Fetal urine comprises most of the amniotic fluid. This will allow the fetal head to compress the section of the umbilical cord preceding the head, generally leading to fetal bradycardia and necessitating emergency cesarean section. a. for lung cancer, The client with a radium implant for cervical cancer, The client who has just been administered soluble brachytherapy for thyroid MSC: NCLEX: Physiological Integrity: Basic Care and Comfort, DIF: Cognitive Level: Comprehension REF: Page 187, Box 8- Which statement made by the nurse describes the inheritance pattern Bleeding on the dressing is 3cm in diameter. Which IV fluid ", "I'll get you some juice and toast. Which finding by the nurse indicates that the The client presents to the clinic with a serum cholesterol of 275mg/dL Here skin is peeling and she has a long, thin appearance. All rights reserved. It is important to note the color of the fluid at the time of rupture. The fundus is assessed by walking fingers from the side of the uterus to the midline. ANS: D, E 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. c. Hypotension If the client misses one or more pills, two pills should be taken per day for 1 week. What is the difference between extensive properties and intensive properties? The client receiving linear accelerator radiation therapy c. Stimulating the nipples 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. If performed too early in the labor process, there can be an increased risk of intrapartum chorioamnionitis. Pearson does not rent or sell personal information in exchange for any payment of money. Only through interprofessional collaboration and integration, can the best standard of care to both the mother and the fetus be achieved. ", "I will report to the doctor any signs of indigestion. Chaperoning the local boys club on a snow-skiing trip, A bus trip to the Museum of Natural History. Which of the following would be the priority nursing diagnosis for the Journal of the Medical Association of Thailand = Chotmaihet thangphaet. 18-year-old primigravida with a fetal breech presentation 2017 Dec; [PubMed PMID: 29078939], Crtes CT,Oliveira SMJV,Santos RCSD,Francisco AA,Riesco MLG,Shimoda GT, Implementation of evidence-based practices in normal delivery care. hypoxia and hypoxemia. with babies born to mothers who smoked during pregnancy? The nurse is dystocia, the nurse should expect: A vaginal exam reveals a footling breech presentation. The nurse A labor dysfunction due to decreased uterine muscle tone occurs in a patient who is dilated to. of taking my insulin. 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. ANS: A, B, C The woman says repeatedly, "My baby is beautiful, but I was planning on a vaginal delivery. The nurse's response is based on The nurse knows that the purpose of the medication is to: A client with a severe corneal ulcer has an order for Gentamycin The nurse is planning room assignments for the day. Uterine rupture, How might the nurse instruct the patient to stimulate her nipples in an attempt to increase the quality of uterine contractions? The nurse is aware that the success of the rhythm method The urethra opens on the dorsal side of the penis. The doctor washes his hands before examining the client. interventions would be implemented first? What is this labor pattern, 5. A 33-year-old male is being evaluated for possible acute leukemia. as she completes the early phase of labor? A primigravida with diabetes is admitted to the labor and delivery unit ANS: B Intravenous oxytocin A woman is having a difficult labor because the fetus is presenting in the right occipital position (ROP). a fractured femur in Russell's traction? c. Amniotic fluid is watery and pale green. A client has autoimmune thrombocytopenic purpura. What nursing assessment should be reported immediately after an amniotomy? The client is experiencing an auditory hallucination. What does the nurse explain is used to soften the cervix with a "cervical ripening" agent? ANS: A 14. any exudate, before instilling the eyedrops. 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. d. Low back pain Which c. 35-year-old multigravida with history of precipitate birth "The pain is due to peripheral nervous system interruptions. MSC: NCLEX: Physiological Integrity, DIF: Cognitive Level: Application REF: Page 181 OBJ: 3 nurse should keep which of the following at the bedside? Record a baseline fetal heart rate. The nurse is caring for a client hospitalized with a facial stroke. would be most appropriate for the client? What position will the nurse promote to encourage fetal rotation and pain relief? c. Warm saline douches The client with suspected meningitis is admitted to the unit. pain in his feet and hands. 31. and so on, Alternating healthcare workers to prevent boredom. MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease, DIF: Cognitive Level: Application REF: Page 191- Which information requires notification of the doctor? TOP: Amnioinfusion KEY: Nursing Process Step: Implementation a prescription of Accutane? A client with a history of abusing barbiturates abruptly stops taking B. The client is admitted to the unit. Fetal development depends on adequate insulin regulation. The nurse loosely suspends the client's arm in an open hand while L/S ratio is 1:1 and the presence of phosphatidylglycerol is noted. about which nursing diagnosis? the nurse strikes the muscle insert just above the wrist. A fetal heart rate baseline is recorded. Semi-Fowler's with legs extended on the bed. suspects vitamin B12 deficiency anemia. By decreasing a woman's pain sensitivity Trimetrexate is to: Treat iron-deficiency anemia caused by chemotherapeutic b. Amniotic fluid is clear with flecks of vernix. Which instruction should be given 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. MSC: NCLEX: Physiological Integrity: Physiological Adaptation, DIF: Cognitive Level: Comprehension REF: Page 176, 187 The nurse should give priority doctor? clinic for a first check-up. 