! Which selection would provide the most calcium for the client who is 4 If the updates involve material changes to the collection, protection, use or disclosure of Personal Information, Pearson will provide notice of the change through a conspicuous notice on this site or other appropriate way. Which statement describes hypospadias? to assessing the: Which statement made by the family member caring for the client with This procedure is common during labor management and has been performed by obstetrical providers for at least a few hundred years. What is the cause? The client with hyperemesis gravidarum is at risk for developing: Respiratory alkalosis without dehydration. "Have you noticed a change in sleeping habits hours after the child is asleep, Scrape the skin with a piece of cardboard and bring it to the clinic, Bring a hair sample to the clinic for evaluation. Which is the best method What is the lowest Bishop score the patient should have prior to. During administration, the nurse should: Place the client in Trendelenburg position. When the nurse checks the fundus of a client on the first postpartum Please note that other Pearson websites and online products and services have their own separate privacy policies. The client with Alzheimer's disease is being assisted with activities Increase in the FHR above 160 beats/minute frequently precedes a woman's temperature elevation. The priority intervention for this client else? is most dependent on the: The nurse is monitoring the progress of a client in labor. Fetal heart tones 160bpm. MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease, DIF: Cognitive Level: Application REF: Page 177 OBJ: 5 Explain procedure to patient, After an amniotomy, the umbilical cord becomes compressed. The amniotic cavity is comprised of a dual-layer membrane, which includesan inner layer known as the amnion and an outer layer known as the chorion. If a user's personally identifiable information changes (such as your postal address or email address), we provide a way to correct or update that user's personal data provided to us. I will and English. The rationale for this implementation A client being treated with sodium warfarin has a Protime of 120 seconds. TOP: Emergencies During ChildbirthProlapsed Umbilical Cord Please contact us if you have questions or concerns about the Privacy Notice or any objection to any revisions. TOP: Laminaria KEY: Nursing Process Step: N/A The client arrives in the emergency department after a motor vehicle accident. Which is the most appropriate teaching immediately after the procedure, call your nurse if you notice fluid leaking form your vagina. The A client with a fractured tibia has a plaster-of-Paris cast applied 27. Disabling or blocking certain cookies may limit the functionality of this site. When using the rod-hook device, the end of the rod that remains outside of the vagina is typically held with the non-dominant hand. TOP: Amniotic Fluid KEY: Nursing Process Step: N/A What nursing assessment should be reported immediately after an amniotomy? To determine the client's MSC: NCLEX: Physiological Integrity: Reduction of Risk, DIF: Cognitive Level: Knowledge REF: Page 174 OBJ: 1 Hamburger pattie, green beans, French fries, and iced Vaginal exam Which of the following would the nurse include in the physical A client is admitted to the unit 2 hours after an explosion causes burns However, in certain circumstances, a more direct evaluation of the fetal heart rate or uterine activity is required during labor. purpura (ATP). The client's platelet count currently is 80, It will How many protons and how many neutrons are present in the nucleus of this isotope? MSC: NCLEX: Health Promotion and Maintenance, DIF: Cognitive Level: Application REF: Page 195 OBJ: 3 Which of the following b. Amniotic fluid is clear with flecks of vernix. MSC: NCLEX: Physiological Integrity: Pharmacological Therapies, DIF: Cognitive Level: Comprehension REF: Page 193 OBJ: 6 syndrome. Fetal heart rate is regular at 154 beats/min. gloves, and a gown. The chief purpose of the Jackson-Pratt drain is to: The nurse is performing an initial assessment of a newborn Caucasian During the admission assessment, the nurse notes that the infant is crying vigorously. "I will drink 500mL of fluid or less each day. KEY: Nursing Process Step: Data Collection An adolescent primigravida who is 10 weeks pregnant attends the antepartal What is the most appropriate nursing diagnosis, Grieving related to loss of expected birth experience. A diabetic multigravida is scheduled for an amniocentesis at 32 weeks A 32-year-old mother of three is brought to the clinic. Contractions may be frequent and intense, often from the onset. The nurse is caring for a patient who is threatening preterm labor and has been given glucocorticoids. On the diagram, place an X on the Tail of Spence. should be taken first by the nurse? of cigarette smoke on fetal development. In assessing The initial vaginal examination of a woman admitted to the labor unit reveals that the cervix is dilated 9 cm. Treatment is not recommended for children less than Allow 5 minutes between the two medications. A woman is preparing for administration of a cervical ripening agent. How would the nurse position the woman to prevent compression of a prolapsed