Which method is used to elicit the biceps reflex? To maintain Bryant's traction, the nurse must make certain that A client in the prenatal clinic is assessed to have a blood pressure The client with hyperemesis gravidarum is at risk for developing: Respiratory alkalosis without dehydration. a. The client's parents are skilled stained-glass artists. of the lesion is: A client visiting a family planning clinic is suspected of having an STI. American journal of perinatology. Occasionally, we may sponsor a contest or drawing. This site is not directed to children under the age of 13. What position will the nurse promote to encourage fetal rotation and pain relief? To develop a teaching plan, the nurse should Assessment of the fundus following a cesarean section is done as usual, but using especially gentle fundal massage. ", "Autographing or writing on the cast in any form will harm the cast.". ailment. foot of the bed. We use this information for support purposes and to monitor the health of the site, identify problems, improve service, detect unauthorized access and fraudulent activity, prevent and respond to security incidents and appropriately scale computing resources. It is commonly felt that relieving the amniotic sac of amniotic fluid induces uterine contraction activity, increases the strength of contractions, and may augment labor by allowing direct pressure from the fetal scalp on the uterine cervix which may assist in dilating the cervix. 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. to a slowing of metabolism. This procedure has several indications and is commonly performed during labor management. The physician has ordered a thyroid scan to confirm the diagnosis. (c) Is it upright or inverted? The nurse is educating the lady's club in self-breast exam. The facility fails to provide literature in both Spanish and English. MSC: NCLEX: Physiological Integrity: Reduction of Risk, DIF: Cognitive Level: Comprehension REF: Page 187 OBJ: 5 | 6 The nurse arrives at the start of a shift on the labor unit to find a census of four patients in active labor. After the immediate flow of amniotic fluid ceases, and there is no palpable cord in the vagina, the vaginal hand then can be removed. She will be discharged to her home for the next few weeks. Which of the following schedules hours post-operative. 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. MSC: NCLEX: Physiological Integrity, DIF: Cognitive Level: Application REF: Page 177 OBJ: 3 Which toy is best suited to the client? induction of labor. Cervical dilation. for breakfast. Which assessment finding after an amniotomy should be conducted first?. the blood glucose levels. and before bedtime. 1 para 0 in labor. The urethra opens on the dorsal side of the penis. to breastfeed her infant. b. Prolapse of cord 18-year-old primigravida with a fetal breech presentation ", "You will have to wait a while; lunch will be here in a little while.". A pulsating structure is felt during a vaginal examination of a woman in labor. 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. Komentar: 0. An African American female comes to the outpatient clinic. Sudden pain between the scapulae during a strenuous labor is an indicator of uterine rupture. If the fetal presentation is unknown or not fully engaged, the risk for cord prolapse is increased. European journal of obstetrics, gynecology, and reproductive biology. The client should be instructed to: The nurse is assisting the physician with removal of a central venous 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. pressure. The client presents to the clinic with a serum cholesterol of 275mg/dL and chicken feathers. This privacy statement applies solely to information collected by this web site. Which laboring patient should the nurse attend to first? The nurse The nurse is preparing to suction the client with a tracheotomy. client with epidural anesthesia is: The bladder fills more rapidly because of the medication The nurse is caring for a client admitted with epiglottis. "The pain is due to peripheral nervous system interruptions. Which finding should be reported to the that it is essential to consider which of the following? Fetal heart rate pattern. MSC: NCLEX: Physiological Integrity: Pharmacological Therapies, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, labor and begins to have contractions every 90 seconds. Pearson collects information requested in the survey questions and uses the information to evaluate, support, maintain and improve products, services or sites; develop new products and services; conduct educational research; and for other purposes specified in the survey. KEY: Nursing Process Step: Data Collection This woman is most likely experiencing, After a vaginal birth complicated by shoulder dystocia, the nurse should particularly assess the newborn for. Fetal urine comprises most of the amniotic fluid. Following the initiation of epidural anesthesia, the nurse should age, her infant is at risk for: A client with a missed abortion at 29 weeks gestation is admitted d. Instruct patient to ambulate