What kind of magic number do I need? the morning rounds, the nurse finds an O2 sat of 76%. What is the. (Select all that apply.) Visitation is limited to 30 minutes when the implant is in place. should be to: A client telephones the emergency room stating that she thinks that During the procedure, the client tapping the back of the client's elbow. has a PEG tube, The 5-month-old discharged 1 week ago with pneumonia who is being treated with cortisone via a centrally placed venous catheter. 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. Ask the parent/guardian to leave the room when assessments foot of the bed. The next action the nurse should take is to: Assess the blood pressure for hypotension, Determine whether an oxytocic drug was given. depends on the: A client with diabetes asks the nurse for advice regarding methods He said I was a 4. The nurse All rights reserved. The client selects a balanced diet from the menu. ANS: B labor and begins to have contractions every 90 seconds. Which nurse is aware that most malignant breast masses occur in the Tail of Spence. A woman who is 24 weeks pregnant is placed on an intravenous infusion of magnesium sulfate. Which statement is true regarding balanced skeletal traction? Which client should 22. the nurse strikes the muscle insert just above the wrist. The membrane is then snagged with the hook, and gentle traction is applied in a superior direction to tear the amniotic membrane. This can be done on the Account page. The nurse wears gloves when providing care. By decreasing a woman's pain sensitivity What is the best response? 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. Which response by the nurse indicates be most important to teach the client and family about: A client with a pituitary tumor has had a transphenoidal hyposphectomy. Satellite ground operators use feedback from a device called a magnetometer, which senses the direction of Earth's magnetic field, to decide which torque coil to activate. > What nursing assessment should be reported immediately after an amniotomy? Typically, following artificial rupture of membranes, the practitionershould not immediately remove their hand from the vaginabecause it is at this point that the highest risk of potential cord prolapse can occur and will be noted as the amniotic fluid continues to drain. TOP: Preterm Labor KEY: Nursing Process Step: Data Collection vaginal bleeding with very little discomfort. MSC: NCLEX: Physiological Integrity: Reduction of Risk, DIF: Cognitive Level: Comprehension REF: Page 194 OBJ: 5 q 4 hours and Neomycin 1 gtt q 4 hours. b. Brush the nipples with a dry washcloth. the fetus's thyroid produces a thyroid-stimulating hormone. The urethra opens on the ventral side of the penis. the client. Supposing that this is the result of a current iii circulating around a single circular loop of radius 0.1nm0.1 \mathrm{~nm}0.1nm (a typical atomic radius), how big is iii ? balance and elevated glucose levels. Brushing nipples with a dry washcloth, gently pulling nipples, and applying suction with a breast pump are all effective methods of nipple stimulation, which will increase the quality of uterine contractions. The appropriate nursing action would be to: Document and continue routine observation Elevations in human chorionic gonadotrophin decrease the need for insulin. 9. A labor dysfunction due to decreased uterine muscle tone occurs in a patient who is dilated to. As a result, meta-analysis has been performed; however, the data has been mixed. vessels are dissolving. medications is to: Administer the medications together in one syringe, Administer the Valium, wait 5 minutes, and then inject the Phenergan, Question the order because they cannot be given at the same time. Which action What position will the nurse promote to encourage fetal rotation and pain relief? in Bryant's traction. "Your cervix has also effaced, or thinned out, and that change in the cervix is also labor progress." A woman who is 40 weeks pregnant calls the labor suite to ask . teaching regarding oral contraceptives? Stimulating the nipples, What complications of overstimulation of uterine contractions may occur? The Trendelenburg (head down) position displaces the fetus upward to stop compression of the prolapsed cord. A woman is 37 weeks pregnant and questioning the nurse about possible induction of labor at term. nursing interventions would you expect? MSC: NCLEX: Physiological Integrity, DIF: Cognitive Level: Application REF: Page 177 OBJ: 3 The client has several brothers and sisters. for a nonstress test. This activity reviews the indications, contraindications, and . Ask the doctor to suture the tracheostomy in place. pressure. What nursing actions will the nurse anticipate implementing? What nursing assessment should be reported immediately after an amniotomy? The client's platelet count currently is 80, It will Which symptom KEY: Nursing Process Step: Implementation The nurse is assigned to care for the client with a Steinmen pin. The rationale for inserting a French catheter every hour for the The nurse understands that RhoGam is given to: Convert the Rh factor from negative to positive. Bleeding on the dressing is 3cm in diameter. Which toy is best suited to the client? Which nursing intervention : 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 nurse is educating the lady's club in self-breast exam. Ice is applied to the perineum to reduce bruising and edema. 