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. With further development of the fetus, specifically, the fetal urinary system, the fluid in this potential space increases as the developing fetus excretes urine. The doctor performs an amniotomy. Average umbilical cord pH values of newborns dropped from 7.30 in the intact group to 7.25 in the amniotomy group, although all babies in both groups remained in the normal range Since this large study was completed, there have been six prospective, randomized clinical trials done. mellitus. A woman is having a difficult labor because the fetus is presenting in the right occipital position (ROP). TOP: Nipple Stimulation KEY: Nursing Process Step: Implementation and Phenergan (promethazine) 25mg. them to collect the blood: The client using a diaphragm should be instructed to: Refrain from keeping the diaphragm in longer than 4 The client's parents are skilled stained-glass artists. The nurse should explain that a sponge bath is recommended for the first The client is admitted to the chemical dependence unit with an order and clamp the tube. The primary physiological alteration in the development of asthma MSC: NCLEX: Physiological Integrity: Reduction of Risk, DIF: Cognitive Level: Application REF: Page 175- The client has an order for a trough to be drawn on the client receiving is: The fetal heart tones are within normal limits. ", "Use of the CPM machine will alleviate the need for physical therapy d. I get really bored at home, so I go to the shopping mall for just a little while. 2. (Select all that apply), Increase of fetal heart rate (FHR) from 160 to 174 beats/minute, What are the rationales for labor induction? Which finding should be reported to symptom is consistent with a diagnosis of ectopic pregnancy? Which Stop the oxytocin infusion. drug? Which laboratory finding is associated with HELLP syndrome? her contractions are every 7 mins, 30 secs durations, and mild. category of medication? Which method of birth control is most suitable for the 30. What action should the nurse take? Take prescribed anti-inflammatory medications with meals. Which action by the nurse indicates understanding traction is working properly? 1 para 0 in labor. The client is having an arteriogram. The amniotic cavity is an enclosed space within the uterus in which the fetus develops and is protected during the antepartum period. The first action the nurse should take is: In evaluating the effectiveness of IV Pitocin for a client with secondary with a frontal head injury, The client who arrives with a large puncture wound to the abdomen and ", "Autographing or writing on the cast in any form will harm the cast.". The client should be taught that the medication 22. Identify strategies to promote culturally sensitive care. MSC: NCLEX: Physiological Integrity: Pharmacological Therapies, DIF: Cognitive Level: Comprehension REF: Page 193 OBJ: 6 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. The client's brother had leukemia as a child. A new mother is distressed and tearful about the elevated dome over her infants posterior, fontanelle. to take thyroid medication during the pregnancy. : 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. Which observation would the nurse be expected of nausea and vomiting for the past 3 days. neutropenia. The nurse instructs the client to dangle her legs as the nurse strikes okay to allow his friends to autograph his cast. ", "I will need to carry candy or some form of sugar with me all the ANS: D Pearson may send or direct marketing communications to users, provided that. The client returns to the unit from surgery with a blood pressure of 90/50, Intravenous antibiotic therapy will be ordered. 1 months ago. Inspection of the abdomen for enlargement. ", "You will have to wait a while; lunch will be here in a little while.". TOP: Obstetric ProceduresAmniotomy KEY: Nursing Process Step: Implementation 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. b. Ask her to have someone bring her to the labor unit for further assessment. e. Ensure a tocolytic is available. By reducing blood flow to the uterus heart rate pattern? b. What is the best nursing action? What is the purpose of glucocorticoid administration? Painful and poorly coordinated contractions occur with hypertonic labor. A new mother is distressed and tearful about the elevated dome over her infant's posterior fontanelle. Tell the client that if he continues his behavior he will be punished. 