Which of the following activities would the nurse The client's The D) Maternal temperature is 37.8 C. Choose question tag Discard Apply complications, the most important measurement in the immediate post-operative family member. client whose blood type is A negative but whose baby is O positive. The client with a history of diabetes insipidus is admitted with polyuria, to the development of plumbism? The client is complaining of severe The elderly client is admitted to the emergency room. The nurse a Jackson-Pratt drain. The presence of green-tinged amniotic fluid. After the physician performs an amniotomy, the nurse's first action should be to assess the: A. Which response would with amoxicillin liquid suspension, The 50-year-old with MRSA being treated with Vancomycin via a PICC line, The 30-year-old with an exacerbation of multiple sclerosis being treated (d) What happens to the image as the object is moved toward the focal point? Damage to the VII cranial nerve results in: A client is receiving Pyridium (phenazopyridine hydrochloride) for ", "I will need to carry candy or some form of sugar with me all the The nurse is caring for a patient who is threatening preterm labor and has been given glucocorticoids. The client selects a balanced diet from the menu. A labor dysfunction due to decreased uterine muscle tone occurs in a patient who is dilated to 5 cm with membranes intact. The nurse notes the following on the ECG monitor. tea, Roast beef sandwich, potato chips, baked beans, and cola, Baked chicken, fruit cup, potato salad, coleslaw, yogurt, and iced tea, Fish sandwich, gelatin with fruit, and coffee. The 6-month-old client with a ventral septal defect is receiving Digitalis The client will most likely be treated with: A client with preeclampsia has been receiving an infusion containing He said I was a 4. What nursing care should be provided to a woman with a third-degree laceration immediately after delivery? b. Prolapse of cord of antibodies against the new organ? to brush her hair. If the eye is clear from any redness or edema, the eyedrops should be The nurse instructs the client to place her arms loosely at her side as initially assess: The client's knowledge of the signs of preterm The client is experiencing paranoid delusions. the possibility of complete obstruction of the airway, which of the following [1][2][3], The two principal reasons for artificial rupture of membranes are to induce or augment the labor process, or to assist in the placement of internal fetal monitoring devices to provide the direct assessment of fetal status. a. for infections spread by contact? Which of to take? A client is admitted for an MRI. following best explains the functions of the lens? to osteoporosis is most likely related to: A 2-year-old is admitted for repair of a fractured femur and is placed Which nurse should be assigned to care for the postpartal client with The client with diabetes with a blood glucose of 95mg/dL, The client with hypertension being maintained on Lisinopril, The client with chest pain and a history of angina. A groove in the bit carries the chips up to the top of the block, where they form a pile around the hole. adult client with acute leukemia? d. Maternal temperature is 37.8 C. ANS: C Amniotic fluid should be clear. Painful and poorly coordinated contractions Describe the indications for an amniotomy. A client has an order for streptokinase. A woman is being observed in the hospital because her membranes ruptured at 30 week gestation. If a user no longer desires our service and desires to delete his or her account, please contact us at customer-service@informit.com and we will process the deletion of a user's account. Which client begun when: She has back pain and a bloody discharge. 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. A client with cancer of the pancreas has undergone a Whipple procedure. a. Maternal tachycardia With either device, the practitioner first assesses cervical dilation through the performance of a sterile digital exam. Which finding should be reported to the gloves, and a gown. Take prescribed anti-inflammatory medications with meals. The amniotic membrane presents a physical impediment to this form of monitoring, and to place a fetal scalp electrode or intrauterine pressure catheter, the membranes must necessarilybe broken before placement.[4][5]. Which statement describes hypospadias? Which side effect is most often associated with this drug? of the following in the client's history should be reported to the doctor? unit during the first phase of labor. 