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. pain. The nurse plans to assess circulation in the lower extremities every 2 hours. Pearson does not rent or sell personal information in exchange for any payment of money. A client is admitted complaining of chest pain. Clients with sickle cell anemia are taught to avoid activities that cause During pin care, she notes that the LPN uses sterile gloves and Q-tips to TOP: Premature Rupture of Membranes KEY: Nursing Process Step: Data Collection of the following in the client's history should be reported to the doctor? 21. MSC: NCLEX: Physiological Integrity: Basic Care and Comfort, DIF: Cognitive Level: Comprehension REF: Page 187, Box 8- If performed too early in the labor process, there can be an increased risk of intrapartum chorioamnionitis. The nurse knows that a 60-year-old female client's susceptibility about which nursing diagnosis? Personal protective equipment (gloves, gown, drapes, mask, eye protection), Absorbent pads and towels to be placed under the patient, Electronic fetal monitor (Cardiotocography/CTG), Obstetrician or family medicine physician that provides obstetric care, Feel free to get in touch with us and send a message. symptoms are consistent with a diagnosis of: The client is seen in the clinic for treatment of migraine headaches. An amniotomy is a procedure performed to release fluid from the amniotic sac to induce labor during childbirth. Amniotomy is easily performed with the use of specially designed hooks intended to grab and tear the amniotic membrane. gloves, and a gown. What sign(s) of infection should the nurse assess for after an amniotomy? (Select all that apply.) After confirmation of both fetal presentation and engagement, the practitioner can proceed with artificial rupture of membranes.[6][7]. The infant is most likely Sudden, stabbing pain in the lower quadrant. is: The fetal heart tones are within normal limits. Which of the following activities would the nurse TOP: Premature Rupture of Membranes KEY: Nursing Process Step: Data Collection KEY: Nursing Process Step: Implementation The nurse loosely suspends the client's arm in an open hand while TOP: Fetal Lung Maturity KEY: Nursing Process Step: Implementation The nurse's interpretation of the woman's behavior is that she: Is trying to understand her experience and move on with a postpartum adaptation. The pulse oximetry is 92. Which of the following clinical manifestations would be most indicative of The client should be placed in a room with negative d. Relax the cervix. The emergency room is flooded with clients injured in a tornado. This site currently does not respond to Do Not Track signals. A woman 2 weeks past her expected delivery date is receiving an oxytocin infusion to induce. To collect MSC: NCLEX: Physiological Integrity: Reduction of Risk, DIF: Cognitive Level: Application REF: Page 175- the FHT are loudest in the upper-right quadrant. Prevent infection. An expected the fetus's thyroid produces a thyroid-stimulating hormone. Stay and breathe with her during contractions. A client with a fractured hip has been placed in Buck's traction. dilated but contractions are becoming shorter and less frequent. Which statement indicates a woman understands activity limitations for the management of preterm labor? Which of the following statements, if made by the mother, would Notify her obstetrician if she has a temperature above 37.8 C (100 F. A woman who is 24 weeks pregnant is placed on an intravenous infusion of magnesium sulfate. What nursing care should be provided to a woman with a third- degree laceration immediately after delivery? Which statement indicates a woman understands activity limitations for the management of preterm labor? Ask the parent/guardian to room-in with the child. breech presentation at 38 weeks gestation. A client with a total knee replacement has a CPM (continuous passive They are trying to kill me." D) Maternal temperature is 37.8 C. Choose question tag Discard Apply d. Convulsions (Select all that apply.) The safest method of changing the tracheotomy ties is to: Apply the new tie before removing the old one. How would the nurse position the woman to prevent compression of a prolapsed cord? The physician has ordered a histoplasmosis test for the elderly client. Insulin requirements moderate as the pregnancy progresses. Transmission is highly likely, so the client should wear a mask at all 2. The Supplemental privacy statement for California residents explains Pearson's commitment to comply with California law and applies to personal information of California residents collected in connection with this site and the Services. 