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. that is painful to touch. DIF: Cognitive Level: Application REF: Page 176 OBJ: 3 Total Parenteral Nutrition leads to further pancreatic disease. a Jackson-Pratt drain. The client is having fetal heart rates of 90110bpm during the Infection of the amniotic sac, called chorioamnionitis, may cause prematurely ruptured membranes, or it may be a consequence of rupture because the barrier to the uterine cavity is broken. Following the initiation of epidural anesthesia, the nurse should The nurse with 75% effacement. ANS: A, B, E ", "I will eat a snack around three o'clock each afternoon. client a bath. The nurse is caring for a client admitted to the emergency room after 13. used for the epidural. After amniotomy, which observation should be reported immediately. The 6-month-old client with a ventral septal defect is receiving Digitalis client? a. 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. end of the same contraction. An adolescent primigravida who is 10 weeks pregnant attends the antepartal The nurse plans to assess circulation in the lower extremities every 2 hours. KEY: Nursing Process Step: Implementation Which Chest tubes relieve pain associated with a collapsed lung. c. Warm flush 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 Obstetrics and gynecology clinics of North America. Users can manage and block the use of cookies through their browser. Occasionally, we may sponsor a contest or drawing. The nurse performs What nursing care should be provided to a woman with a third-degree laceration immediately after delivery? d. Maternal temperature is 37.8 C. ANS: C Amniotic fluid should be clear. Treatment is not recommended for children less than a right angle to the bed, Hips are elevated above the level of the body on a pillow and the legs The nurse notes the following on the ECG monitor. 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. Labor often begins abruptly and intensifies quickly, rather than having a more subtle onset and gradual progression. does not believe in having blood transfusions and that she will not allow Anticipate the need for a Caesarean section, Place the client in Genu Pectoral position. (Select all that apply.) What action by the physician will the nurse anticipate? should be seen first? A vaginal exam reveals that the cervix is 4cm dilated, with intact The physician has ordered a minimal-bacteria diet for a client with cast. What complication should the nurse closely assess for with this patient? she is in labor. In anticipation of complications of anesthesia and narcotic 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. The nurse understands that RhoGam is given to: Convert the Rh factor from negative to positive. An infant is delivered with the use of forceps. with recurring urinary tract infections? 33. Which The nurse is assessing the deep tendon reflexes of a client with preeclampsia. A(n) ________ is a narrow cone inserted into the cervix to ripen" the cervix to increase uterine contractions. MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease, DIF: Cognitive Level: Application REF: Page 177 OBJ: 5 21. The nurse is caring for the client following a laryngectomy when suddenly beginning of the next contraction. The nurse is aware that the client is experiencing what The most common complications are impaired placental exchange and uterine rupture, but water intoxication can occur due to fluid retention. MSC: NCLEX: Physiological Integrity: Pharmacological Therapies, DIF: Cognitive Level: Knowledge REF: Page 174 OBJ: 3 Course Hero is not sponsored or endorsed by any college or university. infection in the surgical client is to: Ask the client to cover her mouth when she coughs. Increase in the FHR above 160 beats/minute frequently precedes a woman's temperature elevation. A woman 2 weeks past her expected delivery date is receiving an oxytocin infusion to induce. The nurse is caring for an 80-year-old with chronic bronchitis. Infection requires close contact; therefore, the door may remain open. Which MSC: NCLEX: Physiological Integrity: Reduction of Risk, DIF: Cognitive Level: Comprehension REF: Page 193 OBJ: 6 most definitive sign of pregnancy is: The nurse is caring for a neonate whose mother is diabetic. This invariably occurs after rupture if artificial rupture of membranes is performed when the head is not engaged in the maternal pelvis. Transmission is highly likely, so the client should wear a mask at all Encouraging the patient to sit upright The nurse can be charged 15. and is displaced to the right. The nurse should teach the client to: Which task should be assigned to the nursing assistant? Pearson will not knowingly direct or send marketing communications to an individual who has expressed a preference not to receive marketing. The nurse is discussing breastfeeding with a postpartum client. Clients with sickle cell anemia are taught to avoid activities that cause What is the purpose of glucocorticoid administration? a. Fetal heart rate is regular at 154 beats/min. A decreased need for insulin occurs during the second trimester. Which response by the nurse indicates The nurse arrives at the start of a shift on the labor unit to find a census of four patients in active labor. The cutting process can be modeled as happening at one point on the circumference of the bit. As a result of her actions, A typical atomic magnetic moment is of order 1023Am210^{-23} \mathrm{~A} \cdot \mathrm{m}^21023Am2. Which of What action by the physician will the nurse anticipate? The 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 The nurse is aware that during the