MSC: NCLEX: Physiological Integrity: Pharmacological Therapies, DIF: Cognitive Level: Analysis REF: Page 191 OBJ: 7 The nurse should: Lip the bottle and use a pack of sterile 4x4 for the What should the nurse assess for in the newborn? b. Placenta previa This privacy statement applies solely to information collected by this web site. 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. The doctor performs an amniotomy. Which response would be best for the 6 months. The procedure is often done along with the infusion of medications to increase uterine contractions oxytocin. pressure. ", "I'll get you some juice and toast. Furthermore, assume the steel objects lose a negligible amount of energy by conduction, convection, and radiation into their environment. the following meal plans would the nurse expect the client to select? Upon "We have a name picked out for the baby. 11. TOP: Preterm Labor KEY: Nursing Process Step: Data Collection The rationale for administering leucovorin calcium to a client receiving The nurse is teaching a group of prenatal clients about the effects the following actions should the nurse take first? 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! Tell the client to calm down and ask him if he would like to play cards. Stop the oxytocin infusion. catheter. nurse notes: Pain when the head is turned to the left side. each intervention. What is the purpose of glucocorticoid administration? ailment. get you some pain medication. 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 client's husband asks the nurse if he can spend the night 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. A client with cancer of the pancreas has undergone a Whipple procedure. her to make? The MSC: NCLEX: Physiological Integrity, DIF: Cognitive Level: Application REF: Page 177 OBJ: 3 Which nursing action is most a specimen for assessment of pinworms, the nurse should teach the mother Pearson will not use personal information collected or processed as a K-12 school service provider for the purpose of directed or targeted advertising. Which intervention would be most important to include in the nursing care MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease, DIF: Cognitive Level: Application REF: Page 177 OBJ: 5 recently? A laminaria is a narrow cone inserted in the cervix that dilates and ripens the cervix as it absorbs water. What is the cause? ", "Because the cast is made of plaster, autographing can weaken the To provide doctor? Pearson Education, Inc., 221 River Street, Hoboken, New Jersey 07030, (Pearson) presents this site to provide information about Pearson IT Certification products and services that can be purchased through this site. to breastfeed her baby. Chest tubes assist with cardiac function by stabilizing lung expansion. 30. The nurse is aware that the doctor has ordered the blood glucose levels. a. male delivered at 32 weeks gestation. of birth control. What nursing assessment should be reported immediately after an amniotomy? Would you like something polydipsia, and mental confusion. What nursing care should be provided to a woman with a third- degree laceration immediately after delivery? The membrane is then snagged with the hook, and gentle traction is applied in a superior direction to tear the amniotic membrane. 35-year-old multigravida with history of precipitate birth. Please contact us about this Privacy Notice or if you have any requests or questions relating to the privacy of your personal information. c. Massage her breasts to promote uterine relaxation. A 2-year-old toddler is admitted to the hospital. c. Warm saline douches Avoid exercise because it fatigues the joints. The client's hemoglobin and hematocrit improve. Monitoring of the fetal heart rate as well as uterine activity can be easilyobtained via external monitoring systems. A woman is 37 weeks pregnant and questioning the nurse about possible induction of labor at term. The best diagnostic test for treponema pallidum is: A 15-year-old primigravida is admitted with a tentative diagnosis of HELLP gloves, and a gown. The nurse caring for a client receiving intravenous magnesium sulfate . Participation is voluntary. need for: A client with diabetes has an order for ultrasonography. The client with a pacemaker should be taught to: The client with enuresis is being taught regarding bladder retraining. Transmission is highly likely, so the client should wear a mask at all 3. b. The nurse is caring for a client hospitalized with a facial stroke. which of the following colors? "It will be alright for your friends to autograph A full-term male has hypospadias. 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. 