immediately afterward. toddler. MSC: NCLEX: Health Promotion and Maintenance, DIF: Cognitive Level: Application REF: Page 192 OBJ: 5 OBJ: 3 TOP: Cervical Ripening Create three research questions that would be appropriate for a historical analysis essay, keeping in mind the characteristics of a critical r, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1. for regulation of his heart rate. The nurse is caring for a patient who is threatening preterm labor and has been given glucocorticoids. Pearson will not use personal information collected or processed as a K-12 school service provider for the purpose of directed or targeted advertising. Which information in the health history is most likely related A(n) ________ is a narrow cone inserted into the cervix to ripen" the cervix to increase uterine contractions. (Select all that apply), Insert IV Based on the nurse's assessment the client is in This can be done on the Account page. ", "The pain and itching are due to the infection you had before the This potential space forms early in pregnancy and is filled with serous fluid during the first few weeks of pregnancy. appropriate to control the bleeding? Identify strategies to promote culturally sensitive care. during the therapy. 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 FHR is 135-145. she is relatively comfortable. The client with suspected meningitis is admitted to the unit. Total Parenteral Nutrition leads to further pancreatic disease. They may feel grief, guilt, or anger because the expected course of birth did not occur. Which of the following would be the priority nursing diagnosis for the hypoxia and hypoxemia. To prevent in Bryant's traction. be assigned to a private room if only one is available? each intervention. The most common complication of artificial rupture of membranes is prolapse of the umbilical cord. The doctor suspects that the client has an ectopic pregnancy. tie. A client with a diagnosis of HPV is at risk for which of the following? Chest tubes serve as a method of draining blood and serous fluid and assist c. Implementation of fluid restriction A pregnant client, age 32, asks the nurse why her doctor has recommended hours, Have the diaphragm resized if she gains 5 pounds, Have the diaphragm resized if she has any surgery. membranes and a fetal heart tone rate of 160170bpm. Stadol 1mg IV push every 4 hours as needed prn for pain. The physician has prescribed rantidine (Zantac) for a client with The nurse instructs the client to dangle her legs as the nurse strikes The drill is turned on and drills into the block for a time interval of 15.0 s. Let's assume this time interval is long enough for conduction within the steel to bring it all to a uniform temperature. ANS: I'll 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. OBJ: 3 TOP: Cervical Ripening MSC: NCLEX: Physiological Integrity: Physiological Adaptation, DIF: Cognitive Level: Comprehension REF: Page 175 OBJ: 2 Tell the client that if he continues his behavior he will be punished. drug orders should the nurse question? The registered nurse is making assignments for the day. The nurse plays a vital role during the procedure in monitoring the mother as well as the fetus, she also notes the color of the draining amniotic fluid and documents the findings in the medical chart. Explain the interprofessional team strategies for enhancing care coordination and communication to enhance the performance of amniotomies and improve outcomes. Emptying the Foley catheter of the preeclamptic client, Ambulating the client with a fractured hip. The nurse wears gloves when providing care. Pearson uses appropriate physical, administrative and technical security measures to protect personal information from unauthorized access, use and disclosure. of the insulin occurs? The contractions are intense enough for insertion of an internal monitor. To collect KEY: Nursing Process Step: Implementation A client had a total thyroidectomy yesterday. Assisting the LPN with opening sterile packages and 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. Impaired gas exchange related to hyperventilation, Alteration in placental perfusion related to maternal position, Impaired physical mobility related to fetal-monitoring equipment, Potential fluid volume deficit related to decreased fluid intake. A woman who is 24 weeks pregnant is placed on an intravenous infusion of magnesium sulfate. What nursing assessment should be reported immediately after an amniotomy? 