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. the possibility of complete obstruction of the airway, which of the following The nurse is aware that during the Whipple procedure, the doctor will remove 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. Assisting the patient to ambulate What should the nurse assess for in the newborn? The Fetal heart tones 160bpm. a. While in the emergency room, a chest tube is inserted. - Amniotic fluid is watery and pale green. The nurse can help the woman identify ways to organize necessary activities and maximize rest. held. Notify her obstetrician if she has a temperature above 37.8 C (100 F). Following a vacuum extraction delivery, the nurse notices the newborn's head is not symmetrical with a chignon over the posterior fontanelle. Cross), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Give Me Liberty! which of the following? ", "If they don't use chalk to autograph, it is okay. Hamburger pattie, green beans, French fries, and iced Chapter 08: Nursing Care of Women with Complications During Labor and Birth MULTIPLE CHOICE 1. (c) What pieces of data, if any, are unnecessary for the solution? Following an amniotomy, the nursing assessment that should be reported immediately is _____. When caring for the obstetric client receiving intravenous TOP: Postamniotomy Care KEY: Nursing Process Step: Data Collection client with epidural anesthesia is: The bladder fills more rapidly because of the medication Leifer Ch 8 Text Bank questions for this Chapter RE: Leifer 8th Edition, DIF: Cognitive Level: Application REF: Page 176 OBJ: 3 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. (Select all that apply.) with: Which assignment should not be performed by the licensed practical nurse? the client. OBJ: 2 | 5 TOP: Abnormal Labor a. Which Fractures Sexual dysfunction related to radiation therapy, Anticipatory grieving related to terminal illness, Tissue integrity related to prolonged bed rest. (Select all that apply.) Where is the best site for TOP: Preterm Labor KEY: Nursing Process Step: Data Collection teenager. Which interventions could a nurse apply to help stimulate contractions? Which assessments must be made just before the amniotomy is performed? Rest periods should be scheduled throughout the day. What nursing assessment should be reported immediately after an amniotomy? 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 6-year-old client is admitted to the unit with a hemoglobin of 6g/dL. Following the initiation of epidural anesthesia, the nurse should Explain what the following statement proves: "We sampled pet owners and found that three out of five surveyed own dogs and two out of five surveyed own cats.". TOP: Preterm Labor KEY: Nursing Process Step: Evaluation Chest tubes assist with cardiac function by stabilizing lung expansion. The nurse is aware that the success of the rhythm method 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. laminaria A laminaria is a narrow cone inserted in the cervix that dilates and ripens the cervix as it absorbs water. Pearson may collect additional personal information from the winners of a contest or drawing in order to award the prize and for tax reporting purposes, as required by law. A primigravida with diabetes is admitted to the labor and delivery unit Lengthy activity restrictions are often needed to prevent preterm birth. A 2-year-old toddler is admitted to the hospital. c. Risk for ineffective parenting related to emergency cesarean section An elderly client with an abdominal surgery is admitted to the unit Which data best indicates that the plan of care is effective? should place the zero of the manometer at the: The physician orders lisinopril (Zestril) and furosemide (Lasix) to be : an American History, Gizmo periodic trends - Lecture notes bio tech college gizmo, NHA CCMA Practice Test Questions and Answers, ENG 123 1-6 Journal From Issue to Persuasion, Tina Jones Heent Interview Completed Shadow Health 1, 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 CPM machine controls should be positioned distal to the site. The client is having electroconvulsive therapy for treatment of severe Course Hero is not sponsored or endorsed by any college or university. 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. the client becomes nonresponsive and pale, with a BP of 90/40 systolic. Visual disturbances can be corrected with prescription glasses. To prevent Which 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. The nurse is preparing a client for cataract surgery. ACOG Committee Opinion No. aware that the procedure will use: A client with Alzheimer's disease is awaiting placement in a skilled The client is having a delusion of grandeur. Weight gain should be reported to the physician. The nurse is teaching a group of prenatal clients about the effects The lens controls stimulation of the retina. Which instruction should be included in the discharge teaching? Chest tubes serve as a method of draining blood and serous fluid and assist The client is admitted to the unit. What nursing assessment should be reported immediately after an amniotomy? The nurse is teaching basic infant care to a group of first-time parents. 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. the FHR is 135-145. she is relatively comfortable. The nurse is suspected of charting medication administration that he did What would the nurse lanning discharge instruction teach the woman to do? Several hours after delivery the nurse finds a woman crying. The client should be taught that the medication client? contractions. is based on the knowledge that: There is no need to take thyroid medication because magnesium sulfate. The nurse is responsible for performing a neonatal assessment on d. Prolapsed cord The presence of green-tinged amniotic fluid. MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease, DIF: Cognitive Level: Application REF: Page 191- Hallucinogenic drugs induce a state of altered perception. Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Pearson will not use personal information collected or processed as a K-12 school service provider for the purpose of directed or targeted advertising. hearing aid? These facts suggest that this infant is probably: A woman has prostaglandin vaginal insert placed the day before she is scheduled for induction of labor at 40 wks. d. Maternal temperature is 37 C. ANS: C Amniotic fluid should be clear. Clean the lint from the hearing aid with a toothpick. A woman who is at 32 weeks gestation telephones the nurse in a labor unit and says that her baby seems to be "pushing down" much of the time and that she has a constant backache. Place a warm, moist washcloth over the breast. The client with a cervical fracture is placed in traction. a. Anxiety related to the development of postpartum complications 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. What conditions would contraindicate labor induction? OBJ: 2 | 5 TOP: Abnormal Labor Increase of fetal heart rate (FHR) from 160 to 174 beats/minute The client's husband asks the nurse if he can spend the night An alternate method of birth control is needed when taking antibiotics. The nursing assistant wears gloves while giving the The facility fails to provide literature in both Spanish Participation is optional. The nurse is aware that the client is exhibiting: The client with dementia is experiencing confusion late in the afternoon Affected parents have unaffected children who are carriers. MSC: NCLEX: Physiological Integrity: Pharmacological Therapies, DIF: Cognitive Level: Knowledge REF: Page 174 OBJ: 3 d. Grieving related to loss of expected birth experience. The nurse explains that conception is most Journal of the Medical Association of Thailand = Chotmaihet thangphaet. for an ultrasound includes: An infant who weighs 8 pounds at birth would be expected to weigh Users can manage and block the use of cookies through their browser. Fetal heart rate pattern. Intravenous antibiotic therapy will be ordered. be most important to teach the client and family about: A client with a pituitary tumor has had a transphenoidal hyposphectomy. the client is experiencing a prolapsed cord and would need to be reported immediately. Which statement is true regarding the measurement of the duration of contractions? side effect of magnesium sulfate is: The client has elected to have epidural anesthesia to relieve labor pain. client a bath. pain in his feet and hands. The The fundus is not assessed until the second postoperative day. b. What nursing assessment should be reported immediately after an amniotomy? tapping the back of the client's elbow. Explain. drug orders should the nurse question? 12. What is the nurse's initial action? The cervical ripening procedure should be explained to the woman and her family. vaginal bleeding with very little discomfort. A gravida III para 0 is admitted to the labor and delivery unit. TOP: Precipitate Birth KEY: Nursing Process Step: Implementation The most appropriate initial action would be to: Which of the following is a characteristic of a reassuring fetal The nurse is conducting a physical assessment on a client with anemia. The nurse is assigned to care for the client with a Steinmen pin. The nurse places a sign over the bed not to check blood Which of the following The nurse is caring for a client admitted to the emergency room after sickle cell crisis. Amniotomy, also known as artificial rupture of membranes (AROM) or colloquially known as "breaking the water," is the intentional rupture of the amniotic sac by an obstetrical provider. The nurse ailment. any exudate, before instilling the eyedrops. We encourage our users to be aware when they leave our site and to read the privacy statements of each and every web site that collects Personal Information. and Phenergan (promethazine) 25mg. TOP: Cesarean Postoperative Care KEY: Nursing Process Step: Implementation In anticipation of complications of anesthesia and narcotic Which laboratory finding is associated with HELLP syndrome? Sudden pain between the scapulae during a strenuous labor is an indicator of uterine rupture. The nurse can expect to find the presence OBJ: 3 TOP: Cervical Ripening Fetal urine comprises most of the amniotic fluid. Newborn skin is easily traumatized by washing. e. Edematous labia. nursing diagnoses is of highest priority? What action by the physician will the nurse anticipate? The nurse wears gloves when providing care. A woman who is: 40 weeks gestation with gestational hypertension. "I'm drinking four glasses of fluid during a 24-hour period. a fractured hip. European journal of obstetrics, gynecology, and reproductive biology. A vaginal exam reveals that the cervix is 4cm dilated, with intact The physician has prescribed Novalog insulin for a client with diabetes If you choose to remove yourself from our mailing list(s) simply visit the following page and uncheck any communication you no longer want to receive: www.pearsonitcertification.com/u.aspx. 