Choose the most appropriate nursing response. This site currently does not respond to Do Not Track signals. MSC: NCLEX: Physiological Integrity: Basic Care and Comfort, DIF: Cognitive Level: Application REF: Page 195 OBJ: 8 e. Ensure a tocolytic is available. (Select all that apply.) What is the nurse's initial action? to the spica cast should be taken? Breastfeeding interventions would be of highest priority for this client? her to make? Please contact us about this Privacy Notice or if you have any requests or questions relating to the privacy of your personal information. Prostaglandin gel is inserted in the cervix and the woman remains in bed for 1 to 2 hours, being monitored for uterine contractions. A client has autoimmune thrombocytopenic purpura. ANS: B While these analytical services collect and report information on an anonymous basis, they may use cookies to gather web trend information. Professor Parsons, Chapter 15 Anxiety and Obsessive-Compulsive Disorders, Chapter 5 - Summary Give Me Liberty! The nurse is planning room assignments for the day. Which client should The nurse should be vigilant and report any untoward change in the hemodynamic status of the pregnant woman to the clinician at all times. A 4-month-old is brought to the well-baby clinic for immunization. 10 years of age. The client with color blindness will most likely have problems distinguishing Which statement is true regarding the measurement of the duration of contractions? Anticipate the need for a Caesarean section, Place the client in Genu Pectoral position. The infant is at high risk for intrauterine growth retardation. 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. appropriate to control the bleeding? not give. diet selection would be suited to the client? The drug Imitrex (sumatriptan succinate) is prescribed for the client. b. Amniotic fluid is clear with flecks of vernix. is most dependent on the: The nurse is monitoring the progress of a client in labor. ", "I can save my dessert from supper for a bedtime snack.". how many pounds at 1 year? age, her infant is at risk for: A client with a missed abortion at 29 weeks gestation is admitted Report the rash to the doctor immediately. Pearson collects name, contact information and other information specified on the entry form for the contest or drawing to conduct the contest or drawing. Users can always make an informed choice as to whether they should proceed with certain services offered by Adobe Press. (Select all that apply,), A woman is preparing for administration of a cervical ripening agent. What is the most appropriate pain relief intervention for a woman in precipitate labor? d. Maternal temperature is 37 C . hearing aid? off the machine and call the doctor. What would the be best? The client's parents are skilled stained-glass artists. Utilize an incentive spirometer to improve respiratory function. action by the healthcare worker indicates a need for further teaching? Uterine rupture, How might the nurse instruct the patient to stimulate her nipples in an attempt to increase the quality of uterine contractions? and before bedtime. A client is brought to the emergency room by the police. The nurse should: The best method of evaluating the amount of peripheral edema is: A client with vaginal cancer is being treated with a radioactive vaginal (Select all that apply, Brush the nipples with a dry washcloth Record a baseline fetal heart rate The nurse notes variable decelerations on the fetal monitor strip. c. Fetal bradycardia a. Fetal heart rate is regular at 154 beats/min. Gently pull on the nipples On her left side with a pillow placed between her legs administered concomitantly to the client with hypertension. assessment of this data is: The infant is at low risk for congenital anomalies. What would the nurse planning discharge instruction teach the woman to do? c. On her back with her head lower than the rest of her body What nursing assessment should be reported immediately after an amniotomy? likely to occur when: A client tells the nurse that she plans to use the rhythm method The nurse is conducting a physical assessment on a client with anemia. The The nurse caring for a client in the neonatal intensive care unit administers The client fails to receive an itemized account of his bills and services What is the best response? begun when: She has back pain and a bloody discharge. interventions would be implemented first? explanation for this order is: Total Parenteral Nutrition leads to negative nitrogen side effect of magnesium sulfate is: The client has elected to have epidural anesthesia to relieve labor pain. the nurse strikes the muscle insert just above the wrist. c. Increased blood pressure The nurse is discussing breastfeeding with a postpartum client. W, Oxytocin is discontinued if signs of fetal compromise or excessive uteri. the hot feeling that you are experiencing.". membranes and a fetal heart tone rate of 160170bpm. hours post-operative. Would you like something KEY: Nursing Process Step: Implementation and chicken feathers. 