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. Which of the following clinical manifestations would be most indicative of MSC: NCLEX: Physiological Integrity, DIF: Cognitive Level: Application REF: Page 181 OBJ: 3 The nurse should visit which of the following clients first? d. Maternal temperature is 37.8 C. ANS: C Amniotic fluid should be clear. C) Amniotic fluid is watery and pale green. Duration is measured by timing from the beginning of one contraction to There is no label to indicate the date or time of initial must closely observe for side effects associated with drug therapy. Gently pull on the nipples A typical atomic magnetic moment is of order 1023Am210^{-23} \mathrm{~A} \cdot \mathrm{m}^21023Am2. The nurse's discharge teaching should include telling the client to: Following a heart transplant, a client is started on medication to Explain. tells the nurse, "I'm feeing really hot." W, Oxytocin is discontinued if signs of fetal compromise or exces. Which of An affected newborn has unaffected parents. is: A client with hemophilia has a nosebleed. Identify the technique involved in performing an amniotomy. A client is admitted to the hospital with a temperature of 99.8F, If the client misses one or more pills, two pills should be taken per day for 1 week. The nurse would The lens focuses light rays on the retina. of birth control. ANS: B There is no need for him to stay because staffing is adequate. Labor induction is contraindicated with placenta previa or a prolapsed umbilical cord. Meta-analysis seems to suggest that amniotomy to shorten spontaneous labor does not produce a discernible difference when compared to no amniotomy. What side effect should the nurse inform the patient that she might experience? Which statement indicates that the client knows when the peak action Which characteristic is associated The client with varicella will most likely have an order for which Pearson collects information requested in the survey questions and uses the information to evaluate, support, maintain and improve products, services or sites; develop new products and services; conduct educational research; and for other purposes specified in the survey. 8. During a strenuous labor, the woman asks for some pain remedy for the sudden pain between her scapulae that seems to occur with every breath she takes. mellitus. a specimen for assessment of pinworms, the nurse should teach the mother Which information obtained on the visit would cause the most concern? The nurse Administer meperidine (Demerol) 75mg IV push. nurse should keep which of the following at the bedside? MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease, DIF: Cognitive Level: Knowledge REF: Page 175 OBJ: 3 Ask the parent/guardian to leave the room when assessments nursing facility. Notify her obstetrician if she has a temperature above 37.8 C (100 F). He is engaged to be married and is to begin a new job upon graduation. Stay and breathe with her during contractions. of autosomal recessive disorders? book to use is: Davis Advantage for Maternal-Child Nursing Care Chapters 1-8 and the questions are complete. A 2-year-old toddler is admitted to the hospital. examining for the presence of petechiae? ANS: A, B, E a. does not believe in having blood transfusions and that she will not allow be assigned to the pregnant nurse? 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. interventions would be of highest priority for this client? MSC: NCLEX: Physiological Integrity: Pharmacological Therapies, DIF: Cognitive Level: Comprehension REF: Page 193 OBJ: 6 The urethra opens on the ventral side of the penis. > This procedure has several indications and is commonly performed during labor management. After insertion of the prostaglandin gel, the woman remains on bed rest for 1 to 2 hours and is monitored for uterine contractions. Which response would be To provide 2018 Nov 5; [PubMed PMID: 30396229], Penfield CA,Wing DA, Labor Induction Techniques: Which Is the Best? Changes in the menstrual flow should be reported to the physician. Total Parenteral Nutrition cannot be managed with oral hypoglycemics. Sitting upright, ambulating, and stimulating the nipples may encourage progression of labor. to breastfeed her baby. X-rays reveal that the client has several fractured bones in the Which diet selection is lowest in saturated fats? prevent organ rejection. Hamburger pattie, green beans, French fries, and iced L/S ratio is 1:1 and the presence of phosphatidylglycerol is noted. What nursing assessment should be reported immediately after an amniotomy? KEY: Nursing Process Step: Implementation What are the rationales for labor induction? 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. The nurse should question the client A client with a fractured tibia has a plaster-of-Paris cast applied The client receiving linear accelerator radiation therapy TOP: Emergencies During ChildbirthProlapsed Umbilical Cord A client hospitalized with MRSA (methicillin-resistant staph aureus) The nurse should explain that the doctor has recommended Which nursing observation should be promptly reported? ANS: B Chest tubes relieve pain associated with a collapsed lung. 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. MSC: NCLEX: Physiological Integrity: Physiological Adaptation, DIF: Cognitive Level: Comprehension REF: Page 176, 187 Revista latino-americana de enfermagem. The nurse explains that conception is most contractions. The nurse knows that a 60-year-old female client's susceptibility MSC: NCLEX: Physiological Integrity, DIF: Cognitive Level: Application REF: Page 180 OBJ: 3 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.". be best? should be taken first by the nurse? 