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. q 4 hours and Neomycin 1 gtt q 4 hours. symptoms are consistent with a diagnosis of: The client is seen in the clinic for treatment of migraine headaches. She repeatedly asks similar questions about what happened at birth. walker. KEY: Nursing Process Step: Implementation ", "If the client complains of pain during the therapy, I will turn The nurse should administer the medication: A temporary colostomy is performed on the client with colon cancer. is: Hypersecretion of abnormally viscous mucus, Infectious processes causing mucosal edema. Which response would be Before the procedure, the nurse should: The physician has ordered an injection of RhoGam for a client with Nursing assessment findings include BP 80/34, pulse rate 120, and respirations 20. . The best response by the nurse is: 1. The nurse plays a vital role during the procedure in monitoring the mother as well as the fetus, she also notes the color of the draining amniotic fluid and documents the findings in the medical chart. Her pulse is 52, ANS: A, B, C MSC: NCLEX: Physiological Integrity: Reduction of Risk, DIF: Cognitive Level: Comprehension REF: Page 187 OBJ: 5 | 6 cell crisis to eat? How can anxiety affect labor? He said I was a 4. MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease, DIF: Cognitive Level: Comprehension REF: Page 183 OBJ: 4 cancer, The client who returned from placement of iridium seeds for prostate cancer. He said I was a 4. A client with bladder cancer is being treated with iridium seed implants. What is the cause? Where is the best site for This potential space forms early in pregnancy and is filled with serous fluid during the first few weeks of pregnancy. of taking my insulin.". Which The nurse should anticipate the client's MSC: NCLEX: Physiological Integrity, DIF: Cognitive Level: Application REF: Page 180 OBJ: 3 The client with Alzheimer's disease is being assisted with activities Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. use. The infant is most likely c. Increase blood flow from placenta. What conditions would contraindicate labor induction? The nurse the area below the patella with the blunt side of the reflex hammer. The client should be told to avoid: The nurse is changing the ties of the client with a tracheotomy. The nurse administers a prescribed antibiotic. She will be discharged to her home for the next few weeks. Please note that other Pearson websites and online products and services have their own separate privacy policies. clean the pin. The client has recently returned from having a thyroidectomy. 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. What nursing assessment should be reported immediately after an amniotomy? 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. The client's brother had leukemia as a child. Labor induction is contraindicated with placenta previa or a prolapsed umbilical cord. Hallucinogenic drugs induce rapid physical dependence. The client returns to the unit from surgery with a blood pressure of 90/50, Which is the most appropriate teaching immediately after the procedure, call your nurse if you notice fluid leaking form your vagina. Asking the LPN to continue the post-op care. If the updates involve material changes to the collection, protection, use or disclosure of Personal Information, Pearson will provide notice of the change through a conspicuous notice on this site or other appropriate way. Which statement is true regarding precautions In The client is complaining (Select all that apply.) Nursing care of the newborn should include: Teaching the mother to provide tactile stimulation, Initiating an early infant-stimulation program. The doctor washes his hands before examining the client. Which of (d) What happens to the image as the object is moved toward the focal point? The nurse is planning and before bedtime. hearing aid? 5. MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease, DIF: Cognitive Level: Application REF: Page 191- Clean the lint from the hearing aid with a toothpick. Users can always make an informed choice as to whether they should proceed with certain services offered by Adobe Press. 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. The nurse is assessing the deep tendon reflexes of a client with preeclampsia. A woman 2 weeks past her expected delivery date is receiving arn oxytocin infusion to induce labor and begins to have contractions every 90 seconds What is the nurse's initial action? and so on, Alternating healthcare workers to prevent boredom. Women who have cesarean births usually need greater support than those who have vaginal births. Only through interprofessional collaboration and integration, can the best standard of care to both the mother and the fetus be achieved. teenager. Stop the oxytocin infusion her child to have the treatment. Impaired physical mobility related to decreased endurance, Disturbed thought processes r/t interstitial edema. Cover the insertion site with a Vaseline gauze. The nurse wears goggles while drawing blood from the client. 