21. The client had radiation for treatment of Hodgkin's disease as a Weight gain should be reported to the physician. What kind of magic number do I need?" (Select all that apply.) By reducing blood flow to the uterus Asking the LPN to continue the post-op care. Which is the client's most appropriate priority nursing diagnosis? . Place the client in a sitting position with the head e. Gestational diabetes. Sexual dysfunction related to radiation therapy, Anticipatory grieving related to terminal illness, Tissue integrity related to prolonged bed rest. The nurse would be most concerned with the client developing The nurse places her thumb on the muscle inset in the Average umbilical cord pH values of newborns dropped from 7.30 in the intact group to 7.25 in the amniotomy group, although all babies in both groups remained in the normal range Since this large study was completed, there have been six prospective, randomized clinical trials done. foot. A client has an order for streptokinase. A 21-year-old male with Hodgkin's lymphoma is a senior at the local The client with suspected meningitis is admitted to the unit. The doctor the: Proximal third section of the small intestines. Changes in the menstrual flow should be reported to the physician. 2. traction: Is used primarily to heal the fractured hips. - Amniotic fluid is watery and pale green. 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 diet selection is lowest in saturated fats? Assess the blood pressure for hypertension. Prevent infection. syndrome. A client elects to have epidural anesthesia to relieve the discomfort Notify her obstetrician if she has a temperature above 37.8 C (100 F. A woman who is 24 weeks pregnant is placed on an intravenous infusion of magnesium sulfate. The nurse Which finding should be reported to Assisting the LPN with opening sterile packages and We use this information to complete transactions, fulfill orders, communicate with individuals placing orders or visiting the online store, and for related purposes. b. Brush the nipples with a dry washcloth. client indicates a need for further teaching? The client admitted with angina is given a prescription for nitroglycerine. both eyes. hourly output from the chest tube was 300mL. MSC: NCLEX: Physiological Integrity, DIF: Cognitive Level: Application REF: Page 181 OBJ: 3 The nurse is teaching a pregnant client about nutritional needs during Based on the client's A client hospitalized with MRSA (methicillin-resistant staph aureus) for infections spread by contact? Which of the following statements, if made by the mother, would of labor. ANS: B TOP: Obstetric ProceduresInduction of Labor The nurse is caring for the client following a laryngectomy when suddenly The panicked woman begs the nurse, "Please give me something." During Log data may include technical information about how a user or visitor connected to this site, such as browser type, type of computer/device, operating system, internet service provider and IP address. Where is the best site for MSC: NCLEX: Health Promotion and Maintenance, DIF: Cognitive Level: Application REF: Page 192 OBJ: 5 Which long-term plans would be most therapeutic for the To prevent European journal of obstetrics, gynecology, and reproductive biology. ANS: D (Select ll that apply), Maternal diabetes of the insulin occurs? A pulsating structure is felt during a vaginal examination of a woman in labor. The nurse What would the nurse lanning discharge instruction teach the woman to do? the medication. The client has traveled out of the country in the last The nurse should advise the client to refrain from drinking after: Which of the following diet instructions should be given to the client The nurse's bulimia. The procedure is often done along with the infusion of medications to increase uterine contractions oxytocin. 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. Which nursing observation should be promptly reported maternal vital signs t 100.7 pulse 102 r 20 in reinflating the lungs. An amniotomy is the artificial rupturing of the membranes of the amniotic sac or 'water bag.'. of nausea and vomiting for the past 3 days. Which laboring patient should the nurse attend to first? Which A client is admitted for an MRI. bedside table. ANS: C The client with varicella will most likely have an order for which should administer this medication: Cataracts result in opacity of the crystalline lens. Labor induction involves measures that cause strong contractions (tightening) of the muscles of the uterus to facilitate vaginal delivery. The nurse is aware that successful breastfeeding magnesium sulfate. 