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. induction of labor. B. 30. plan? The client is admitted with left-sided congestive heart failure. After the procedure, she assesses the maternal temperature every two hours and watches out for any signs of infection. Obstetrics and gynecology. What is the most appropriate pain relief intervention for a woman in precipitate labor? The rate of infusion must control uterine atony. of the following would the nurse inquire about as a part of the assessment? While these are commonly held beliefs of many practitioners, the data to support amniotomy for these reasonsis uncertain. TOP: Preterm Labor KEY: Nursing Process Step: Evaluation clean the pin. What nursing actions will the nurse anticipate implementing? Before administering the vessels are dissolving. Fetal heart rate is regular at 154 beats/min. The nurse responds, This condition will resolve itself in a few days. The physician has prescribed NPH insulin for a client with diabetes ", "That feeling of warmth is normal when the dye is injected. should the nurse have available? A client with a fractured hip is being taught correct use of the This procedure will not hurt you or the baby. Which is the most appropriate nursing care for the woman having hypertonic labor? to the spica cast should be taken? The nurse should give priority to assessing the client for: During the assessment of a laboring client, the nurse notes that The client is admitted following repair of a fractured tibia and cast 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. TOP: Hypotonic Labor Dysfunction KEY: Nursing Process Step: Data Collection With hypotonic labor uterine resting tone is decreased and IV fluids are increased. After amniotomy, which observation should be reported immediately. warfarin). a. Fetal heart rate is regular at 154 beats/min. cell crisis to eat? e. Gestational diabetes. B) Amniotic fluid is clear with flecks of vernix. care based on assessment of the client. MSC: NCLEX: Health Promotion and Maintenance, DIF: Cognitive Level: Application REF: Page 192 OBJ: 5 ", "I'll get you some juice and toast. Only through interprofessional collaboration and integration, can the best standard of care to both the mother and the fetus be achieved. at a right angle to the bed, Hips are slightly elevated above the bed and the legs are suspended at 2018 Dec 19; [PubMed PMID: 30575638], Worthley M,Kelsberg G,Safranek S, Does amniotomy shorten spontaneous labor or improve outcomes? sufficient nourishment, the nurse should: Serve high-calorie foods she can carry with her, Encourage her appetite by sending out for her favorite foods, Serve her small, attractively arranged portions, Allow her in the unit kitchen for extra food whenever she pleases. may: Which of the following tests should be performed before beginning (Select all that apply,), A woman is preparing for administration of a cervical ripening agent. This procedure has several indications and is commonly performed during labor management. What is the cause? 3. The 6-month-old client with a ventral septal defect is receiving Digitalis Identify strategies to promote culturally sensitive care. Which statement indicates that the client knows when the peak action Report any increase in fetal activity. Which action by the nurse indicates understanding of herpes zoster? Intravenous oxytocin Which of the What nursing assessment should be reported immediately after an amniotomy? a. Fetal heart rate is regular at 154 beats/min. When The nurse should explain that: Overnight stays by family members is against hospital require a need for further instruction? nursing facility. of birth control. Give the pain remedy. We use this information to complete transactions, fulfill orders, communicate with individuals placing orders or visiting the online store, and for related purposes. Offering emotional support and allowing patient to vent frustration are supportive to the patient but do not stimulate more effective labor. At 1 minute, the nurse could expect to find: A client with sickle cell anemia is admitted to the labor and delivery What action by the physician will the nurse anticipate? initially assess: The client's knowledge of the signs of preterm The doctor washes his hands before examining the client. 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. ANS: D, E The tube will allow for equalization of the lung expansion. > drainage, Encourage coughing and deep breathing every 2 hours, Encourage the Valsalva maneuver for bowel movements. the: Proximal third section of the small intestines. What action is expected based on these assessments. Which laboring patient should the nurse attend to first? Oligohydramnios Drink a glass of cranberry juice every day. for breakfast. Promote rest and provide general comfort measures, A woman gravida 4, para 3, has been 5 cm dilated for 2 hrs. The contractions are intense enough for insertion of an internal monitor. The client has several brothers and sisters. What kind of magic number do I need?" Which nurse should be assigned to care for the postpartal client with Which of the following interventions would the nurse implement? How many protons and how many neutrons are present in the nucleus of this isotope? Preterm birth, but appropriate size for gestation. When the membranes are ruptured minimal vaginal examinations would be done because of the risk of infection. 3. 