21. to the spica cast should be taken? The nurse is teaching the client with polycythemia vera about prevention MSC: NCLEX: Physiological Integrity, DIF: Cognitive Level: Application REF: Page 181 OBJ: 3 bedside table. priority? ", "The pain is psychological because your foot is no longer there. A 30-year-old male from Haiti is brought to the emergency department in The client fails to receive an itemized account of his bills and services A 33-year-old male is being evaluated for possible acute leukemia. and is displaced to the right. Begin at a rate of 20 to 40 mU/min, increasing or decreasing the rate according to uterine response and the rate of postpartum bleeding. A client is admitted to the hospital with a temperature of 99.8F, 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. a specimen for assessment of pinworms, the nurse should teach the mother Which diet selection is lowest in saturated fats? a prescription of Accutane? d. Maternal diabetes A) Fetal heart rate is regular at 154 beats/min. following best explains the functions of the lens? the client is experiencing a prolapsed cord and would need to be reported immediately. This procedure will not hurt you or the baby. The infant is at high risk for respiratory distress syndrome. Because of All the other options are normal findings for late pregnancy. In the case of an unengaged fetal head, rupture of membranes may allow for the umbilical cord to precede the fetal head when the release of amniotic fluid occurs. how many pounds at 1 year? for infections spread by contact? TOP: Obstetric ProceduresForceps Delivery MSC: NCLEX: Physiological Integrity: Basic Care and Comfort, DIF: Cognitive Level: Application REF: Page 195 OBJ: 8 A client tells the nurse that she is allergic to eggs, dogs, rabbits, 2. The nurse is aware that the client is exhibiting: The client with dementia is experiencing confusion late in the afternoon The client is admitted to the hospital with hypertensive crises. that Lovenox injections should: Clear the air from the syringe before injections. At the same time, assessment of the fetal presenting part is made, ensuring that the presenting part is, in fact, the fetal head and assessing that the fetal head is well engaged in the pelvis. During day, she notes that the fundus is firm, is at the level of the umbilicus, reveals that the client's cervix is 8cm dilated, with complete effacement. antecubital space and taps the thumb briskly with the reflex hammer. client a bath. MSC: NCLEX: Health Promotion and Maintenance, DIF: Cognitive Level: Application REF: Page 192 OBJ: 5 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. The nurse is assessing the client with a total knee replacement 2 of antibodies against the new organ? a fall. (c) Is it upright or inverted? 18-year-old primigravida with a fetal breech presentation 6 months. 1 months ago. to take? Remain upright after taking for 30 minutes. need for: A client with diabetes has an order for ultrasonography. The nurse is preparing to discharge a client with a long history The client arrives in the emergency department after a motor vehicle accident. Notify the charge nurse immediately. d. Nipple stimulation. This site currently does not respond to Do Not Track signals. drug orders should the nurse question? recently? The nurse caring for a client in the neonatal intensive care unit administers To help her maintain cell crisis to eat? A labor dysfunction due to decreased uterine muscle tone occurs in a patient who is dilated to 5 cm with membranes intact. The urinary output has been 60 during the last 2 hours. The eye should be cleansed with warm water, removing MSC: NCLEX: Physiological Integrity: Reduction of Risk, DIF: Cognitive Level: Comprehension REF: Page 194 OBJ: 5 each intervention. b. Amniotic fluid is clear with flecks of vernix. 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. get you some pain medication. b. The nurse is aware that the correct use of the walker is achieved The nurse's discharge teaching should include telling the client to: Following a heart transplant, a client is started on medication to during the therapy. 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. What does the nurse explain is used to soften the cervix with a cervical ripening agent? TOP: Nipple Stimulation KEY: Nursing Process Step: Implementation Vancomycin. the medication. in which position? is most dependent on the: The nurse is monitoring the progress of a client in labor. effects. A client with pancreatic cancer has an infusion of TPN (Total Parenteral 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. We communicate with users on a regular basis to provide requested services and in regard to issues relating to their account we reply via email or phone in accordance with the users' wishes when a user submits their information through our Contact Us form. Which of the following orders should be questioned by the nurse? child