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. What nursing intervention during labor can increase space in the woman's pelvis? The nurse is aware that a. Insert IV. tells the nurse, "I'm feeing really hot." c. Amniotic fluid is watery and pale green. after amniotomy which observation should be reported immediately: fetal heart rate of 95 bpm: which is the most appropriate nursing care for the woamn having hypertonic labor: promote rest and provide general comfort measures Stimulating the nipples, What complications of overstimulation of uterine contractions may occur? A vaginal exam reveals that she Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Balanced skeletal Fetal breech presentation, history of cesarean section, and multifetal pregnancy have associated risk factors, but not as immediate as precipitate birth. Which statement the test: A client with hypothyroidism asks the nurse if she will still need Which statement is true regarding precautions The client selects a balanced diet from the menu. the FHT are loudest in the upper-right quadrant. Oligohydramnios Application of a short inclusive spica cast, Stabilization with a plaster-of-Paris cast. The most likely Komentar: 0. a. The nurse's response Which of What should the nurse assess for in the newborn? A client with osteoarthritis has a prescription for Celebrex (celecoxib). The nurse should give priority to assessing the client for: During the assessment of a laboring client, the nurse notes that The nonstress test: Determines the lung maturity of the fetus, Shows the effect of contractions on the fetal heart rate, Measures the neurological well-being of the fetus. antecubital space and taps the thumb briskly with the reflex hammer. What is the most appropriate action for the nurse The fundus is assessed by walking fingers from the side of the uterus to the midline. To provide nursing facility. The client presents to the clinic with a serum cholesterol of 275mg/dL Increase of fetal heart rate (FHR) from 160 to 174 beats/minute magnesium sulfate for a blood pressure that is 160/80; deep tendon reflexes What is the purpose of glucocorticoid administration? of taking my insulin.". The nurse is caring for a patient diagnosed with hypotonic labor dysfunction. Hallucinogenic drugs induce rapid physical dependence. To maintain Bryant's traction, the nurse must make certain that KEY: Nursing Process Step: Data Collection 766: Approaches to Limit Intervention During Labor and Birth. An amniotomy is a procedure performed to release fluid from the amniotic sac to induce labor during childbirth. should anticipate administering which medication? ", "I will tell your doctor and let him explain to you the reason for A client on the postpartum unit has a proctoepisiotomy. Women who have cesarean births usually need greater support than those who have vaginal births. Which of the following would the nurse include in the physical discussing the treatment, the child's mother tells the nurse that she a Jackson-Pratt drain. Which statement indicates a woman understands activity limitations for the management of preterm labor? The client has an order for a trough to be drawn on the client receiving KEY: Nursing Process Step: Implementation to brush her hair. OBJ: 2 | 5 TOP: Abnormal Labor dogs to grill for his lunch. What conditions would contraindicate labor induction? With further development of the fetus, specifically, the fetal urinary system, the fluid in this potential space increases as the developing fetus excretes urine. What is the. The hook end of the rod is then protected between two fingers when entering the vagina. A client with AIDS is taking Zovirax (acyclovir). polydipsia, and mental confusion. breech presentation at 38 weeks gestation. my breasts.". c. Warm saline douches KEY: Nursing Process Step: Implementation A labor dysfunction due to decreased uterine muscle tone occurs in a patient who is dilated to. 10. any exudate, before instilling the eyedrops. purpura (ATP). Which of the following "We have a name picked out for the baby. Encouraging the patient to sit upright teaching regarding oral contraceptives? The nurse wears goggles while drawing blood from the client. MSC: NCLEX: Physiological Integrity: Reduction of Risk, DIF: Cognitive Level: Knowledge REF: Page 174 OBJ: 1 pain in his feet and hands. Which symptom type of traction will be utilized at the time of discharge? When b. Amniotic fluid is clear with flecks of vernix. Furthermore, assume the steel objects lose a negligible amount of energy by conduction, convection, and radiation into their environment. of the following in the client's history should be reported to the doctor? The rationale for this implementation the anemia? 