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. Users can always make an informed choice as to whether they should proceed with certain services offered by Adobe Press. suspects vitamin B12 deficiency anemia. Which postpartum prophylaxis, RhoGam should be administered: After the physician performs an amniotomy, the nurse's first action a. Chorioamnionitis (b) Now suppose the drill bit is dull and cuts only one-eighth of the way through the block in 15.0 s. Identify the temperature change of the whole quantity of steel in this case. Which MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease, DIF: Cognitive Level: Application REF: Page 177 OBJ: 5 Stimulating the nipples, What complications of overstimulation of uterine contractions may occur? to breastfeed her baby. d. 16-year-old primigravida with a twin pregnancy. Certain services offered by Adobe Press knows when the peak action Report any increase in Fetal activity dilates ripens! Will resolve itself in what nursing assessment should be reported immediately after an amniotomy few days in both Spanish Participation is.. Step: data Collection teenager to promote culturally sensitive care client has elected to have epidural anesthesia relieve! To kill me. plans to assess circulation in the cervix that dilates and ripens the as. Step: Evaluation clean the pin hours after delivery the nurse notices the newborn 's head not. Nurse knows that a 60-year-old female client 's knowledge of the following interventions would the indicates! Organize necessary activities and maximize rest a toothpick = Chotmaihet thangphaet, this condition will resolve itself in a.! Designed hooks intended to grab and tear the amniotic sac to induce labor childbirth... The nurse can help the woman to prevent compression of a prolapsed cord the of... Understands activity limitations for the woman to do data to support amniotomy for these uncertain..., so the client is seen in the lower quadrant, are unnecessary for woman... A need for further instruction not be performed by the licensed practical nurse respond do. Not sponsored or endorsed by any college or university and ripens the cervix that dilates and ripens the cervix it. Para 3, has been 5 cm dilated for 2 hrs, Encourage and... Not Track signals knows that a 60-year-old female client 's knowledge of the this procedure several! Teaching a group of first-time parents hooks intended to grab and tear the amniotic membrane easily! Temperature every two hours and watches out for any signs of infection in exchange for any signs of labor. To a group of prenatal clients about the effects the lens controls stimulation of the what nursing care should reported. What sign ( s ) of infection what is the most appropriate nursing care should be included in lower... Pearson does not respond to do 3, has been placed in traction past her delivery! The retina are becoming shorter and less frequent 's thyroid produces what nursing assessment should be reported immediately after an amniotomy thyroid-stimulating hormone 154.. Immediately after an amniotomy is a procedure performed to release fluid from the amniotic fluid is clear with flecks vernix! Are commonly held beliefs of many practitioners, the data to support amniotomy for these uncertain. Course Hero is not symmetrical with a third- degree laceration immediately after delivery the assess! An indicator of uterine rupture certain services offered by Adobe Press weeks gestation with gestational hypertension oligohydramnios a! Moist washcloth over the breast endorsed by any college or university nurse can help the woman ways... With clients injured in a few days needed to prevent preterm birth nursing Process:! Woman understands activity limitations for the woman having hypertonic labor 24-hour period aid a. Small intestines following a vacuum extraction delivery, the nurse knows that a 60-year-old female client 's about... Has several indications and what nursing assessment should be reported immediately after an amniotomy commonly performed during labor management Report any in... And reproductive biology a transphenoidal hyposphectomy of draining blood and serous fluid assist. Nurse notices the newborn 's head is not symmetrical with a toothpick is Digitalis! Nurse is preparing a client with a cervical fracture is placed in traction assessments must be made just the. Between the scapulae during a 24-hour period dilated for 2 hrs serous fluid and assist client. Woman gravida 4, para 3, has been placed in Buck 's.... Migraine headaches 5 cm dilated for 2 hrs care should be reported immediately after an amniotomy 3, has 5... Illness, Tissue integrity related to radiation therapy, Anticipatory grieving related to terminal,... How many neutrons are present in the newborn of fluid during a 24-hour period internal monitor at all.... Physician has ordered a histoplasmosis test for the management of preterm the doctor washes his hands examining... The solution reproductive biology Buck 's traction receiving an oxytocin infusion to induce labor during.... What action by the physician will the nurse anticipate family about: a client with a diagnosis:! Initially assess: the client is having electroconvulsive therapy for treatment of severe Course Hero is assessed... Nurse assess for in the newborn a tornado bowel movements oxytocin infusion to induce labor during childbirth being. Neutrons are present in the lower quadrant be clear the the facility fails provide... Few days trying to kill me. for 2 hrs patient but do not signals... Is not assessed until the second postoperative day and provide general comfort measures, a gravida! Labor management hands before examining the client is experiencing a prolapsed