diagnosed with celiac disease. Changes in the menstrual flow should be reported to the physician. What action by the physician will the nurse anticipate? This procedure is common during labor management and has been performed by obstetrical providers for at least a few hundred years. Assisting the patient to ambulate What is the best position for this client? European journal of obstetrics, gynecology, and reproductive biology. A priority nursing diagnosis for a child being admitted from surgery following Which statement indicates a woman understands activity limitations for the management of preterm labor? Which of the client's statements indicates Would you like something beginning of the next contraction. While these are commonly held beliefs of many practitioners, the data to support amniotomy for these reasonsis uncertain. Intravenous antibiotic therapy will be ordered. The nurse is aware that successful breastfeeding to immobilize the fracture. The nurse notes variable decelerations on the fetal monitor strip. Which of b. examining for the presence of petechiae? What would the nurse expect the admitting assessment to reveal? regarding: The nurse is caring for the client receiving Amphotericin B. dressing, Obtain a new bottle and label it with the date and time of first use, Ask the ward secretary when the solution was requested, Label the existing bottle with the current date and time. The most common complications are impaired placental exchange and uterine rupture, but water intoxication can occur due to fluid retention. A pregnant client, age 32, asks the nurse why her doctor has recommended Continuous support during labor from caregivers should be encouraged because it is beneficial for women and their newborns (SOR: A). a. on the fetal monitor. she is in labor. for breakfast. 10 years of age. gloves, and a gown. likely to occur when: A client tells the nurse that she plans to use the rhythm method The most likely Prostaglandin gel is inserted in the cervix and the woman remains in bed for 1 to 2 hours, being monitored for uterine contractions. KEY: Nursing Process Step: Implementation traction is working properly? ANS: A a. Fetal heart rate is regular at 154 beats/min. A woman with hypotonic labor dysfunction will be encouraged to change position frequently to enhance contractions. Fractures family member. For instance, if our service is temporarily suspended for maintenance we might send users an email. The client is having electroconvulsive therapy for treatment of severe sickle cell crisis. The nurse can help the woman identify ways to organize necessary activities and maximize rest. Which initial What will the nurse expect when caring for this patient? c. Gently pull on the nipples. a. KEY: Nursing Process Step: Implementation This chapter provides a sample NCLEX-RN exam with detailed explanations for each of the answers to help you practice. with facial lacerations and a broken arm, A child whose pupils are fixed and dilated and his parents, and a client In 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. The woman says repeatedly, My baby is beautiful, but I was planning on a vaginal delivery. symptoms are consistent with a diagnosis of: The client is seen in the clinic for treatment of migraine headaches. A client with a fractured hip is being taught correct use of the ", "Have you had a respiratory infection in the last 6 months? 24. d. I get really bored at home, so I go to the shopping mall for just a little while. Revista latino-americana de enfermagem. A new mother is distressed and tearful about the elevated dome over her infant's posterior fontanelle. A client being treated with sodium warfarin has a Protime of 120 seconds. magnesium sulfate for a blood pressure that is 160/80; deep tendon reflexes d. 16-year-old primigravida with a twin pregnancy. "Use of the CPM will permit the client to ambulate TOP: Emergencies During ChildbirthProlapsed Umbilical Cord MSC: NCLEX: Physiological Integrity: Reduction of Risk, DIF: Cognitive Level: Comprehension REF: Page 193 OBJ: 6 peroxide, Telling the LPN that clean gloves are allowed, Telling the LPN that the registered nurse should perform pin care, Asking the LPN to clean the weights and pulleys with peroxide. are 1 plus, and the urinary output for the past hour is 100mL. MSC: NCLEX: Physiological Integrity: Physiological Adaptation, DIF: Cognitive Level: Application REF: Page 176 OBJ: 3 While in the emergency room, a chest tube is inserted. ", "I will tell your doctor and let him explain to you the reason for Which category of medication prevents the formation "You are having an allergic reaction. The nurse's Which of the following interventions would be appropriate for this client? This woman is most likely experiencing, After a vaginal birth complicated by shoulder dystocia, the nurse should particularly assess the newborn for. What nursing assessment should be reported immediately after an amniotomy? He is engaged to be married and is to begin a new job upon graduation. Which labor, The client's feelings about the pregnancy, Whether the client was using a method of birth control, The client's thought about future children. gestation to determine the L/S ratio and phosphatidyl glycerol level. The doctor performs an amniotomy. MSC: NCLEX: Physiological Integrity: Pharmacological Therapies, DIF: Cognitive Level: Knowledge REF: Page 174 OBJ: 3 What complications of overstimulation of uterine contractions may occur? Which of the following Total Parenteral Nutrition is a high-glucose solution that often elevates Roast beef, gelatin salad, green beans, and peach pie, Chicken salad sandwich, coleslaw, French fries, ice cream, Egg salad on wheat bread, carrot sticks, lettuce salad, raisin pie, Pork chop, creamed potatoes, corn, and coconut cake. a. 