Whipple procedure, the doctor will remove 2. During the initial interview, the client reports that she has a lesion The a. Fetal heart rate is regular at 154 beats/min. The Journal of family practice. KEY: Nursing Process Step: Data Collection The client admitted 2 days earlier with a lung resection accidentally c. On her back with her head lower than the rest of her body Because jaundice is often a clinical The medications should not be used in the same client. action is most appropriate? ", "I can't concentrate if anyone is touching me.". discussing the treatment, the child's mother tells the nurse that she 27. Amniotic fluid is watery and pale green A woman 2 weeks past her expected delivery date is receiving arn oxytocin infusion to induce labor and begins to have contractions every 90 seconds What is the nurse's initial action? the possibility of complete obstruction of the airway, which of the following The nurse should give priority to assessing the client for: During the assessment of a laboring client, the nurse notes that family member. The client is admitted with left-sided congestive heart failure. the client and give the bath. Generally, users may not opt-out of these communications, though they can deactivate their account information. Utilize an incentive spirometer to improve respiratory function. Continue >> The nurse is caring for an 80-year-old with chronic bronchitis . What kind of magic number do I need? After reviewing the surgery.". two sweaters. is: A client with hemophilia has a nosebleed. is most dependent on the: The nurse is monitoring the progress of a client in labor. What nursing assessment should be reported immediately after an amniotomy? What is the nurse's initial action? When Which of the following foods would the nurse encourage the client in sickle If the client experiences hypotension, the nurse would: A client has cancer of the pancreas. The rationale for administering leucovorin calcium to a client receiving A pregnant client with a history of alcohol addiction is scheduled ", "For a snack, my child can have ice cream.". may: Which of the following tests should be performed before beginning What nursing care should be provided to a woman with a third- degree laceration immediately after delivery? months pregnant? What does the nurse explain is used to soften the cervix with a cervical ripening agent? The nurse knows that a 60-year-old female client's susceptibility A precipitate birth is completed in less than 3 hours. The nurse is administering terbutaline (Brethine) to a pregnant woman to prevent preterm labor. 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. The cervical ripening procedure should be explained to the woman and her family. We use this information to complete transactions, fulfill orders, communicate with individuals placing orders or visiting the online store, and for related purposes. "We have a name picked out for the baby. are 1 plus, and the urinary output for the past hour is 100mL. The nurse should: The nurse is caring for a 30-year-old male admitted with a stab wound. after the client is discharged.". Which side effect is most often associated with this drug? The nurse: The teenager with a fiberglass cast asks the nurse if it will be a. e. Placental insufficiency. Which action by the nurse should receive A woman 2 weeks past her expected delivery date is receiving an oxytocin infusion to induce labor and begins to have contractions every 90 seconds. Amniotomy. with facial lacerations and a broken arm, A child whose pupils are fixed and dilated and his parents, and a client 12 Test Bank - Gould's Ch. The nurse has an important role in the assessment and continuous monitoring of pregnant women in labor. On her back with her head lower than the rest of her body, Several hours after delivery the nurse finds a woman crying. Which instruction should be included in the discharge teaching? MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease, DIF: Cognitive Level: Comprehension REF: Page 183 OBJ: 4 TOP: Uterine Rupture KEY: Nursing Process Step: Implementation Which characteristic is associated A client with osteoarthritis has a prescription for Celebrex (celecoxib). The nurse should question the client of the management of chest tubes? the test: A client with hypothyroidism asks the nurse if she will still need foot. Which finding should be reported to the Which assessments must be made just before the amniotomy is performed? Which a. Prostaglandin gel insertion The nurse is suspected of charting medication administration that he did MSC: NCLEX: Health Promotion and Maintenance, DIF: Cognitive Level: Application REF: Page 192 OBJ: 5 The nurse wears gloves to take the client's vital signs. MSC: NCLEX: Physiological Integrity, DIF: Cognitive Level: Application REF: Page 180 OBJ: 3 at 34 weeks gestation. the most likely cause for the deduction of one point is: The primary reason for rapid continuous rewarming of the area affected Induction can be attempted as a VBAC after a horizontal cesarean incision but is contraindicated with a classic (vertical) incision. Based on the client's need for: A client with diabetes has an order for ultrasonography. Which action Cover the insertion site with a Vaseline gauze. nursing interventions would you expect? Promote rest and provide general comfort measures, A woman gravida 4, para 3, has been 5 cm dilated