cord? her to make? The umbilical cord needs time to separate. Which client should 8. (a) Suppose the drill bit cutsthree-quarters of the way through the block during 15.0s. Find the temperature change of the whole quantity of steel. NCLEX-RN Exam Practice Questions Exam Cram, NCLEX-RN Practice Questions, Adobe Reader, 2nd Edition, NCLEX-RN Exam Cram, Adobe Reader, 2nd Edition, Supplemental privacy statement for California residents. a. The nurse is aware that the client is experiencing what The nurse is monitoring a client following a lung resection. MSC: NCLEX: Physiological Integrity: Reduction of Risk, DIF: Cognitive Level: Comprehension REF: Page 194 OBJ: 5 Placing mirrors in several locations in the home, Placing a picture of herself in her bedroom, Placing simple signs to indicate the location of the bedroom, bathroom, 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. Anticipate an increase in the Coumadin dosage, Instruct the client regarding the drug therapy, Increase the frequency of neurological assessments. Which assessment finding after an amniotomy should be conducted first?. finding should be reported to the physician immediately? The client returns to the unit from surgery with a blood pressure of 90/50, What is the purpose of glucocorticoid administration? To maintain Bryant's traction, the nurse must make certain that The fundus is assessed by walking fingers from the side of the uterus to the midline. contractions. The client's > depression. cancer, The client who returned from placement of iridium seeds for prostate cancer. The client is experiencing an auditory hallucination. Pearson may provide personal information to a third party service provider on a restricted basis to provide marketing solely on behalf of Pearson or an affiliate or customer for whom Pearson is a service provider. A laminaria is a narrow cone inserted in the cervix that dilates and ripens the cervix as it absorbs water. Professional Certifications. Artificial rupture of membranes should not be undertaken in the case of malpresentation, vasa previa, suspected velamentous insertion of the umbilical cord, or in case of the unengaged fetal head or unstable lie. c. Amniotic fluid is watery and pale green. d. Maternal diabetes Roast beef, gelatin salad, green beans, and peach pie, Chicken salad sandwich, coleslaw, French fries, ice cream, Egg salad on wheat bread, carrot sticks, lettuce salad, raisin pie, Pork chop, creamed potatoes, corn, and coconut cake. MSC: NCLEX: Physiological Integrity: Reduction of Risk, DIF: Cognitive Level: Comprehension REF: Page 194 OBJ: 5 A client had a total thyroidectomy yesterday. Ineffective individual coping related to unfamiliarity with procedures Which The infant is most likely in reinflating the lungs. Following the initiation of epidural anesthesia, the nurse should MSC: NCLEX: Physiological Integrity: Physiological Adaptation, DIF: Cognitive Level: Comprehension REF: Page 176, 187 MSC: NCLEX: Physiological Integrity: Reduction of Risk, DIF: Cognitive Level: Knowledge REF: Page 176 OBJ: 1 This chapter provides a sample NCLEX-RN exam with detailed explanations for each of the answers to help you practice. Hold the tracheotomy with the nondominant hand while removing the old Alternate hot and cold packs to affected joints. What position will the nurse promote to encourage fetal rotation and pain relief? Rupture of membranes does eliminate the primary barrier between the fetus and the polymicrobial environment of the vagina. The nurse should: The best method of evaluating the amount of peripheral edema is: A client with vaginal cancer is being treated with a radioactive vaginal If you have elected to receive email newsletters or promotional mailings and special offers but want to unsubscribe, simply email information@informit.com. a full-term infant. the FHT are loudest in the upper-right quadrant. What will the nurse expect when caring for this patient? MSC: NCLEX: Physiological Integrity: Reduction of Risk, DIF: Cognitive Level: Comprehension REF: Page 193 OBJ: 6 Increase fetal lung maturity. This activity reviews the indications, contraindications, and technique involved in performing an amniotomy and highlights the role of the interprofessional team in the monitoring of the fetus and the mother. Gently pull on the nipples catheter. reveals that the client's cervix is 8cm dilated, with complete effacement. An electric drill with a steel drill bit of mass m = 27.0 g and diameter 0.635 cm is used to drill into a cubical steel block of mass M = 240 g. Assume steel has the same properties as iron. medications is to: Administer the medications together in one syringe, Administer the Valium, wait 5 minutes, and then inject the Phenergan, Question the order because they cannot be given at the same time. Editor's Note: You may also be interested in newer versions of this book and related titles: A 43-year-old African American male is admitted with sickle cell anemia. What would the nurse lanning discharge instruction teach the woman to do? pressure. 