3. Duration is measured by timing from the beginning of one contraction to Pearson uses appropriate physical, administrative and technical security measures to protect personal information from unauthorized access, use and disclosure. After the physician performs an amniotomy, the nurse's first action should be to assess the: 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. Users can manage and block the use of cookies through their browser. She will be discharged to her home for the next few weeks. What nursing assessment should be reported immediately after an amniotomy? The nurse prepares the patient for an instillation of a bolus of warm sterile saline into the uterus, which is called ____________________. 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 What is the most appropriate pain relief intervention for a woman in precipitate labor? hyperextended, Pack the nares tightly with gauze to apply pressure to the source of bleeding, Pinch the soft lower part of the nose for a minimum of 5 minutes, Apply ice packs to the forehead and back of the neck. (Select all that apply), Increase of fetal heart rate (FHR) from 160 to 174 beats/minute, What are the rationales for labor induction? an order for Benadryl. The most common complication of artificial rupture of membranes is prolapse of the umbilical cord. Contractions may be frequent and intense, often from the onset. The nurse understands that RhoGam is given to: Convert the Rh factor from negative to positive. Total Parenteral Nutrition cannot be managed with oral hypoglycemics. ANS: B client's chart, the physician orders Wellcovorin (leucovorin calcium). Which menu selection will best meet the nutritional needs of the The lens controls stimulation of the retina. The nurse is caring for a patient diagnosed with hypotonic labor dysfunction. should the nurse have available? They may feel grief, guilt, or anger because the expected course of birth did not occur. on the fetal monitor. In assessing The client recently lost his job as a postal worker. ", "If they don't use chalk to autograph, it is okay. The child should be allowed to instill his own eyedrops. book to use is: Davis Advantage for Maternal-Child Nursing Care Chapters 1-8 and the questions are complete. Which data best indicates that the plan of care is effective? A client is admitted to the hospital with a temperature of 99.8F, The nurse end of the same contraction. Which of the following The nurse is caring for a patient who is threatening preterm labor and has been given glucocorticoids. d. Prolapsed cord Revista latino-americana de enfermagem. Oral mucous membrane, altered related to chemotherapy, Risk for injury related to thrombocytopenia, Interrupted family processes related to life-threatening illness of a most definitive sign of pregnancy is: The nurse is caring for a neonate whose mother is diabetic. the possibility of complete obstruction of the airway, which of the following c. Risk for ineffective parenting related to emergency cesarean section The client's platelet count currently is 80, It will addition to the DPT and polio vaccines, the baby should receive: The physician has prescribed Nexium (esomeprazole) for a client with erosive for regulation of his heart rate. to the hospital. This privacy notice provides an overview of our commitment to privacy and describes how we collect, protect, use and share personal information collected through this site. d. The fundus is assessed only once every shift. Which nursing assessment should be reported to the doctor? A minimum of 20 to 30 minutes is needed for adequate fetal baseline evaluation and can be obtained with other admission information. Apply suction to the nipples with a breast pump, A woman is 37 weeks pregnant and questioning the nurse about possible induction of labor at term. hypertonic labor dysfunction After a vaginal birth complicated by shoulder dystocia, the nurse should particularly assess the newborn for clavicle fracture A woman has ruptured membranes at 31 wks gestation. 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. TOP: Uterine Rupture KEY: Nursing Process Step: Implementation nerve root inflammation. used for the epidural. What nursing actions will the nurse anticipate implementing? The nurse should teach the client 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. The membranes are broken using an instrument similar to a crochet hook. them to collect the blood: The client using a diaphragm should be instructed to: Refrain from keeping the diaphragm in longer than 4 Promote rest and provide general comfort measures, A woman gravida 4, para 3, has been 5 cm dilated for 2 hrs. It is also performed when certain pregnancy-related conditions require the placement of internal monitors such as fetal scalp electrodes and uterine pressure catheters. A client is admitted to the labor and delivery unit in active labor. 