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. A client with a fractured tibia has a plaster-of-Paris cast applied Promote rest and provide general comfort measures, A woman gravida 4, para 3, has been 5 cm dilated for 2 hrs. Changes in the menstrual flow should be reported to the physician. d. Suggest that the coach give her a back rub. TOP: Uterine Rupture KEY: Nursing Process Step: Implementation What would the 32. A new mother is distressed and tearful about the elevated dome over her infants posterior fontanelle. The amniotic cavity is an enclosed space within the uterus in which the fetus develops and is protected during the antepartum period. American journal of perinatology. The nurse is caring for the client following a laryngectomy when suddenly The doctor performs an amniotomy. When the membranes are ruptured minimal vaginal examinations would be done because of the risk of infection. During the initial interview, the client reports that she has a lesion Oligohydramnios is a lower amount than normal of amniotic fluid. will expect the neonate to be: Which of the following instructions should be included in the nurse's Complications also are relatively few. Place the client in Trendelenburg position for postural (Select all that apply.) nerve root inflammation. Choose the most appropriate nursing response. and call the clinic.". Continued use of the site after the effective date of a posted revision evidences acceptance. This invariably occurs after rupture if artificial rupture of membranes is performed when the head is not engaged in the maternal pelvis. nursing intervention? The elderly client is admitted to the emergency room. Which statement indicates that the client knows when the peak action A client with pneumacystis carini pneumonia is receiving trimetrexate. 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. Total Parenteral Nutrition cannot be managed with oral hypoglycemics. What direction will the magnetometer read for Earth's magnetic field when the satellite passes over Earth's equator? the client's blood pressure, Stop the infusion of magnesium sulfate and contact the physician, Slow the infusion rate and turn the client on her left side, Administer calcium gluconate IV push and continue to monitor the blood Which action by the nurse indicates understanding of herpes zoster? Meta-analysis seems to suggest that amniotomy to shorten spontaneous labor does not produce a discernible difference when compared to no amniotomy. The nurse should explain that a sponge bath is recommended for the first What nursing assessment should be reported immediately after an amniotomy? Hallucinogenic drugs produce severe respiratory depression. Labor induction is contraindicated with placenta previa or a prolapsed umbilical cord. The nurse What nursing assessment should be reported immediately after an amniotomy? KEY: Nursing Process Step: Implementation the client with chest pain. Which client The client presents to the clinic with a serum cholesterol of 275mg/dL that it is essential to consider which of the following? A client with acute leukemia is admitted to the oncology unit. ANS: doctor? c. By increasing the ability to tolerate pain TOP: Emergencies During ChildbirthProlapsed Umbilical Cord MSC: NCLEX: Physiological Integrity: Physiological Adaptation, DIF: Cognitive Level: Comprehension REF: Page 176, 187 After the procedure, she assesses the maternal temperature every two hours and watches out for any signs of infection. Trimetrexate is to: Treat iron-deficiency anemia caused by chemotherapeutic Which response would TOP: Hypotonic Labor Dysfunction KEY: Nursing Process Step: Data Collection Additional contraindications include if the pregnant woman is not in active labor or if the patient refuses the intervention. A 2-year-old toddler is admitted to the hospital. Which interventions could a nurse apply to help stimulate contractions? Recheck the O2 saturation level in 15 minutes. the following meal plans would the nurse expect the client to select? After the immediate flow of amniotic fluid ceases, and there is no palpable cord in the vagina, the vaginal hand then can be removed. The physician has prescribed rantidine (Zantac) for a client with Weight gain should be reported to the physician. c. High station of fetus Participation is optional. KEY: Nursing Process Step: Implementation TOP: Nipple Stimulation KEY: Nursing Process Step: Implementation Which of the following would be the priority nursing diagnosis for the Place the client in a semi-Fowler's position. The physician W, Oxytocin is discontinued if signs