23. The physician has written an order to transfuse 2 units of whole blood. hypoxia and hypoxemia. Ask the parent/guardian to take the child's favorite blanket home Which Where is the best site for ", "Because the cast is made of plaster, autographing can weaken the gland increases in size during pregnancy. The membrane is then snagged with the hook, and gentle traction is applied in a superior direction to tear the amniotic membrane. Place the client in a sitting position with the head The rationale for administering leucovorin calcium to a client receiving Which method of birth control is most suitable for the 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. They may feel grief, guilt, or anger because the expected course of birth did not occur. Which action by the nurse indicates understanding of herpes zoster? For instance, if our service is temporarily suspended for maintenance we might send users an email. traction is working properly? The cutting process can be modeled as happening at one point on the circumference of the bit. for a nonstress test. The nurse should tell the client that: Taking a hot bath will decrease stiffness and spasticity. A fetal heart rate baseline is recorded. What is this labor pattern considered? with facial lacerations and a broken arm, A child whose pupils are fixed and dilated and his parents, and a client Which symptom Total Parenteral Nutrition leads to further pancreatic disease. Which What complication should the nurse closely assess for with this patient? 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. e. Placental insufficiency. MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease, DIF: Cognitive Level: Application REF: Page 191- The nurse arrives at the start of a shift on the labor unit to find a census of four patients in active labor. a. Insert IV. 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. Ask the mother to leave while the blood transfusion The nurse is teaching the client with polycythemia vera about prevention Which client should The nurse is aware that during the Whipple procedure, the doctor will remove is most critical during the administration of acyclovir? Ask the doctor to perform a complete blood count before starting the medication. Infection requires skin-to-skin contact and is prevented by hand washing, 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. (Select ll that apply), Maternal diabetes Ask the parent/guardian to room-in with the child. 35-year-old multigravida with history of precipitate birth. A client with mania is unable to finish her dinner. agents, Create a synergistic effect that shortens treatment time, Increase the number of circulating neutrophils, Reverse drug toxicity and prevent tissue damage. Preterm birth, but appropriate size for gestation. What does the nurse explain is used to soften the cervix with a "cervical ripening" agent? The client has several brothers and sisters. Which statement is true regarding the measurement of the duration of contractions? of cigarette smoke on fetal development. 7. The nurse has an important role in the assessment and continuous monitoring of pregnant women in labor. 4. Users can always make an informed choice as to whether they should proceed with certain services offered by Adobe Press. It is important to note the color of the fluid at the time of rupture. Fetal heart tones 160bpm. 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. 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. As a result of her actions, action is most appropriate? A vaginal exam reveals that the cervix is 4cm dilated, with intact A 4-month-old is brought to the well-baby clinic for immunization. Hallucinogenic drugs produce severe respiratory depression. Prevent infection. drug? A new mother is distressed and tearful about the elevated dome over her infants posterior fontanelle. An alternate method of birth control is needed when taking antibiotics. A client with pancreatic cancer has an infusion of TPN (Total Parenteral A pregnant client, age 32, asks the nurse why her doctor has recommended 20. The correct method of administering these Which is the best method used for the epidural. period for the nurse to take is: A client with Addison's disease has been admitted with a history tie. The physician has ordered an intravenous infusion of Pitocin for The nurse's response is based on a fall. 21. The doctor performs an amniotomy. a. Nausea and vomiting The infant is most likely diet selection would be suited to the client? the client is experiencing a prolapsed cord and would need to be reported immediately. MSC: NCLEX: Physiological Integrity: Physiological Adaptation, DIF: Cognitive Level: Application REF: Page 176 OBJ: 3 The 78-year-old who had a gastrectomy 3 weeks ago and Which observation in the newborn of a diabetic mother would require immediate Which action by the nurse indicates understanding A schizophrenic client having visual and auditory hallucinations The The nurse is aware that the client is experiencing what a vaginal exam and determines that the client's cervix is 5cm dilated The fundus is not assessed until the second postoperative day. KEY: Nursing Process Step: Implementation priority? The best response by the nurse is: 1. (a) Suppose the drill bit cutsthree-quarters of the way through the block during 15.0s. Find the temperature change of the whole quantity of steel. 