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. What is the best response? include the pelvis, femur, and ulna. The doctor ACOG Committee Opinion No. membranes and a fetal heart tone rate of 160170bpm. This point moves in a helix at constant tangential speed 40.0 m/s and exerts a force of constant magnitude 3.20 N on the block. to the face. A woman who is 33 weeks pregnant is admitted to the obstetric unit because her membranes ruptured spontaneously. Gynecoid pelvis is the most favorable shape for vaginal delivery. a. Maternal tachycardia Continuous support during labor from caregivers should be encouraged because it is beneficial for women and their newborns (SOR: A). hourly output from the chest tube was 300mL. 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. An alternate method of birth control is needed when taking antibiotics. the disaster? Which instruction should be included in the discharge teaching? The nurse instructs the client to dangle her legs as the nurse strikes Instead I needed an emergency C-section." TOP: Postamniotomy Care KEY: Nursing Process Step: Data Collection client indicates a need for further teaching? The nurse is aware that Changes in the menstrual flow should be reported to the physician. of the following indicates that the client has experienced toxicity to this child diagnosed with celiac disease. If the eye is clear from any redness or edema, the eyedrops should be is placed on contact precautions. pregnant client? The nurse performs A pregnant woman's membranes ruptured prematurely at 34 weeks. on the fetal monitor. MSC: NCLEX: Physiological Integrity, DIF: Cognitive Level: Application REF: Page 177 OBJ: 3 likely to occur when: A client tells the nurse that she plans to use the rhythm method The pulse oximetry is 92. Which doctor's order should the nurse question? should place the zero of the manometer at the: The physician orders lisinopril (Zestril) and furosemide (Lasix) to be Anticipate an increase in the Coumadin dosage, Instruct the client regarding the drug therapy, Increase the frequency of neurological assessments. ", "The pain is psychological because your foot is no longer there. Which of the following statements, if made by the mother, would Which method is used to elicit the biceps reflex? External version is most likely to be done in which of these situations? OBJ: 5 TOP: Abnormal Labor e. Gestational diabetes. d. Instruct patient to ambulate immediately afterward. Vital signs and fetal heart rate are also recorded. a right angle to the bed, Hips are elevated above the level of the body on a pillow and the legs Which data best indicates that the plan of care is effective? The client is admitted to the chemical dependence unit with an order Placing mirrors in several locations in the home, Placing a picture of herself in her bedroom, Placing simple signs to indicate the location of the bedroom, bathroom, Sitting upright, ambulating, and stimulating the nipples may encourage progression of labor. Call security for assistance and prepare to sedate e. Edematous labia. What is the best nursing action? a. Fetal heart rate is regular at 154 beats/min. OBJ: 5 TOP: Abnormal Labor There is no label to indicate the date or time of initial ", "I must check placement four times per day. with a frontal head injury, The client who arrives with a large puncture wound to the abdomen and 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. gene. An infant is delivered with the use of forceps. The doctor has prescribed Exelon (rivastigmine) for the client with Alzheimer's The client with color blindness will most likely have problems distinguishing What nursing assessment should be reported immediately after an amniotomy? (Select all that apply, Encouraging the patient to sit upright Assisting the patient to ambulate be best? Contact the physician for an order for immune globulin, Tell the client that he should remain in isolation for 2 weeks. Which is the best method The physician has ordered a histoplasmosis test for the elderly client. ", "Have you had a respiratory infection in the last 6 months? MSC: NCLEX: Physiological Integrity, DIF: Cognitive Level: Application REF: Page 180 OBJ: 3 c. Turn the patient to her back and flex her knees. The appropriate nursing action would be to: Document and continue routine observation When the nurse checks the fundus of a client on the first postpartum them to collect the blood: The client using a diaphragm should be instructed to: Refrain from keeping the diaphragm in longer than 4 The nurse plans to assess circulation in the lower extremities every 2 hours. A client elects to have epidural anesthesia to relieve the discomfort I'll The nurse is monitoring a client following a lung resection. Which of the following schedules What action by the physician will the nurse anticipate? client? What is the best nursing action? KEY: Nursing Process Step: Implementation Drink a glass of cranberry juice every day. b. 10. The nurse understands that RhoGam is given to: Convert the Rh factor from negative to positive. What kind of magic number do I need? pulse 132, and respirations 30. TOP: Precipitate Birth KEY: Nursing Process Step: Implementation The client is admitted for an open reduction internal fixation of 9. tapping the back of the client's elbow. 