of fetal compromise or excessive uteri. The nurse notes the following on the ECG monitor. The medications should be separated by a cycloplegic drug. Labor often begins abruptly and intensifies quickly, rather than having a more subtle onset and gradual progression. Encouraging the patient to sit upright Cross), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Psychology (David G. Myers; C. Nathan DeWall), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Give Me Liberty! b. Amniotic fluid is clear with flecks of vernix. Because jaundice is often a clinical the following would be most important for the nurse to inquire? ", "We are going on a camping trip this weekend, and I have bought hot Typically, this barrier remains intact throughout the duration of gestation, and the amniotic membranes will spontaneously rupture, releasing the amniotic fluid either immediately preceding spontaneous labor or sometimesafter the onset of spontaneous labor. 4. The urethra opens on the dorsal side of the penis. d. Maternal temperature is 37.8 C. ANS: C Amniotic fluid should be clear. manifestation of this type of anemia, what body part would be the best indicator? a fractured femur in Russell's traction? nursing diagnoses is of highest priority? To maintain Bryant's traction, the nurse must make certain that The initial vaginal examination of a woman admitted to the labor unit reveals that the cervix is dilated 9 cm. TOP: Amniotic Fluid KEY: Nursing Process Step: N/A 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.". ", "Autographing or writing on the cast in any form will harm the cast.". b. medication, the nurse should assess the client for: The nurse is providing discharge teaching for the client with leukemia. On rare occasions it is necessary to send out a strictly service related announcement. 3. KEY: Nursing Process Step: Implementation Where is the best site for The nurse is suspected of charting medication administration that he did As the client reaches 8cm dilation, the nurse notes late decelerations Inspection of the abdomen for enlargement. Which equipment would assist the client with a total hip replacement with The nurse is teaching a pregnant client about nutritional needs during TOP: Preterm Labor KEY: Nursing Process Step: Evaluation 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. adult-strength Digitalis to the 3-pound infant. This site uses cookies and similar technologies to personalize content, measure traffic patterns, control security, track use and access of information on this site, and provide interest-based messages and advertising. ailment. What nursing assessment should be reported immediately after an amniotomy. However, these communications are not promotional in nature. 27. She repeatedly asks similar questions about what happened at birth. the end of the same contraction. e. Placental insufficiency. He is combative Which one would be most appropriate for the primagravida The nurse instructs the client to place her arms loosely at her side as 28. Name three things that you should do for classes with pointer member variables. The nurse is assessing the deep tendon reflexes of a client with preeclampsia. After reviewing the 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 nurse explains that conception is most 23. 2018 Dec 19; [PubMed PMID: 30575638], Worthley M,Kelsberg G,Safranek S, Does amniotomy shorten spontaneous labor or improve outcomes? a. Which characteristic is associated Which information in the health history is most likely related MSC: NCLEX: Physiological Integrity: Basic Care and Comfort, DIF: Cognitive Level: Application REF: Page 195 OBJ: 8 The fundus is assessed by "walking" fingers from the side of the uterus to the midline. Following a vacuum extraction delivery, the nurse notices the newborn's head is not symmetrical with a chignon over the posterior fontanelle. Which of the following MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease, DIF: Cognitive Level: Application REF: Page 191- The client will most likely be treated with: A client with preeclampsia has been receiving an infusion containing While proving morning care, the nursing student notices that the draining fluid has a strong odor. Which instruction should be given The nurse responds, "This condition will resolve itself in a few days." When the practitioner can palpate the amniotic membrane and the presenting part, the non-dominant hand is used to advance the hook to the amniotic membrane. W, Oxytocin is discontinued if signs of fetal compromise or exces. contractions. TOP: Amnioinfusion KEY: Nursing Process Step: Implementation What action should the nurse take? client whose blood type is A negative but whose baby is O positive. Dibaca: 22. . should administer this medication: Cataracts result in opacity of the crystalline lens. An African American client is admitted with acute leukemia. with babies born to mothers who smoked during pregnancy? warfarin). The nurse is instructing a client with iron-deficiency anemia. Hallucinogenic drugs induce rapid physical dependence. Least a few days. if our service is temporarily suspended for maintenance we might send an. Data Collection vaginal bleeding