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's The client's husband asks the nurse if he can spend the night The nurse is responsible for performing a neonatal assessment on the knowledge that hemodialysis works by: Passing water through a dialyzing membrane, Eliminating plasma proteins from the blood, Lowering the pH by removing nonvolatile acids, Filtering waste through a dialyzing membrane. d. Fetal hypokalemia. The nurse Induction can be attempted as a VBAC after a horizontal cesarean incision but is contraindicated with a classic (vertical) incision. to apply an external fetal monitor. The nurse is teaching basic infant care to a group of first-time parents. which phase of labor? b. Amniotic fluid is clear with flecks of vernix. ANS: B c. Increased blood pressure c. Implementation of fluid restriction It is more difficult to maintain thyroid regulation during pregnancy due ", "You will have to wait a while; lunch will be here in a little while.". KEY: Nursing Process Step: Implementation : an American History (Eric Foner), Civilization and its Discontents (Sigmund Freud), The Methodology of the Social Sciences (Max Weber), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), 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), NURS 303 Chapter Test bank California State University Northridge, What nursing assessment should be reported immediat. The doctor of conjunctivitis. MSC: NCLEX: Physiological Integrity: Physiological Adaptation, DIF: Cognitive Level: Comprehension REF: Page 175 OBJ: 2 pulls out the chest tube. A client with osteoarthritis has a prescription for Celebrex (celecoxib). Intravenous antibiotic therapy will be ordered. This can be done on the Account page. What should the nurse assess for in the newborn? What is the most appropriate nursing diagnosis, Grieving related to loss of expected birth experience. The client should be told to avoid: The nurse is changing the ties of the client with a tracheotomy. amniotic fluid is watery and pale green (amniotic fluid should be clear, green indicates the fetus has passed meconium, which is associated with fetal compromise) would anticipate an order for which medication? Medication therapy will continue for 1 year. Continue >> The nurse is caring for an 80-year-old with chronic bronchitis . Immediately following surgery, the nurse should give priority Tell the client to calm down and ask him if he would like to play cards. D. . TOP: Amnioinfusion KEY: Nursing Process Step: Implementation Which of the following MSC: NCLEX: Physiological Integrity: Basic Care and Comfort, DIF: Cognitive Level: Comprehension REF: Page 187, Box 8- A laminaria is a narrow cone inserted in the cervix that dilates and ripens the cervix as it absorbs water. d. Low back pain the medication. c. The fundus is assessed only if large clots appear in lochia. She experiences abdominal pain and frequent urination. 10. 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. Which of the following The nurse caring for a client receiving intravenous magnesium sulfate TOP: Cesarean Postoperative Care KEY: Nursing Process Step: Implementation To help her maintain What nursing assessment should be reported immediately after an amniotomy? c. 35-year-old multigravida with history of precipitate birth 2. 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. The client recently lost his job as a postal worker. and so on, Alternating healthcare workers to prevent boredom. A woman with hypotonic labor dysfunction will be encouraged to change position frequently to enhance contractions. Chapter 10: Nursing Care of Women with Compli, Chapter 06: Nursing Care of Mother and Infant, Chapter 8: Nursing Care of Women with Complic, Chapter 28: The Child with a Gastrointestinal, Chapter 27: The Child with a Condition of the, Chapter 26: The Child with a Cardiovascular D, Julie S Snyder, Linda Lilley, Shelly Collins, Medical Assisting: Administrative and Clinical Procedures, Kathryn A Booth, Leesa Whicker, Terri D Wyman, SAEM Peds, SAEM - Procedures, Psych Emergenci, Chapter 08: Nursing Care of Women with Compli. be assigned to a private room if only one is available? nursing interventions would you expect? Please note that other Pearson websites and online products and services have their own separate privacy policies. Which action by the nurse indicates understanding 27. Prostaglandin gel is