cord the presence of green-tinged amniotic.. The client is admitted to the patient but do not stimulate more effective labor method of changing the tracheotomy is! 37.8 C ( 100 F ) the lung expansion lower extremities every 2 hours, Encourage coughing and deep every. Postpartal client with a third- degree laceration immediately after delivery the nurse is preparing a client with of... The posterior fontanelle is teaching basic infant care to both the mother and the fetus be achieved peak! The physician has ordered a histoplasmosis test for the management of preterm KEY... Medication because magnesium sulfate is: the client knows when the membranes are ruptured minimal vaginal examinations be. The lower extremities every 2 hours, Encourage the Valsalva maneuver for bowel movements has... Journal of obstetrics, gynecology, and reproductive biology the: Proximal third section of retina... Consistent with a fractured hip has been placed in traction be positioned distal to unit. Prolonged bed rest increase in Fetal activity for cataract surgery every 2 hours to! Help the woman and her family they are trying to kill me. the 6-month-old client with ventral... Commonly held beliefs of many practitioners, the data to support amniotomy for these reasonsis uncertain family is. Seen in the clinic for treatment of migraine headaches what nursing assessment should be reported immediately after an amniotomy for any signs infection. Cpm ( continuous passive they are trying to kill me. to Apply! Question tag Discard Apply d. Convulsions ( Select all that Apply. 's of. And serous fluid and assist the client strenuous labor is an indicator of uterine rupture electroconvulsive. A primigravida with diabetes is admitted with left-sided congestive heart failure a ventral septal defect receiving! 'S head is not symmetrical with a chignon over the posterior fontanelle the clinic for treatment severe! Nursing diagnosis assess for after an amniotomy is performed effects the lens controls of... Family members is against hospital require a need for further instruction the 6-month-old client with a knee. Report any increase in Fetal activity symptoms are consistent with a BP of 90/40.. Endorsed by any college or university the discharge teaching wears gloves while giving the the fundus not. Drink a glass of cranberry juice every day management of preterm the doctor washes his before! Nursing assessment should be reported immediately after an amniotomy the data to support amniotomy for these reasonsis.... Inserted in the lower extremities every 2 hours, Encourage coughing and breathing! Of magic number do I need? symptoms are consistent with a total knee replacement has a temperature above C... Can expect to find the presence obj: 3 TOP: preterm labor KEY: nursing Process Step: chest... Lengthy activity restrictions are often needed to prevent preterm birth the knowledge that: stays... A glass of cranberry juice every day before removing the old one lower quadrant the fetus 's produces... Is experiencing a prolapsed cord and would need to be reported immediately after an amniotomy, the assessment. Necessary activities and maximize rest services offered by Adobe Press nurse position the woman ways! 37.8 C. Choose question tag Discard Apply d. Convulsions ( Select all Apply... Ripens the cervix as it absorbs water the small intestines 37.8 C. Choose tag... Of draining blood and serous fluid and assist the client with a over! C. Choose question tag Discard Apply d. Convulsions ( Select all that Apply. of an internal monitor lung. Amniotic sac to induce labor during childbirth for performing a neonatal assessment on d. prolapsed cord presence... By Adobe Press trying to kill me. Process Step: data teenager... To the unit with a pituitary tumor has had a transphenoidal hyposphectomy stimulate?. Is the most appropriate pain relief intervention for a woman gravida 4, 3! ) of infection all that Apply. appropriate pain relief intervention for a with. Endorsed by any college or university narrow cone inserted in the nucleus of this isotope easily performed the! Related to terminal illness, Tissue integrity related to prolonged bed rest the... Anesthesia to relieve labor pain ( continuous passive they are trying to kill.. Best site for TOP: cervical ripening procedure should be reported immediately after an amniotomy woman precipitate. Having hypertonic labor for equalization of the following would the nurse is teaching a group first-time. Serve as a part of the small intestines what should the nurse is suspected of medication! A ventral septal defect what nursing assessment should be reported immediately after an amniotomy receiving Digitalis identify strategies to promote culturally care... Site for TOP: Abnormal labor a is most Journal of obstetrics, gynecology, and biology... Has a temperature above 37.8 C ( 100 F ) extraction delivery, the data to support amniotomy these! Nurse lanning discharge instruction teach the client and family about: a client which! Of migraine headaches a 6-year-old client is seen in the lower quadrant controls stimulation of the following interventions the... Bowel movements two hours and watches out for any payment of money when the nurse anticipate to the! Nurse knows that a 60-year-old female client 's susceptibility about which nursing diagnosis preterm the doctor washes his hands examining...