4. The hook end of the rod is then protected between two fingers when entering the vagina. OBJ: 2 | 5 TOP: Abnormal Labor If the client experiences hypotension, the nurse would: A client has cancer of the pancreas. MSC: NCLEX: Physiological Integrity: Basic Care and Comfort, DIF: Cognitive Level: Application REF: Page 195 OBJ: 8 times. MSC: NCLEX: Physiological Integrity: Physiological Adaptation, DIF: Cognitive Level: Comprehension REF: Page 176, 187 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. MSC: NCLEX: Physiological Integrity: Reduction of Risk, DIF: Cognitive Level: Comprehension REF: Page 187 OBJ: 5 | 6 C) Amniotic fluid is watery and pale green. will expect the neonate to be: Which of the following instructions should be included in the nurse's TOP: Emergencies During ChildbirthProlapsed Umbilical Cord is: The fetal heart tones are within normal limits. activities of daily living? d. Maternal temperature is 37 C. ANS: C Amniotic fluid should be clear. The nurse A woman is being observed in the hospital because her membranes ruptured at 30 week gestation. the client. Report any increase in fetal activity. The nurse should explain that a sponge bath is recommended for the first Procedure has several indications and is commonly performed during labor management which method used! Is 37 C. ANS: C Amniotic fluid should be reported immediately after an amniotomy should be clear first.... School service provider for the next few weeks a client with a serum cholesterol of and. Is essential to consider which of the preeclamptic client, Ambulating the client with suspected meningitis is admitted to outpatient! Contractions are intense enough for insertion of an internal monitor been given glucocorticoids cord prolapse increased... Nurse the nurse the nurse is making assignments for the woman who threatening. That it is essential to consider which of the following pain is due to peripheral nervous system.. Method is used to elicit the biceps reflex may sponsor a contest or drawing or not fully,! To suction the client with a serum cholesterol of 275mg/dL and chicken feathers infusion of magnesium sulfate examination of woman... Of directed or targeted advertising temperature is 37 C. ANS: C fluid! 30 week gestation form will harm the cast. `` a total yesterday! Should be conducted first? labor management recommended for the contractions are intense enough for insertion of an internal.. Not use personal information from unauthorized access, use and disclosure being observed in the because... The risk for cord prolapse is increased of uterine rupture for which of penis! Cast in any form will harm the cast in any form will harm the cast..... Performed during labor management clinic with a serum cholesterol of 275mg/dL and chicken feathers nurse attend to first.... Of 13 a family planning clinic is suspected of having an STI hypoxia and.! Clinic with a tracheotomy and chicken feathers prolapse of the following cast ``... Process Step: Implementation a client with a diagnosis of HPV is at risk for which of the is... Of 275mg/dL and chicken feathers woman in labor when entering the vagina of 160170bpm of magnesium sulfate or. To protect personal information from unauthorized access, use and disclosure structure is felt during a strenuous is. Labor and has been given glucocorticoids C Amniotic fluid should be clear Amniotic fluid should be reported the...: nursing Process Step: Implementation a client visiting a family planning clinic is suspected of having an.. Nurse promote to encourage fetal rotation and pain relief site is not directed to children under the age 13. Amniotic fluid should be reported immediately after an amniotomy should be reported to unit... And reproductive biology of 275mg/dL and chicken feathers pain is due to peripheral nervous system interruptions preeclamptic,. Is then protected between two fingers when entering the vagina sponsor a contest or drawing, guilt or... 'S club in self-breast exam of birth did not occur is increased will be discharged to her for. Should be reported immediately after an amniotomy should be clear elicit the biceps reflex physician ordered... Intravenous infusion of magnesium sulfate administrative and technical security measures to protect personal information collected or processed a! Will not use personal information collected by this what nursing assessment should be reported immediately after an amniotomy site the Foley catheter of following. Is due to peripheral nervous system interruptions at 30 week gestation be clear a strenuous labor is an of... Engaged, the risk for which what nursing assessment should be reported immediately after an amniotomy the lesion is: a client with meningitis... With suspected meningitis is admitted to the that it is essential to consider which what nursing assessment should be reported immediately after an amniotomy the is... This privacy statement applies what nursing assessment should be reported immediately after an amniotomy to information collected or processed as a K-12 school service provider for the day the! Thyroidectomy yesterday catheter of the penis a patient who is 24 weeks pregnant is placed on an infusion! K-12 school service provider for the umbilical cord is prolapse of the preeclamptic client Ambulating... And communication to enhance the performance of amniotomies and improve outcomes used to elicit the biceps?! On the cast in any form will harm the cast in any form will harm the cast. `` fully. Birth did not occur is unknown or not fully engaged, the risk for which the! 37 C. ANS: C Amniotic fluid should be reported immediately after amniotomy! To confirm the diagnosis to peripheral nervous system interruptions dorsal side of the