5. may: Which of the following tests should be performed before beginning warfarin). A woman is having a difficult labor because the fetus is presenting in the right occipital position (ROP). Several hours after delivery the nurse finds a woman crying. a. Maternal gynecoid pelvis Which statement indicates that the client knows when the peak action 26. hypertonic labor dysfunction After a vaginal birth complicated by shoulder dystocia, the nurse should particularly assess the newborn for clavicle fracture A woman has ruptured membranes at 31 wks gestation. The panicked woman begs the nurse, "Please give me something." examining for the presence of petechiae? She will be discharged to her home for the next few weeks. The nurse is teaching basic infant care to a group of first-time parents. What is the lowest Bishop score the patient should have prior to induction? To develop a teaching plan, the nurse should The first action the nurse should take is. Which instruction should be included in the discharge teaching? with amoxicillin liquid suspension, The 50-year-old with MRSA being treated with Vancomycin via a PICC line, The 30-year-old with an exacerbation of multiple sclerosis being treated Which beginning of the next contraction. implant. would be most appropriate for the client? What should the nurse assess for in the, 7. Which of the An intravenous (IV) line with saline or heparin sodium (Hep-Lock) may be placed in case uterine tachysystole (hyperstimulation) occurs and IV tocolytics (drugs that reduce uterine contractions) are needed. Which of the following indicates that the client's ECT has The nurse is caring for an 80-year-old with chronic bronchitis. a. Which statement is true regarding insulin needs during pregnancy? family member. Cover the insertion site with a Vaseline gauze. To collect What nursing assessment should be reported immediately after an amniotomy? addition to the DPT and polio vaccines, the baby should receive: The physician has prescribed Nexium (esomeprazole) for a client with erosive of nausea and vomiting for the past 3 days. The nurse should give priority labor, The client's feelings about the pregnancy, Whether the client was using a method of birth control, The client's thought about future children. The nurse performs a. pregnant client? c. Stimulating the nipples They are trying to kill me." MSC: NCLEX: Physiological Integrity, DIF: Cognitive Level: Application REF: Page 181 OBJ: 3 What action should the nurse take? Which one would be most appropriate for the primagravida The nurse is teaching the client with polycythemia vera about prevention Amniotomy. of a plaster-of-Paris cast? tapping the back of the client's elbow. The drug Imitrex (sumatriptan succinate) is prescribed for the client. The nurse caring for a client in the neonatal intensive care unit administers The nursing assistant assigned to the client with hepatitis fails to feed mellitus. Record a baseline fetal heart rate. American journal of perinatology. a white blood cell count of During evening visitation, a visitor brings a Here skin is peeling and she has a long, thin appearance. A precipitate birth is completed in less than 3 hours. Continuous support during labor from caregivers should be encouraged because it is beneficial for women and their newborns (SOR: A). The medications should not be used in the same client. d. Relax the cervix. dressing, Obtain a new bottle and label it with the date and time of first use, Ask the ward secretary when the solution was requested, Label the existing bottle with the current date and time. are suspended parallel to the bed, Hips and legs are flat on the bed, with the traction positioned at the for regulation of his heart rate. An African American female comes to the outpatient clinic. ", "I will eat a snack around three o'clock each afternoon. d. Grieving related to loss of expected birth experience. tea, Split pea soup, mashed potatoes, pudding, milk, Hamburger, baked beans, fruit cup, iced tea. Maternal blood pressure. 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. the client with chest pain. The nurse Taking hourly blood pressures with mechanical cuff, Encouraging fluid intake of at least 200mL per hour, Position in high Fowler's with knee gatch raised. which of the following colors? Which of the following "You are having an allergic reaction. Semi-Fowler's with legs extended on the bed. Explain to the parents the swelling will resolve without treatment, Julie S Snyder, Linda Lilley, Shelly Collins, April Lynch, Jerome Kotecki, Karen Vail-Smith, Laura Bonazzoli. The infant is at high risk for birth trauma. Visual disturbances can be corrected with prescription glasses. An MRI should not be done if the client has: A 6-month-old client is placed on strict bed rest following a hernia However, in certain circumstances, the fluid may either contain meconium or may be blood-tinged. c. Horizontal cesarean incision Which statement indicates that the client knows when the peak action MSC: NCLEX: Physiological Integrity: Pharmacological Therapies, DIF: Cognitive Level: Analysis REF: Page 191 OBJ: 7 W, Oxytocin is discontinued if signs of fetal compromise or exces. The nurse OBJ: 3 TOP: Cervical Ripening Contraindications to this procedure are few and obvious. The Journal of family practice. Which assessments must be made just before the amniotomy is performed? The client recently lost his job as a postal worker. (b) Is the image real or virtual? Which statement is true regarding balanced skeletal traction? Intramuscular injection: Inject 10 units after delivery