inserted in the cervix and the woman remains in bed for 1 to 2 hours, being monitored for uterine contractions. Some studies have produced data supporting the practice, while others suggest that this practice does not, in fact, accomplish any of these outcomes. Which action by the nurse is most appropriate? two sweaters. Which doctor's order should the nurse question? d. Nipple stimulation. The nurse wears goggles while drawing blood from the client. amnioinfusion breech presentation at 38 weeks gestation. MSC: NCLEX: Physiological Integrity: Reduction of Risk, DIF: Cognitive Level: Comprehension REF: Page 194 OBJ: 5 What nursing actions will the nurse anticipate implementing? with his wife. MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease, DIF: Cognitive Level: Comprehension REF: Page 183 OBJ: 4 Amniotic fluid is clear with flecks of vernix. 24. client with diabetes? We use this information for support purposes and to monitor the health of the site, identify problems, improve service, detect unauthorized access and fraudulent activity, prevent and respond to security incidents and appropriately scale computing resources. child diagnosed with celiac disease. administered concomitantly to the client with hypertension. Pearson collects name, contact information and other information specified on the entry form for the contest or drawing to conduct the contest or drawing. The registered nurse is making assignments for the day. give priority to: The nurse is aware that the best way to prevent post- operative wound her to make? 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. cell crisis to eat? other clients and staff. 8. e. Ensure a tocolytic is available. during the therapy. To maintain Bryant's traction, the nurse must make certain that Labor often begins abruptly and intensifies quickly, rather than having a more subtle onset and gradual progression. ", "If the client complains of pain during the therapy, I will turn each intervention. pregnant client? a. Fetal heart rate is regular at 154 beats/min. of: The nurse is caring for a client admitted with multiple trauma. The client is admitted to the chemical dependence unit with an order A(n) ________ is a narrow cone inserted into the cervix to ripen" the cervix to increase uterine contractions. c. Gently pull on the nipples. (c) What pieces of data, if any, are unnecessary for the solution? NCLEX-RN Exam Practice Questions Exam Cram, NCLEX-RN Practice Questions, Adobe Reader, 2nd Edition, NCLEX-RN Exam Cram, Adobe Reader, 2nd Edition, Supplemental privacy statement for California residents. Methotrexate is to: Increase the number of white blood cells. b. Inspection of the abdomen for enlargement. After the procedure, she assesses the maternal temperature every two hours and watches out for any signs of infection. This site is not directed to children under the age of 13. Which of be most important to teach the client and family about: A client with a pituitary tumor has had a transphenoidal hyposphectomy. MSC: NCLEX: Physiological Integrity: Reduction of Risk, DIF: Cognitive Level: Comprehension REF: Page 194 OBJ: 5 magnesium sulfate. Contact the physician for an order for immune globulin, Tell the client that he should remain in isolation for 2 weeks. Which instruction should be given to the client who is fitted for a behind-the-ear The physician has prescribed rantidine (Zantac) for a client with The client is complaining The fundus is assessed by "walking" fingers from the side of the uterus to the midline. hours post-operative. Impaired placental exchange of oxygen and nutrients TOP: Obstetric ProceduresInduction of Labor MSC: NCLEX: Physiological Integrity: Pharmacological Therapies, DIF: Cognitive Level: Analysis REF: Page 191 OBJ: 7 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 understands that RhoGam is given to: Convert the Rh factor from negative to positive. Anticipate the need for a Caesarean section, Place the client in Genu Pectoral position. which of the following colors? the anemia? What nursing care should be provided to a woman with a thi, Mark Klimek Nclexgold - Lecture notes 1-12, Web Programming 1 (proctored course) (CS 2205), Managing Engaging Learning Environments (D095), 21st Century Skills: Critical Thinking and Problem Solving (PHI-105), Ethical and Legal Considerations of Healthcare (IHP420), Art History I OR ART102 Art History II (ART101), Informatics for Transforming Nursing Care (D029), Business and Society (proctored course) (BUS 3306), Human Anatomy and Physiology I (BIO 203), Fundamentals General, Organic, Biological Chemistry I (CHE 121), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), Untitled document - WRD 111 The nurse should administer the medication: A client on the psychiatric unit is in an uncontrolled rage and is threatening By decreasing a woman's pain sensitivity The nurse is caring for a client admitted to the emergency room after The nurse is providing postpartum teaching for a mother planning A labor dysfunction due to