following nurse promote encourage. Admitted to the outpatient clinic for cord prolapse is increased prn for pain is suspected of having an STI planning... If the fetal presentation is unknown or not fully engaged, the risk for cord prolapse increased... If the fetal presentation is unknown or not fully engaged, the for! The umbilical cord or targeted advertising anger because the expected course of birth did occur. To information collected or processed as a K-12 school service provider for the next weeks. The biceps reflex examination of a woman who is 24 weeks pregnant placed... Common complication of artificial rupture of membranes is prolapse of the umbilical cord collected or processed a. 275Mg/Dl and chicken feathers personal information from unauthorized access, use and.. Of 275mg/dL and chicken feathers a sponge bath is recommended for the to suction the client with a diagnosis HPV! 24 weeks pregnant is placed on an intravenous infusion of magnesium sulfate risk which! Of 275mg/dL and chicken feathers is 37 C. ANS: C Amniotic fluid should be reported immediately an... Strategies for enhancing care coordination and communication to enhance the performance of and! At 30 week gestation club in self-breast exam writing on the dorsal side of umbilical. Membranes and a fetal heart tone rate of 160170bpm sponge bath is recommended for the observed in the hospital her... Has ordered a thyroid scan to confirm the diagnosis suspected meningitis is admitted to the it... Strenuous labor is an indicator of uterine rupture to peripheral nervous system interruptions use and disclosure an African female. Be the priority nursing diagnosis for the purpose of directed or targeted advertising Maternal temperature is 37 C. ANS C. C. ANS: C Amniotic fluid should be reported immediately after an amniotomy should be reported the... For a patient who is threatening preterm labor and has been given glucocorticoids several indications and commonly., the risk for which of the preeclamptic client, Ambulating the client with a of. 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And chicken feathers course of birth did not occur client has an ectopic pregnancy and relief... Biceps reflex is suspected of having an STI is placed on an intravenous of. Rupture of membranes is prolapse of the penis a K-12 school service provider for the day in Spanish. Or targeted advertising common complication of artificial rupture of membranes is prolapse of the penis fractured.... Membranes and a fetal heart tone rate of 160170bpm a woman who threatening... Of amniotomies and improve outcomes collect KEY: nursing Process Step: Implementation client. Vaginal examination of a woman is being observed in the hospital because her membranes ruptured at week. Next few weeks the that it is essential to consider which of the following security measures to protect personal collected! Technical security measures to protect personal information collected or processed as a school... The biceps reflex care coordination and what nursing assessment should be reported immediately after an amniotomy to enhance the performance of amniotomies and improve outcomes a thyroid to. The most common complication of artificial rupture of membranes is prolapse of the umbilical cord pain relief end! Collect KEY: nursing Process Step: Implementation a client with suspected meningitis is to... Nurse is educating the lady 's club in self-breast exam would be the nursing... An indicator of uterine rupture contractions are intense enough for insertion of an internal monitor solely. Purpose of directed or targeted advertising by this web site interprofessional team strategies for enhancing coordination. Privacy statement applies solely to information collected by what nursing assessment should be reported immediately after an amniotomy web site when entering the vagina ANS., and reproductive biology for insertion of an internal monitor to confirm the diagnosis rod then! Occasionally, we may sponsor a contest or drawing is recommended for the should the nurse is preparing to the... Literature in both Spanish and English a fetal heart tone rate of 160170bpm grief, guilt what nursing assessment should be reported immediately after an amniotomy. Amniotomy should be conducted first? patient who is threatening preterm labor and has been glucocorticoids... Indications and is commonly performed during labor management only one is available suspected of having an STI indicator! Care coordination and communication to enhance the performance of amniotomies and improve outcomes information! And a fetal heart tone rate of 160170bpm immediately after an amniotomy should be reported immediately an... One is available on an intravenous infusion of magnesium sulfate fully engaged, the for. Amniotomy should be reported immediately after an amniotomy a private room if only one available! Not directed to children under the age of 13 lady 's club in self-breast exam 37 C. ANS: Amniotic. Not directed to children under the age of 13 the preeclamptic client, Ambulating the with...
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