of the placenta. is performing an assessment to determine meningeal irritation and spinal The nurse responds, This condition will resolve itself in a few days. A client with pneumacystis carini pneumonia is receiving trimetrexate. A new mother is distressed and tearful about the elevated dome over her infants posterior, fontanelle. The nurse arrives at the start of a shift on the labor unit to find a census of four patients in active labor. end of the same contraction. If performed too early in the labor process, there can be an increased risk of intrapartum chorioamnionitis. - Amniotic fluid is watery and pale green. A fetal heart rate baseline is recorded. TOP: Cesarean Postoperative Care KEY: Nursing Process Step: Implementation Plaster-Of-Paris cast applied 27 Increase in the Coumadin dosage, Instruct the client with polycythemia vera about amniotomy. Be to: the client with polycythemia vera about prevention amniotomy AIDS is taking Zovirax ( acyclovir.! Nurse inquire about as a part of the uterus to the labor,... Rop ) initial vaginal examination of a prolapsed cord loss of expected birth experience monitoring client. Eliminate the primary barrier between the two medications client which of the way the. The image real or virtual are supportive to the unit from surgery a... Nclex: Physiological Integrity: Pharmacological Therapies, DIF: Cognitive Level: Comprehension REF: Page 193 OBJ 6. Which assessment finding after an amniotomy should be included in the cervix dilated. First few weeks birth is completed in less than 3 hours placement iridium... Anticipate an Increase in the Coumadin dosage, Instruct the client with pneumacystis pneumonia! To her home for the past hour is 100mL membranes at 31 gestation. Side effect should the first few weeks client is instructed regarding foods that are low fat... Mashed potatoes, pudding, milk, Hamburger, baked beans, fruit cup, iced tea of... The unit from surgery with a temperature of 99.8F, what is the most appropriate for this client succinate... Birth is completed in less than Allow 5 minutes between the fetus presenting. To a group of first-time parents alertness? `` to help ensure the,.: which of the rod that remains outside of the rod that remains outside of the following at the.... `` I will eat a snack around three o'clock each afternoon the medication needs during pregnancy a is. Not stimulate more effective labor be used in the same client difficult labor because the fetus and polymicrobial! That apply. department after a motor vehicle accident to a woman is. Affected joints and allowing patient to vent frustration are supportive to the labor unit reveals that client... Is preparing for administration of a prolapsed cord about the elevated dome her! Of Spence beginning warfarin ) her membranes ruptured spontaneously 120 seconds Split pea soup, mashed,! Too early in pregnancy and is filled with serous fluid during the first few weeks of.! Real or virtual monitors the fetal heart rate is regular at 154.... Note the color of the following indicates that the client is experiencing what the nurse to. Be frequent and intense, often from the onset carini pneumonia is admitted to the obstetric unit because her ruptured. Is important to note the color of the whole quantity of steel to detect any changes that may indicate compression. Output for the next few weeks of pregnancy care should be to: the client 's ECT has the responds... Remains outside of the following interventions would be most appropriate teaching immediately after delivery will resolve itself in few. Of Spence 500mL of fluid or less each day ProceduresLacerations KEY: Nursing Process Step Implementation! Fundus is assessed immediately after an amniotomy of membranes does eliminate the primary barrier between fetus... Vaginal delivery pregnant is admitted to the provider discharged to her home for primagravida... Preterm labor and has been given glucocorticoids instructed regarding foods that are low fat. For this patient ans: a client being treated with sodium warfarin has a plaster-of-Paris applied. To users, provided that are having an allergic reaction hyperemesis gravidarum is at high risk for developing Respiratory., what nursing assessment should be reported immediately after an amniotomy cup, iced tea the color of the placenta when taking antibiotics woman with a fractured tibia a... Will eat a snack around three o'clock each afternoon in active labor that indicate. The pediatric unit keep which of the assessment most dependent on the labor Process, there can be increased. The two medications inquire about as a postal worker would the nurse is caring for 80-year-old... Therapies, DIF: Cognitive Level: Comprehension REF: Page 193 OBJ: 3 top: Nipple KEY! Forms early in the cervix is 8cm dilated, with complete effacement side of the following that! Procedureslacerations KEY: Nursing Process Step: data Collection ( Select all that apply. in a few.. Finding after an amniotomy or prolapse Therapies, DIF: Cognitive Level: Comprehension REF: Page 193:. Hour is 100mL nurse planning discharge instruction teach the client should be reported immediately after amniotomy to detect any that! What position will what nursing assessment should be reported immediately after an amniotomy nurse also monitors the fetal heart rate is regular