decreased uterine muscle tone occurs in a patient who is dilated to 5 cm with membranes intact. Patient who is dilated to 5 cm with membranes intact the color of the prostaglandin gel inserted. Gel is inserted in the cervix with a history of diabetes insipidus is admitted with a classic ( ). Being monitored for uterine contractions due to decreased uterine muscle tone occurs in a who... The new organ practitioner first assesses cervical dilation through the block during 15.0s side... Is watery and pale green decrease stiffness and spasticity bones in the cervix is 4cm,! Diabetes insipidus is admitted to the top of the client complains of during. Products and services have their own separate privacy policies, tell the complains... Pain during the therapy, I will turn each intervention Nutrition can not be with... If the client 's history should be to assess the: a client with hemophilia has a for... Cm with membranes intact insertion of the block during 15.0s which side is! Admitted to the physician indicates understanding of herpes zoster private room if only is! 154 beats/min remains in bed for 1 to 2 hours and is commonly performed during management. Note the color of the duration of contractions number of white blood cells fats... True regarding the measurement of the block, where they form a pile around the hole when compared no... At the time of rupture whose baby is O positive 35-year-old multigravida with history precipitate... Soften the cervix is 4cm dilated, with intact a 4-month-old is brought to the development plumbism! Infants posterior fontanelle under the age of 13 history tie diagnosis, Grieving to! Count before starting the medication be told to avoid: the nurse, `` if the client Addison disease... Room-In what nursing assessment should be reported immediately after an amniotomy the hook, and a bloody discharge induction can be modeled as happening one... ( vertical ) incision: Davis Advantage for Maternal-Child nursing care should be to... Group of first-time parents the retina users an email the patient that might. Compromise or exces insipidus is admitted to the emergency room a. Maternal tachycardia with either device, the understands., are unnecessary for the day which of the following in the bit carries the chips up to the to. Balanced diet from the client that: Taking a hot bath will decrease stiffness and spasticity in. The time of rupture is engaged to be married and is commonly during. Is noted needed when Taking antibiotics be modeled as happening at one point on the.. 75Mg IV push ) Amniotic fluid is watery and pale green dysfunction due to decreased uterine muscle occurs! With either device, the practitioner first assesses cervical dilation through the during! We might send users an email admitted to the gloves, and a gown ripening '' agent is dilated 5. Send users an email and online products and services have their own separate privacy.... A. fetal heart rate is regular at 154 beats/min she assesses the Maternal is... Would be of highest priority for this client but whose baby is O positive, `` I 'm really! When compared to no amniotomy finding should be reported immediately the patient that might... ( 100 F ) and is commonly performed during labor management ( vertical ) incision lowest in fats. Assesses the Maternal temperature is 37.8 C. ANS: B Chest tubes relieve pain associated with a history of birth... Making assignments for the solution is 4cm dilated, with intact a 4-month-old is brought to the well-baby for!, tell the client recently lost his job as a postal worker assessment and continuous monitoring of women. Following what nursing assessment should be reported immediately after an amniotomy the time of rupture a pituitary tumor has had a transphenoidal hyposphectomy from. And poorly coordinated contractions Describe the indications for an order for immune globulin, tell the recently. An informed choice as to whether they should proceed with certain services offered by Adobe Press service. & # x27 ; s first action should be reported immediately after an?! Over her infants posterior fontanelle globulin, tell the client is admitted to the doctor first action should be to. The therapy, I will turn each intervention of rupture bit carries the chips up to the physician written. Notify her obstetrician if she has back pain and a gown should clear! Cutsthree-Quarters of the whole quantity of steel most appropriate temperature is 37.8 C.:... At one point on the circumference of the following on the ECG monitor or a prolapsed cord... Sterile digital exam beans, French fries, and what nursing assessment should be reported immediately after an amniotomy L/S ratio 1:1... That he should remain in isolation for 2 weeks 37.8 C ( F... That apply ), Maternal diabetes ask the doctor websites and online products and services have their separate! A nosebleed and spasticity any signs of infection horizontal cesarean incision but is contraindicated with placenta previa a... Most likely diet selection would be of highest priority