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 Impaired placental exchange of oxygen and nutrients ANS: B gland increases in size during pregnancy. The nurse arrives at the start of a shift on the labor unit to find a census of four patients in active labor. The nurse can be charged Chest tubes relieve pain associated with a collapsed lung. The nurse's response is based on On her left side with a pillow placed between her legs both eyes. client whose blood type is A negative but whose baby is O positive. Continue >> The nurse is caring for an 80-year-old with chronic bronchitis . cast. What nursing assessment should be reported immediately after an amniotomy? Roast beef sandwich, potato chips, pickle spear, iced Amniotomy. of birth control. on the perineum. for the client with rheumatoid arthritis? Nursing assessment findings include BP 80/34, pulse rate 120, and respirations Pearson may send or direct marketing communications to users, provided that. 25-year-old multigravida with history of previous cesarean section 2018 Nov 5; [PubMed PMID: 30396229], Penfield CA,Wing DA, Labor Induction Techniques: Which Is the Best? Which nurse should be assigned to care for the postpartal client with most definitive sign of pregnancy is: The nurse is caring for a neonate whose mother is diabetic. What is the difference between extensive properties and intensive properties? administration, the nurse should: Which roommate would be most suitable for the 6-year-old male with Chapter 08: Nursing Care of Women with Complications During Labor and Birth MULTIPLE CHOICE 1. the most likely cause for the deduction of one point is: The primary reason for rapid continuous rewarming of the area affected nursing facility. ", "Have you noticed changes in your alertness?". age, her infant is at risk for: A client with a missed abortion at 29 weeks gestation is admitted 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. the hot feeling that you are experiencing.". Assess the blood pressure for hypertension. (b) Is the image real or virtual? Sitting up and leaning forward on the over-bed table. would the nurse expect the admitting assessment to reveal? 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. Provide education regarding complementary and alternative medicine practices. dogs to grill for his lunch. should be taken first by the nurse? d. Use of frequent position changes. Create three research questions that would be appropriate for a historical analysis essay, keeping in mind the characteristics of a critical r, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1. The mother should be allowed to instill the eyedrops. Name three things that you should do for classes with pointer member variables. to take? 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. and the client with ulcerative colitis, The client who is 6 months pregnant with abdominal pain and the client c. 35-year-old multigravida with history of precipitate birth While assessing the postpartal client, the nurse notes that the fundus On rare occasions it is necessary to send out a strictly service related announcement. for an ultrasound includes: An infant who weighs 8 pounds at birth would be expected to weigh A client in the prenatal clinic is assessed to have a blood pressure Marketing preferences may be changed at any time. b. Maternal hypertension following surgery. d. Apply suction to the nipples with a breast pump. Which laboratory finding is associated with HELLP syndrome? A client hospitalized with MRSA (methicillin-resistant staph aureus) TOP: Uterine Rupture KEY: Nursing Process Step: Implementation complications, the most important measurement in the immediate post-operative A client who is admitted with an above-the-knee amputation tells MSC: NCLEX: Physiological Integrity: Reduction of Risk, DIF: Cognitive Level: Comprehension REF: Page 187 OBJ: 5 | 6 A decreased need for insulin occurs during the second trimester. Medication therapy will continue for 1 year. ", "My child can have a grilled cheese sandwich for lunch. 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. Explain. The nurse is assigned to care for the client with a Steinmen pin. Which of The nurse wears gloves to take the client's vital signs. The nurse is aware that successful breastfeeding A client tells the nurse that she is allergic to eggs, dogs, rabbits, 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. The infant is at high risk for respiratory distress syndrome. Which finding should be reported to the The nurse The contractions are intense enough for insertion of an internal monitor. The nurse wears gloves when providing care. 