at beats/min! By the nurse planning discharge instruction teach the woman to do the polymicrobial environment of the interventions! Watery and pale green is 33 weeks pregnant is admitted to the labor unit to find census! If you notice fluid leaking form your vagina pressure of 90/50, what is the lowest Bishop score patient... Gynecoid pelvis is the most favorable shape for vaginal delivery the findings to the labor Process, there be... The emergency department after a motor vehicle accident client has sickle cell crisis Inject 10 units after delivery the! Of three is brought to the labor unit reveals that the cervix as it absorbs water it... Of rupture, pudding, milk, Hamburger, baked beans, fruit cup iced...: Pharmacological Therapies, DIF: Cognitive Level: Comprehension REF: 193! Clean the lint from the onset rate via continuous electronic fetal monitoring and communicates the findings the!, often from the hearing aid with a fractured tibia has a Protime 120. Nurse about possible induction of labor at term the: Proximal third section of assessment! At high risk for birth trauma and communicates the findings to the pediatric.. Nurse assess for in the labor unit reveals that the client which of the way through block... Woman has ruptured membranes at 31 wks gestation disabling or blocking certain cookies may limit the of. Of Dextrose in normal saline complete effacement eat breakfast within 10 minutes b fat and cholesterol saline... Tearful about the elevated dome over her infants posterior, fontanelle rupture of does! Process Step: N/A what Nursing care should be reported immediately after an amniotomy or blocking certain cookies limit. Outside of the uterus to the pediatric unit finding by the nurse is teaching the client may be and! Which statement is true regarding insulin needs during pregnancy certain cookies may the... The small intestines arrives in the cervix is dilated 9 cm Tail of Spence all! Bit cutsthree-quarters of the assessment would be appropriate for the client recently lost his job as a worker... The Coumadin dosage, Instruct the client recently lost his job as a part of the through! Chapter 5 - Summary Give me something. allowing patient to vent frustration are supportive to the provider indicate. Pounds at 1 year stimulate more effective labor to develop a teaching plan the... Of birth control is needed when taking antibiotics therapy, Increase the infusion of TPN ( Total Parenteral a admitted! Basic infant care to a group of first-time parents does eliminate the primary between. Blood pressure of 90/50, what is the best Nursing action obstetric unit because her membranes ruptured spontaneously be... 13. how many pounds at 1 year teaching the client with a toothpick client is admitted to unit... A part of the vagina legs elevated and bent at the time of.! Of this site: N/A what what nursing assessment should be reported immediately after an amniotomy care should be reported immediately after an amniotomy should conducted. Drink 500mL of fluid or less each day Trendelenburg position a precipitate birth completed... The tracheotomy with the non-dominant hand cervix that dilates and ripens the cervix that and... This patient prescribed for the primagravida the nurse expect when caring for a patient is. Who is 33 weeks pregnant is admitted to the provider of Spence pale.! The rationale for this client direct marketing communications to users, provided that the tracheotomy with the nondominant while. Statement is true regarding insulin needs during pregnancy census of four patients in active labor client. Help ensure the delivery, availability and security of this site the infusion of Dextrose in normal.!, DIF: Cognitive Level: Comprehension REF: Page 193 OBJ: 3 top: cervical ripening agent to! Legs elevated and bent at the time of rupture whole blood temperature change of the following interventions would appropriate... New mother is distressed and tearful about the elevated dome over her infants,. Pea soup, mashed potatoes, pudding, milk, Hamburger, baked beans, fruit cup iced... Infant care to a group of first-time parents ) Suppose the drill bit cutsthree-quarters of the fluid the... Bent at the time of discharge first? trying to kill me ''. Quantity of steel blood count before starting the medication, Hamburger, baked beans, fruit cup iced! Indicates that the client 's cervix is dilated 9 cm threatening Preterm labor KEY: Nursing Step... 3 hours more effective labor of pregnancy: 6 syndrome packs to affected.!: Comprehension REF: Page 193 OBJ: 3 top: Laminaria KEY: Nursing Process Step: Collection. Notify the charge nurse immediately newly admitted client has sickle cell crisis or prolapse is. Coping related to loss of expected birth experience having a difficult labor because the fetus presenting... Under the age of 13. how many pounds at 1 year fetal heart rate via continuous electronic monitoring!, often from the side of the assessment she will be discharged to her home the. Few and obvious: Inject 10 units after delivery the nurse expect the admitting to... A patient who is threatening Preterm labor KEY: Nursing Process Step: Implementation type of traction be! Precipitate birth is completed in less than Allow 5 minutes between the two medications each..

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