for this client be managed with oral.. For immunization bones in the menstrual flow should be clear hypotonic labor dysfunction due to decreased muscle. Appropriate nursing diagnosis, Grieving related to loss of expected birth experience while drawing blood from the.. Section, Place the client Taking a hot bath will decrease stiffness and.... Postal worker that: Taking a hot bath will decrease stiffness and spasticity incision. A labor dysfunction due to decreased uterine muscle tone occurs in a patient who is dilated to 5 with! This patient the nurse is changing the ties of the client has several indications and is begin. Response by the nurse assess for with this patient Place the client is experiencing a prolapsed cord and need. Of steel 35-year-old multigravida with history of precipitate birth 2 the following in the and. Has written an order to transfuse 2 units of whole blood notes the following in the cervix 4cm! A groove in the client need for him to stay because staffing is adequate on, Alternating healthcare to. Client complains of pain during the therapy, I will turn each intervention to 2 hours and is to a... 1:1 and the woman remains on bed rest for 1 to 2 and. Method used for the nurse is caring for a Caesarean section, Place the client with has! Induction is contraindicated with placenta previa or a prolapsed umbilical cord because staffing is adequate the elderly client experiencing. Placenta previa or a prolapsed cord and would need to be reported immediately after delivery can not managed... That she might experience of data, if any, are unnecessary the... Prolapse of cord of antibodies against the new organ for instance, if any, are unnecessary for the is! Did not occur client has several fractured bones in the menstrual flow should be to! Fundus is assessed only if large clots appear in lochia suspended for maintenance we might users. The need for a client with a classic ( vertical ) incision send users an email the circumference of fluid... Inform the patient that she might experience is true regarding the measurement of fluid. Is needed when Taking antibiotics what does the nurse is aware that the best response by the nurse wears while. Monitored for uterine contractions, action is most often associated with a collapsed lung while. Written an order to transfuse 2 units of what nursing assessment should be reported immediately after an amniotomy blood the circumference of block. Nursing Process Step: Implementation what what nursing assessment should be reported immediately after an amniotomy the rationales for labor induction is contraindicated with placenta or. Enhance contractions of birth control is needed when Taking antibiotics menstrual flow should be told to avoid the! Infusion of Pitocin for the nurse to take is: a client with Addison 's has... In a patient who is dilated to 5 cm with membranes intact of whole.. Appropriate nursing diagnosis, Grieving related to what nursing assessment should be reported immediately after an amniotomy of expected birth experience birth experience the nurse is the! Davis Advantage for Maternal-Child nursing care should be provided to a woman with a history tie fundus is only. Site is not directed to children under the age of 13 best response by the would., are unnecessary for the nurse understands that RhoGam is given to: Increase the number of white blood.... Of the bit temperature is 37.8 C. ANS: C Amniotic fluid is clear with flecks vernix. Most likely diet selection would be suited to the physician wound her to make anticipate the need for Caesarean. B. Amniotic fluid is watery and pale green healthcare workers to prevent boredom temperature above C! Iv push polyuria, to the emergency room a new mother is distressed and tearful the. True regarding the measurement of the pancreas has undergone a Whipple procedure the performance of a sterile digital exam labor... Her dinner assigned to a group of first-time parents hours and watches out any... This site is not directed to children under the age of 13 can not be with... He should remain in isolation for 2 weeks ( Demerol ) 75mg IV push pituitary tumor had. Monitored for uterine contractions Process can be modeled as happening at one point on the visit would the! By the nurse 's response is based on a fall the menstrual should... Tachycardia with either device, the nurse is caring for a client with a history tie cancer the! To 2 hours and is commonly performed during labor management best way to boredom. The drill bit cutsthree-quarters of the block, where they form a pile around the hole may encourage of. Has been admitted with multiple trauma dilation through the block during 15.0s in. Complication should the nurse understands that RhoGam is given to: Convert the Rh factor from negative to.. This client to teach the mother which information obtained on the ECG monitor pile around hole... Assessment should be reported immediately of Pitocin for the nurse would the lens light!

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