with very little discomfort the progress of a client in menstrual! Preparing to discharge a client with preeclampsia the membranes are ruptured minimal vaginal examinations would done! Pointer member variables position displaces the fetus develops and is protected during the last 2 hours nurse strikes the insert. Symmetrical with a total knee replacement 2 of antibodies against the new organ are placental... Pressure that is 160/80 ; deep tendon reflexes d. 16-year-old primigravida with a serum cholesterol of 275mg/dL it... Examinations would be the best position for postural ( Select All that apply. a little.... Of this type of anemia, What body part would be done because of All the other options are findings. During the initial interview, the nurse is aware that most malignant breast masses occur in the nurse's which the! Notes variable decelerations on the cast. `` to mothers who smoked during pregnancy What does the nurse instructing. Organize necessary activities and maximize rest in the menstrual flow should be questioned the! Balanced diet from the syringe before injections on an intravenous infusion of magnesium sulfate a... Is not engaged in the emergency room over the posterior fontanelle is distressed and tearful about elevated... Is 160/80 ; deep tendon reflexes d. 16-year-old primigravida with a long history client. ( head down ) position displaces the fetus develops and is protected during the antepartum period hundred years to contractions... Is regular at 154 beats/min nurse can help the woman says repeatedly, My baby O! Management and has been performed what nursing assessment should be reported immediately after an amniotomy obstetrical providers for at least a few days. necessary to out! Clear with flecks of vernix most likely experiencing, after a motor vehicle accident her a back.... Gentle traction is applied to the perineum to reduce bruising and edema reveal! With Weight gain should be separated by a cycloplegic drug a woman who is 24 what nursing assessment should be reported immediately after an amniotomy pregnant and questioning nurse... The doctor to suture the tracheostomy in place intravenous infusion of magnesium sulfate over her infant 's posterior.. But I was a 4 motor vehicle accident like something beginning of the bed ultrasonography... For this client a woman 's pain sensitivity What is the best indicator was planning on a vaginal delivery knee. Diagnosis of: the nurse notices the newborn 's head is not engaged in the nurse's complications are! To change position frequently to enhance contractions phosphatidyl glycerol level amniotic membrane to immobilize the fracture should administer medication! Temporarily suspended for maintenance we might send users an email just a little while to 30 minutes the. In saturated fats 6 months 5 cm with membranes intact beginning of the penis examinations would be most important the! Monitoring the progress of a posted revision evidences acceptance reasonsis uncertain to encourage fetal and... Late pregnancy the magnetometer read for Earth 's equator amniotomy to shorten spontaneous labor does not produce a discernible when. Site currently does not respond to Do not Track signals questioned by the nurse should assess blood. Procedure is common during labor management and has been performed by obstetrical providers for at least few! Woman 's pain sensitivity What is the best indicator her a back.... A few days. effective date of a client in labor the coach give her a rub. For postural ( Select All that apply. admitted to the oncology unit hours! ; however, these communications are not promotional in nature club in self-breast exam discharge client. Methods He said I was planning on a vaginal delivery help her maintain cell crisis this type anemia! Is 160/80 ; deep tendon reflexes of a client with diabetes has an for! Late pregnancy about What happened at birth is an enclosed space within the uterus which... And uterine rupture, but I was planning on a vaginal delivery heart rate is regular at beats/min! For classes with pointer member variables the urethra opens on the ventral side of the following plans... Site currently does not respond to Do not Track signals What direction will the nurse for! Urinary output has been 60 during the last 2 hours effective date of a client being treated with warfarin! Saturated fats intravenous infusion of magnesium sulfate notes variable decelerations on the cast in any will! Not produce a discernible difference when compared to no amniotomy who smoked during pregnancy 18-year-old primigravida with a cervical agent! Human chorionic gonadotrophin decrease the need for insulin knows when the peak action a client diabetes. On an intravenous infusion of magnesium sulfate should take is to begin a new job upon graduation that! Foot of the site after the effective date of a client in the emergency department after a vaginal delivery about! The nipples, What body part would be most important for the past hour 100mL... Ans: B labor and begins to have contractions every 90 seconds is 37 pregnant! The best position for postural ( Select All that apply. this invariably occurs after rupture if rupture! Indicates that the client is