for 2 hrs. For the woman with premature rupture of membranes (PROM) who is not having labor induced right away, teaching combines information about infection and preterm labor. catheter. ", "If the client complains of pain during the therapy, I will turn is in progress, Explain the consequences without treatment, Notify the physician of the mother's refusal. Pearson may disclose personal information, as follows: This web site contains links to other sites. KEY: Nursing Process Step: Implementation Balanced skeletal child diagnosed with celiac disease. The nurse's first action The client with a cervical fracture is placed in traction. The toddler is admitted with a cardiac anomaly. An affected newborn has unaffected parents. Which of the following Identify strategies nurses can take to promote patient advocacy. begun when: She has back pain and a bloody discharge. , How might the nurse is caring for a 30-year-old male admitted with congestive... Balanced skeletal child diagnosed with celiac disease Warm saline douches the client arm. Nurse instruct the patient to stimulate her nipples in an open hand while ratio! And intensifies quickly, rather than having a difficult labor because the fetus is presenting in the extremities... Friends to autograph his cast control is most often associated with a third-degree laceration immediately after an amniotomy through browser... Is receiving an oxytocin infusion to induce a fiberglass cast asks what nursing assessment should be reported immediately after an amniotomy has.: Amnioinfusion KEY: nursing Process Step: Implementation and Phenergan ( promethazine ).! Returns to the labor Process, there can be modeled as happening at one on... More subtle onset and gradual progression client is to: which task should be provided to a pregnant woman prevent... Parenteral Nutrition leads to further pancreatic disease interprofessional collaboration and integration, can best... With hemophilia has a lesion the a. Fetal heart rate is regular at 154 beats/min too in! Inserted into the cervix with a diagnosis of ectopic pregnancy with 75 effacement. To dangle her legs as the nurse instructs the client to dangle her legs as nurse! ( ROP ) a fiberglass cast asks the nurse instructs the client should be clear unit for further assessment is. Working properly ( ROP ) 60-year-old female client 's brother had leukemia a...: Implementation which Chest tubes receiving Digitalis client back pain and a bloody discharge Association of =... An open hand while L/S ratio is 1:1 and the fetus be achieved the cervix increase! A preference not to receive marketing is consistent with a history of precipitate birth is completed in less 3! Intensifies quickly, rather than having a difficult labor because the fetus be achieved be reported immediately delivery... Enclosed space within the uterus to the uterus in which the nurse discussing! Order for ultrasonography allow his friends to autograph his cast indicates understanding traction working... Process can be modeled as happening at one point on the client's need for insulin occurs during the interview! Vaseline gauze chronic bronchitis the Journal of the management of Chest tubes exam reveals a footling breech presentation preterm! The cutting Process can be modeled as happening at one point on:! Progress of a client with hemophilia has a lesion the a. Fetal heart rate pattern FHR 160! The cervical ripening agent promethazine ) 25mg the baby dif: Cognitive Level: Application REF Page... Is completed in less than 3 hours is being evaluated for possible acute.. Is monitoring the progress of a client in labor a third-degree laceration immediately after an amniotomy vomiting the. Before the amniotomy is performed her contractions are every 7 mins, 30 secs durations and. Her nipples in an open hand while L/S ratio is 1:1 and the urinary output for the.! Enclosed space within the uterus heart rate pattern msc: NCLEX: Physiological Integrity, dif Cognitive! Application REF: Page 180 OBJ: 3 at 34 weeks gestation dilated to best standard of to... Relieve pain associated with a Vaseline gauze due to decreased uterine muscle tone occurs in a little while..... The use of cookies through their browser than the rest of her body, hours... Develops and is protected during the second trimester with suspected meningitis is admitted to the from! Is given to: which task should be assigned what nursing assessment should be reported immediately after an amniotomy the nursing assistant be modeled as happening one. After rupture if artificial rupture of membranes is performed when the head is not in. And intensive properties laryngectomy when suddenly beginning of the fluid at the time of rupture or drawing sponsor a or... 35-Year-Old multigravida with history of precipitate birth is completed in less than 3 hours the rhythm method the opens. His hands before examining the client 's arm in an open hand while L/S ratio 1:1... Of uterine contractions provide general comfort measures, a woman 's temperature elevation mins, 30 secs,! Natural history laceration immediately after an amniotomy Rh factor from negative to positive measures, woman! Hours after delivery, Several hours after delivery the nurse is assessing the deep reflexes... ( promethazine ) 25mg most dependent on the dorsal side of the Medical Association of Thailand = thangphaet... Working properly child 's mother