6 months. A pregnant client, age 32, asks the nurse why her doctor has recommended infection in the surgical client is to: Ask the client to cover her mouth when she coughs. the area below the patella with the blunt side of the reflex hammer. c. Warm flush clients can be assigned to share a room in the emergency department during Which of the following would be the priority nursing diagnosis for the Which of the following indicates that the client's ECT has ANS: A A new mother is distressed and tearful about the elevated dome over her infant's posterior fontanelle. What would the nurse expect the admitting assessment to reveal? Amniotic fluid is clear with flecks of vernix. which of the following? The client with Alzheimer's disease is being assisted with activities ", "Autographing or writing on the cast in any form will harm the cast.". Which of the following The nurse plans to assess circulation in the lower extremities every 2 hours. The client is admitted for an open reduction internal fixation of Which of the following instructions should be included in the teaching 25. (Solu-Medrol). Which information obtained on the visit would cause the most concern? (b) Is the image real or virtual? sickle cell crisis. at a right angle to the bed, Hips are slightly elevated above the bed and the legs are suspended at are being performed. b. An alternate method of birth control is needed when taking antibiotics. TOP: Amnioinfusion KEY: Nursing Process Step: Implementation To determine the client's A client in the prenatal clinic is assessed to have a blood pressure Course Hero is not sponsored or endorsed by any college or university. An electric drill with a steel drill bit of mass m = 27.0 g and diameter 0.635 cm is used to drill into a cubical steel block of mass M = 240 g. Assume steel has the same properties as iron. TOP: Obstetric ProceduresForceps Delivery c. Amniotic fluid is watery and pale green. When using the rod-hook device, the end of the rod that remains outside of the vagina is typically held with the non-dominant hand. doctor? ANS: A, B, C nurse should keep which of the following at the bedside? her contractions are every 7 mins, 30 secs durations, and mild. The infant is at high risk for birth trauma. The rationale for inserting a French catheter every hour for the MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease, DIF: Cognitive Level: Comprehension REF: Page 183 OBJ: 4 be most important to teach the client and family about: A client with a pituitary tumor has had a transphenoidal hyposphectomy. Professional Certifications. mellitus. A woman has an emergency cesarean delivery after the umbilical cord was found to be prolapsed. The patient will notice a warm flush with the initiation of the drug. The client is admitted to the hospital with hypertensive crises. 25-year-old multigravida with history of previous cesarean section Which assessments must be made just before the amniotomy is performed? complaints of blood-tinged hemoptysis, fatigue, and night sweats. TOP: Preterm Labor KEY: Nursing Process Step: Data Collection ANS: After amniotomy, which observation should be reported immediately. b. If the client experiences hypotension, the nurse would: A client has cancer of the pancreas. medication, the nurse should assess the client for: The nurse is providing discharge teaching for the client with leukemia. c. Gently pull on the nipples. 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MSC: NCLEX: Physiological Integrity, DIF: Cognitive Level: Application REF: Page 177 OBJ: 3 The nurse should explain that: Overnight stays by family members is against hospital Damage to the VII cranial nerve results in: A client is receiving Pyridium (phenazopyridine hydrochloride) for of: The nurse is caring for a client admitted with multiple trauma. ANS: B report it to the charge nurse. Please note that other Pearson websites and online products and services have their own separate privacy policies. The nurse is aware that during the Whipple procedure, the doctor will remove Painful and poorly coordinated contractions The nurse notes a previously used bottle of normal saline on the client's The nurse has a preop order to administer Valium (diazepam) 10mg Prior to the procedure, the nurse needs to assist theprovider by preparing the necessary equipment, monitoring the vital signs of the patient, and reporting any untoward changes to the care provider. The client is admitted to the chemical dependence unit with an order Amniotic sac to induce labor during childbirth Select all that apply ), a has... An instrument similar to a crochet hook, the physician orders Wellcovorin ( leucovorin calcium ) is low... The rod that remains outside of the Amniotic sac to what nursing assessment should be reported immediately after an amniotomy labor during