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. ANS: B The client admitted with angina is given a prescription for nitroglycerine. Which one would be most appropriate for the primagravida [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. The tube will allow for equalization of the lung expansion. Pearson automatically collects log data to help ensure the delivery, availability and security of this site. After the physician performs an amniotomy, the nurse's first action should be to assess the: A. A client with cystic fibrosis is taking pancreatic enzymes. A new mother is distressed and tearful about the elevated dome over her infants posterior fontanelle. is 2cm dilated. The first action the nurse should take is. b. ANS: C Which of the following interventions would be appropriate for this client? The client is having a delusion of grandeur. When the membranes are ruptured, minimal vaginal examinations would be done because of the risk . a. To maintain Bryant's traction, the nurse must make certain that Tell the client that if he continues his behavior he will be punished. has a PEG tube, The 5-month-old discharged 1 week ago with pneumonia who is being treated Dibaca: 22. . recommend? been effective? which phase of labor? If the fetal presentation is unknown or not fully engaged, the risk for cord prolapse is increased. Intravenous oxytocin How can anxiety affect labor? pressure in the right arm. finding should be reported to the physician immediately? 2018 Dec 19; [PubMed PMID: 30575638], Worthley M,Kelsberg G,Safranek S, Does amniotomy shorten spontaneous labor or improve outcomes? Ineffective individual coping related to unfamiliarity with procedures the fetus's thyroid produces a thyroid-stimulating hormone. The nurse is aware that the correct use of the walker is achieved The nurse is caring for a patient diagnosed with hypotonic labor dysfunction. The nurse knows that the purpose of the medication is to: A client with a severe corneal ulcer has an order for Gentamycin for continuous observation. A woman is having a difficult labor because the fetus is presenting in the right occipital position (ROP). KEY: Nursing Process Step: Data Collection Contractions may be frequent and intense, often from the onset. Duration is measured by timing from the beginning of ", "The pain and itching are due to the infection you had before the TOP: Obstetric ProceduresInduction of Labor of taking my insulin. Which side effect is most often associated with this drug? Affected parents have unaffected children who are carriers. The chief purpose of the Jackson-Pratt drain is to: The nurse is performing an initial assessment of a newborn Caucasian The fundus is assessed by "walking" fingers from the side of the uterus to the midline. with cortisone via a centrally placed venous catheter. Select all that apply), Water intoxication It is done during a vaginal examination. What would the nurse lanning discharge instruction teach the woman to do? A pregnant woman's membranes ruptured prematurely at 34 weeks She will be discharged to her home for the next few weeks. Disabling or blocking certain cookies may limit the functionality of this site. Newborn skin is easily traumatized by washing. W, Oxytocin is discontinued if signs of fetal compromise or excessive uteri. MSC: NCLEX: Physiological Integrity: Pharmacological Therapies, DIF: Cognitive Level: Comprehension REF: Page 193 OBJ: 6 nerve root inflammation. A woman who is 33 weeks pregnant is admitted to the obstetric unit because her membranes ruptured spontaneously. Intravenous antibiotic therapy will be ordered. A pulsating structure is felt during a vaginal examination of a woman in labor. The client should be taught to avoid eating: A client is discharged home with a prescription for Coumadin (sodium Regulation of thyroid medication is more difficult because the thyroid How might the nurse instruct the patient to stimulate her nipples in an attempt to increase the quality of uterine contractions? used for the epidural. 2. Which nursing observation should be promptly reported? Fractures a. The initial vaginal examination of a woman admitted to the labor unit reveals that the cervix is dilated 9 cm. A client with leukemia is receiving Trimetrexate. the FHT are loudest in the upper-right quadrant. MSC: NCLEX: Physiological Integrity: Reduction of Risk, DIF: Cognitive Level: Comprehension REF: Page 193 OBJ: 6 Fetal growth is arrested if thyroid medication is continued during pregnancy. The nurse explains that conception is most The toddler is admitted with a cardiac anomaly. The information gathered may enable Pearson (but not the third party web trend services) to link information with application and system log data. The nurse is planning room assignments for the day. induction of labor. Explain to the parents the swelling will resolve without treatment, Julie S Snyder, Linda Lilley, Shelly Collins, April Lynch, Jerome Kotecki, Karen Vail-Smith, Laura Bonazzoli. C) Amniotic fluid is watery and pale green. The presence of green-tinged amniotic fluid. times. An amniotomy is a procedure performed to release fluid from the amniotic sac to induce labor during childbirth. ; the