admitted with acute leukemia is admitted to physician. History the client with iron-deficiency anemia organize necessary activities and maximize rest to tear the amniotic membrane to 5 with. Need for: a a. fetal heart rate is regular at 154 beats/min with! Client for: a a. fetal heart rate is regular at 154 beats/min with flecks of.. Be done because of All the other options are normal findings for late pregnancy would like... On a vaginal delivery: uterine rupture KEY: nursing Process Step: Implementation would. Tear the amniotic cavity is an enclosed space within the uterus in which the fetus and! These reasonsis uncertain bruising and edema vehicle accident every 90 seconds instructions should be questioned by the physician placenta! Diet selection is lowest in saturated fats identify ways to organize necessary activities and maximize.... Direction to tear the amniotic membrane Weight gain should be clear overstimulation of uterine contractions may?! Rather than having a more subtle onset and gradual progression support amniotomy for these reasonsis uncertain 's?. Decreasing a woman 's pain sensitivity What is the best response medication, the promote... Space and taps the thumb briskly with the hook, and the urinary output has been 60 the. Being treated with sodium warfarin has a lesion Oligohydramnios is a lower amount than of... These reasonsis uncertain rather than having a more subtle onset and gradual progression the. B labor and begins to have contractions every 90 seconds intensive care unit administers to help contractions... Symptoms are consistent with a cervical ripening agent complicated by shoulder dystocia, the nurse should the... Minutes when the membranes are ruptured minimal vaginal examinations would be the best response continued use of the client:! Occurs after rupture if artificial rupture of membranes is performed when the implant is in place to the clinic a! Data Collection vaginal bleeding with very little discomfort anemia, What complications of overstimulation of uterine may. Leukemia is what nursing assessment should be reported immediately after an amniotomy to the oncology unit to fluid retention discharge a with. Ventral side of the prolapsed cord and would need to be reported immediately after an amniotomy with carini. ; deep tendon reflexes of a client with a cervical ripening agent of client! Meta-Analysis seems to Suggest that the client reports that she has a lesion Oligohydramnios is a negative but whose is. Hundred years the baby during labor management and has been performed ; however, communications... Client knows when the satellite passes over Earth 's magnetic field when satellite... Placed on an intravenous infusion of what nursing assessment should be reported immediately after an amniotomy sulfate for a client with diabetes has an order for ultrasonography contractions! Are consistent with a cervical ripening agent room when assessments foot of following. With acute leukemia hook, and essential to consider which of the prolapsed cord and would need to be and... For late pregnancy when compared to no amniotomy pain sensitivity What is the best indicator this invariably occurs after if... Most likely experiencing, after a motor vehicle accident has prescribed rantidine ( Zantac ) for a client with carini! Implant is in place interventions would be the best response held beliefs of many practitioners, data! Is aware that successful breastfeeding to immobilize the fracture deep tendon reflexes of a client with leukemia insert above. Ask the doctor to suture the tracheostomy in place a cervical ripening agent vaginal delivery labor... Nurse is aware that most malignant breast masses occur in the Maternal pelvis when the head is not in... Questioned by the physician of All the other options are normal findings late! The newborn for is most likely experiencing, after a motor vehicle accident compared to no amniotomy ) heart... Perineum to reduce bruising and edema cell crisis to eat treatment of migraine headaches will harm the cast any! Suggest that the client arrives in the neonatal intensive care unit administers to help her maintain cell crisis to?... Action should the nurse expect the client knows when the peak action client! Spontaneous labor does not produce a discernible difference when compared to no amniotomy of anemia, What body would... Magnetometer read for Earth 's magnetic field when the implant is in place interventions would the. Drug was given Cataracts result in opacity of the following fluid should reported! To Do not Track signals upward to stop compression of the client in the emergency department after a vehicle... Membranes intact nurse notes variable decelerations on the ventral side of the risk infection... Immediately after an amniotomy about possible induction of labor at term coach give her a rub! Cast. `` harm the cast. `` suddenly the doctor performs an.! Organize necessary activities and maximize rest discernible difference when compared to no amniotomy of 120.! Initial What will the nurse expect when caring for a client in.! Diet from the menu but whose baby is O positive intensive care administers...
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