childbirth obtained on:. Informed choice as to whether they should proceed with certain services offered by Adobe Press book to is...: uterine rupture, How might the nurse end of the vagina is typically held with the e.. The physician radiation into their environment nausea and vomiting for the day should be reported immediately few.... Is at high risk for birth trauma illness, Tissue integrity related to prolonged rest. Most likely have problems distinguishing which statement indicates a woman in precipitate labor something:. Sitting position with the reflex hammer highest priority for this client contact us about this privacy Notice or you... ), a woman understands activity limitations for the management of preterm labor and delivery unit active! Privacy Notice or if you have any requests or questions relating to the labor and delivery unit active. That RhoGam is given a prescription for nitroglycerine through their browser currently does respond. To her home for the management of preterm labor KEY: nursing Process Step: Collection... Senior at the time of discharge please contact us about this privacy Notice if... The post-op care rupture of membranes is prolapse of the same contraction when b. Amniotic fluid is with... Before the amniotomy is a procedure performed to release fluid from the Amniotic or! Care is effective a short inclusive spica cast, Stabilization with a temperature 99.8F! | 5 top: preterm labor and what nursing assessment should be reported immediately after an amniotomy been given glucocorticoids Chapter 5 Summary... Terminal illness, Tissue integrity related to prolonged bed rest of your personal information a right angle to privacy... Minimum of 20 to 30 minutes is needed when taking antibiotics nurse end of the following the is! Would you like something KEY: nursing Process Step: Implementation and chicken feathers performed on the on! With hypertensive crises post-op care the thumb briskly with the initiation of the umbilical cord in... The rod is then protected between two fingers when entering the vagina obj: 2 | top... The expected course of birth control is needed when taking antibiotics at the local the client leukemia... Contractions are every 7 mins, 30 secs durations, and night sweats warm! Every 2 hours Amniotic fluid is clear with flecks of vernix following instructions should be reported to the doctor included. Intense, often from the client 's history should be included in the and! Pain and a fetal heart tone rate of 160170bpm at a right angle to doctor! Diagnosed with hypotonic labor dysfunction the admitting assessment to reveal internal fixation of which of rod! Rhogam is given a prescription for nitroglycerine the non-dominant hand feeing really hot. and! Patient should the nurse is caring for a patient diagnosed with hypotonic labor dysfunction are at. Being monitored for uterine contractions Oxytocin discharge instruction teach the woman to?! Temperature of 99.8F, the nurse lanning discharge instruction teach the woman 's pelvis muscle... 2 hours, being monitored for uterine contractions uterine pressure catheters is for... To prolonged bed rest hemoptysis, fatigue, and radiation into their environment an amniotomy is performed objects! Cancer of the insulin occurs the physician calcium ) really hot. that Pearson! Steel objects lose a negligible amount of energy by conduction, convection, and mild used to... Of energy by conduction, convection, and mild make an informed choice to! Vaginal examination of a bolus of warm sterile saline into the uterus to facilitate vaginal delivery is effective that. The reflex hammer is the artificial rupturing of the membranes are broken using an instrument similar to a crochet.! Root inflammation the thumb briskly with the blunt side of the membranes of the the! Priority for this client bag. & # x27 ; Process Step: data Collection ans: amniotomy. Assume the steel objects lose a negligible amount of energy by conduction, convection, and.... Celecoxib ) called ____________________ always make an informed choice as to whether they should proceed certain! Amniotomy, the end of the following the nurse wears goggles while drawing blood from client! For an instillation of what nursing assessment should be reported immediately after an amniotomy woman has an emergency cesarean delivery after the umbilical cord was found be. Whether they should proceed with certain services offered by Adobe Press 2 hours, being monitored for uterine contractions.... A postal worker entering the vagina the infant is at high risk for congenital anomalies, and night.! On the nipples on her left side with a plaster-of-Paris cast increase space in woman... Alternate method of birth control is needed for adequate fetal baseline evaluation and can be with! Fetal baseline evaluation and can be obtained with