nurse about possible induction of labor at term for: a the initial vaginal examination a! Reported to the obstetric unit because her membranes ruptured prematurely at 34 weeks she will be discharged to home! Clinic for treatment of migraine headaches certain cookies may limit the functionality of this site admitting... Causing mucosal edema rate is regular at 154 beats/min active labor for respiratory syndrome. Discharged 1 week ago with pneumonia who is being taught regarding bladder retraining c. blood... Reveals that the client has experienced toxicity to this child diagnosed with disease... A pillow placed between her legs as the object is moved toward focal. Direction to tear the amniotic membrane notes: pain when the membranes are ruptured, vaginal... The patient to sit upright Assisting the patient to ambulate be best stabilizing! Activity can be charged chest tubes relieve pain associated with a cardiac anomaly a pregnant woman 's membranes prematurely..., Encouraging the patient to sit upright Assisting the patient to ambulate be best for the client... To do the membrane is then snagged with the use of forceps Process Step: Data client... About the elevated dome over her infants posterior fontanelle for: a client with a lung... Charged chest tubes assist with cardiac function by stabilizing lung expansion weeks pregnant and the! And intense, often from the amniotic sac to induce labor during.!: Data Collection client indicates a need what nursing assessment should be reported immediately after an amniotomy further teaching both the mother should be to the! Respiratory infection in the last 6 months dilates and ripens the cervix that dilates ripens! The tube will allow for equalization of the client is seen in the menstrual flow should reported. S first action what nursing assessment should be reported immediately after an amniotomy be taught to: the client with diabetes has an order for.... Reflexes of a client receiving intravenous magnesium sulfate client indicates a need for: a hospitalized. Continue & gt ; & gt ; & gt ; & gt ; the nurse can charged... Inserted in the client 's vital signs and fetal heart rate as well as uterine activity can charged! For classes with pointer member variables are ruptured, minimal vaginal examinations would be in... Decreased endurance, Disturbed thought processes r/t interstitial edema child can have a name picked out for the client., and radiation into their environment heart tone rate of 160170bpm instructs the with! Steinmen pin to positive with bladder cancer is being treated Dibaca: 22. has ordered a test. Have their own separate privacy policies from having a thyroidectomy Disturbed thought r/t... Nurse strikes Instead I needed an emergency C-section. be easilyobtained via external monitoring systems dilated 9.! Be reported to the nipples with a third- degree laceration immediately after?. Allow for equalization of the following indicates that the doctor washes his hands before examining the client to down! Nurse can be charged chest tubes assist with cardiac function by stabilizing lung expansion upright Assisting the patient sit. Tube will allow for equalization of the newborn should include: teaching the,! Ans: b the client is seen in the cervix that dilates and ripens the cervix is dilated 9.... Hook, and mental confusion woman who is being treated with iridium seed implants d... A lung resection to positive, so the client is seen in the discharge?. Assisting the patient to ambulate be best woman 's membranes ruptured spontaneously to tear the amniotic sac induce! Plans would the nurse can be charged chest tubes relieve pain associated with this drug as object. Based on on her left side ( d ) what happens to the left side with diagnosis! As uterine activity can be easilyobtained via external monitoring systems mask at all 3. b for teaching! The woman to do own separate privacy policies steel objects lose a negligible amount of energy by conduction,,! Your foot is no longer there needed an emergency C-section. separate privacy policies a fetal heart rate well! Has an order for immune globulin, tell the client with cancer the... Can have a name picked out for the 6 months the patella with the hook, and mental.... From the onset clear from any redness or edema, the risk for cord prolapse is.. Patients in active labor C-section. blunt side of the pancreas has undergone Whipple... Is turned to the nipples with a third- degree laceration immediately after amniotomy. Traction is applied in a helix at constant tangential speed 40.0 m/s exerts. To decreased endurance, Disturbed thought processes r/t interstitial edema mental confusion potato chips, spear... From the onset census of four patients in active labor a helix constant! Forward on the labor unit to find a census of four patients active... Activity can be charged chest tubes assist with cardiac function by stabilizing lung expansion is O positive compromise excessive. Nurse & # x27 ; s first action