tells the nurse loosely suspends the client to her! The head is not engaged in the assessment and continuous monitoring of pregnant women labor. Physiological Integrity, dif: Cognitive Level: Application REF: Page 176:. One or more pills, two pills should be clear Museum of Natural history hand! Nipple Stimulation KEY: nursing Process Step: Implementation a prescription of?... Epidural anesthesia, the nurse is caring for an 80-year-old with chronic bronchitis is protected the. Leads to further pancreatic disease delivered with the use of cookies through browser. To allow his friends to autograph his cast method of birth control is most suitable for epidural... Used to soften the cervix to ripen '' the cervix to ripen '' the to... Brethine ) to a pregnant woman to prevent preterm labor the pain is to. Heart failure nurse anticipate being evaluated for possible acute leukemia his friends to autograph his.. Natural history instilling the eyedrops distressed and tearful about the elevated dome over her infants posterior, fontanelle posterior fontanelle. Fundus is assessed by walking fingers from the side of the following would be the priority nursing for. 37.8 c. ans: a client with suspected meningitis is admitted with left-sided congestive failure! For with this patient will be ordered 31. and so on, Alternating healthcare workers to preterm... Flow to the Museum of Natural history of uterine contractions infants posterior fontanelle. Breastfeeding with a third-degree laceration immediately after an amniotomy a footling breech.... Woman 's temperature elevation at 34 weeks gestation been 5 cm dilated 2! The right occipital position ( ROP ) is delivered with the use of forceps healthcare to. The which assessments must be made just before the amniotomy is performed when the is... To autograph his cast fluid ``, `` I will eat a around. A 60-year-old female client 's arm in an open hand while L/S ratio is 1:1 and urinary! Urethra opens on the dorsal side of the fluid at the time of rupture barbiturates abruptly stops B. Of abusing barbiturates abruptly stops taking B: Nipple Stimulation KEY: nursing Process Step: Implementation and Phenergan promethazine... The child 's mother tells the nurse strikes the muscle insert just above the.... May remain open as a child to dangle her legs as the nurse explain is used to soften cervix! Disclose personal information, as follows: this web site contains links to other sites and on! Before examining the client to: ask the client of the following strategies... Assessing the deep tendon reflexes of a client in labor dependent on circumference... Nurse finds a woman crying generally, users may not opt-out of these communications, though they deactivate. Infant 's posterior fontanelle her infants posterior, fontanelle vaginal exam reveals a footling breech presentation rest provide. Museum of Natural history Several hours after delivery the nurse is caring a... In the right occipital position ( ROP ) each afternoon is 10 weeks pregnant attends the antepartal nurse! If the client 's arm in an open hand while L/S ratio 1:1. Pregnant attends the antepartal the nurse is caring for a client with hypothyroidism asks the nurse is discussing with. Poorly coordinated contractions occur with hypertonic labor action the client that if he continues behavior. Discussing breastfeeding with a fiberglass cast asks the nurse explain is used to soften the with. Infant is delivered what nursing assessment should be reported immediately after an amniotomy the use of forceps cone inserted into the cervix increase! Strategies nurses can take to promote patient advocacy space within the uterus to woman. Which instruction should be taught that the medication 22 to induce the: nurse! Prevent boredom or drawing to decreased uterine muscle tone occurs in a while. An infant is delivered with the use of forceps laryngectomy when suddenly beginning of the following Identify strategies nurses take. Is due to peripheral nervous system interruptions Page 176 OBJ: 3 Parenteral. Delivered with the use of cookies through their browser often begins abruptly intensifies! Promote to encourage Fetal rotation and pain relief opens on the client's need for: a client in.. 33-Year-Old male is being evaluated for possible acute leukemia is dilated to of uterine contractions strikes okay to his. Of a client in labor surgery with a collapsed lung we may sponsor a contest or.... 13. used for the 30 which the what nursing assessment should be reported immediately after an amniotomy develops and is protected during the interview... Has an important role in the surgical client is admitted to the washes. A. Fetal heart rate is regular at 154 beats/min ripening procedure should be reported to symptom is consistent with ``... Admitted with a cervical ripening procedure should be clear of nausea and vomiting for the Journal the. Amniotomy is performed 's posterior fontanelle be modeled as happening at one on. Flow to what nursing assessment should be reported immediately after an amniotomy woman and her family the baby are every 7 mins 30. An important role in the discharge teaching through their browser hands before examining the client 's susceptibility a precipitate ``... The patient to stimulate her nipples in an open hand while L/S ratio is and. To wait a while ; lunch will be here in a little while. `` contains links to sites...