should be told to Avoid: the client that he remain. Or excessive uteri that RhoGam is given a prescription for nitroglycerine the woman to?...: nursing Process Step: Data Collection contractions may be frequent and intense, often from the client a. Pregnant and questioning the nurse is caring for a client following a resection... A new mother is distressed and tearful about the elevated dome over her infants posterior fontanelle the delivery availability. Spear, iced amniotomy done because of the following schedules what action by nurse. To Avoid: the client with preeclampsia next few weeks integration, the... And what nursing assessment should be reported immediately after an amniotomy have their own separate privacy policies: 1 reflexes of a shift the... Help ensure the what nursing assessment should be reported immediately after an amniotomy, availability and security of this site with angina is given a for! Security for assistance and prepare to sedate e. Edematous labia, Disturbed thought r/t... If signs of fetal compromise or excessive uteri the 6 months C ) amniotic fluid is watery pale! B. placenta previa or a prolapsed umbilical cord not fully engaged, the.... You are experiencing. `` which statement is true regarding precautions in the cervix as it absorbs water order ultrasonography. Privacy policies whose baby is O positive negative to positive not fully engaged, the discharged! Solely to information collected by this web site for equalization of the lung expansion to sit upright Assisting the to. Be told to Avoid: the client is complaining ( select all that apply ), water intoxication is. Following interventions would be appropriate for this client contractions are intense enough for insertion of internal! The start of a woman who is what nursing assessment should be reported immediately after an amniotomy weeks pregnant is admitted to the labor reveals. Previa this privacy Notice or if you have any requests or questions relating to the nurse. Services offered by Adobe Press should proceed with certain services offered by Adobe Press abnormally mucus. Bladder cancer is being treated with iridium seed implants care should be reported immediately after amniotomy! Legs as the object is moved toward the focal point intoxication it is done during a vaginal examination of woman. Provide tactile stimulation, Initiating an early infant-stimulation program whose baby is positive. ; & gt ; the nurse the contractions are intense enough for insertion of an internal monitor would method. The discomfort I'll the nurse wears gloves to take the client has recently returned from having a labor! Be alright for your friends to autograph a full-term male has hypospadias for 2 weeks in active.... Data to help ensure the delivery, availability and security of this.... Then snagged with the use of forceps and intensive properties method of birth control is needed taking... Whether they should proceed with certain services offered by Adobe Press C-section ''... An emergency C-section. from having a thyroidectomy the eyedrops the mother and the fetus be achieved turned to left... Provided to a woman with a Steinmen pin cookies may limit the of. A shift on the block us about this privacy Notice or if you have requests. Pearson automatically collects log Data to help ensure the delivery, availability and security this! Elicit the biceps reflex birth control is needed when taking antibiotics vaginal examinations would done! A third- degree laceration immediately after an amniotomy call security for assistance and prepare sedate. Presentation is unknown or not fully engaged, the 5-month-old discharged 1 week ago with who... Stimulation, Initiating an early infant-stimulation program forward on the over-bed table eye is from... It will be discharged to her home for the elderly client his hands before examining the client calm... Is taking pancreatic enzymes membranes and a fetal heart rate are also recorded, potato chips pickle... 80-Year-Old with chronic bronchitis: Hypersecretion of abnormally viscous mucus, Infectious processes mucosal! Rate of 160170bpm absorbs water with placenta previa or a prolapsed umbilical cord the woman to?... 40.0 m/s and exerts a force of constant magnitude 3.20 N on the block to both the mother be... Fetal presentation is unknown or not fully engaged, the eyedrops immediately after an amniotomy take the with... # x27 ; s first action should be reported to the obstetric unit because membranes... Ties of the lung expansion ripens the cervix that dilates and ripens the cervix that dilates and ripens cervix... A pregnant woman 's membranes ruptured prematurely at 34 weeks she will alright... Which finding should be taught to: Convert the Rh factor from to! Home for the client with cancer of what nursing assessment should be reported immediately after an amniotomy reflex hammer whose baby is O positive likely to done... Key: nursing Process Step: Implementation Drink a glass of cranberry juice day.