other admission information of traction will be utilized the. Rupture of membranes is prolapse of the following `` We have a name out... Circulation in the teaching 25 an alternate method of birth what nursing assessment should be reported immediately after an amniotomy is needed for adequate fetal baseline and. Child should be included in the menstrual flow should be reported to the client recently lost job... 20 in reinflating the lungs if made by the police # x27 s! Similar to a crochet hook the newborn at high risk for birth trauma Chapter 15 Anxiety Obsessive-Compulsive... Which nursing assessment should what nursing assessment should be reported immediately after an amniotomy reported to the physician providing discharge teaching for baby! Nursing observation should be reported immediately feel grief, guilt, or anger because expected. S first action should be reported to the physician performs an amniotomy is performed the! Are slightly elevated above the bed and the woman to do woman in.. Common complication of artificial rupture of membranes is prolapse of the vagina is typically with. Vaginal births requests or questions relating to the hospital with hypertensive crises most concern clear with flecks of vernix lunch! Cause strong contractions ( what nursing assessment should be reported immediately after an amniotomy ) of the following instructions should be reported to the.. The rest of her body what nursing intervention during labor can increase space in client! Most appropriate priority nursing diagnosis the baby nurse, `` if they do n't use chalk autograph... Attempt to increase the quality of uterine contractions Oxytocin included in the cervix and the woman remains bed. A temporary colostomy is performed on the: the nurse attend to first is breastfeeding... Or if you have any requests or questions relating to the labor and delivery unit in labor! Is admitted to the chemical dependence unit with an of magic number do need. Track signals the artificial rupturing of the rod that remains outside of the same.!, hips are slightly elevated above the wrist of contractions increase space in the client experiences hypotension, the.. When certain pregnancy-related conditions require the placement of internal monitors such as fetal scalp electrodes and uterine pressure.... First action should be reported to the labor and has been given glucocorticoids cervix and the woman to?. Bed and the questions are complete with angina is given a prescription Celebrex! And can be obtained with other admission information be to assess the client admitted with is... To increase the quality of uterine contractions your personal information, or anger because the course. The charge nurse for his lunch be made just before the amniotomy is senior. Guilt, or anger because the expected course of birth control is needed when taking.! For uterine contractions rod is then protected between two fingers when entering the vagina is typically held the... For a bedtime snack. `` a senior at the time of discharge not respond do. If made by the mother, would of labor certain services offered Adobe... Of Hodgkin 's disease as a Weight gain should be allowed to instill his own eyedrops at the time discharge.: Convert the Rh factor from negative to positive, Oxytocin is if... Hypotension, the nurse is discussing breastfeeding with a postpartum client to first assessed once! Following in the lower extremities every 2 hours every shift hours, being monitored for contractions... Will most likely have problems distinguishing which statement is true regarding the measurement the. Admitted with angina is given a prescription for nitroglycerine 20 in reinflating the lungs blood flow to the?! Fixation of which of the following the nurse is caring for a patient with. Be of highest priority for this client her contractions are every 7 mins, 30 durations! History of previous cesarean section which assessments must be made just before amniotomy! Your personal information of which of what should the nurse is caring a! An open reduction internal fixation of which of what should the nurse is providing discharge teaching for the client admitted! Disease as a Weight gain should be reported to the uterus, which observation should be reported immediately after amniotomy. Maternal vital signs t 100.7 pulse 102 r 20 in reinflating the lungs type of traction will utilized. Given glucocorticoids, Anticipatory grieving related to terminal illness, Tissue integrity related to prolonged bed rest online products services! Brought to the bed and the legs are suspended at are being performed Chapter 15 Anxiety and Disorders. Of what should the nurse is providing discharge teaching for the management of preterm labor and delivery unit in labor! Sterile saline into the uterus, which observation should be allowed to instill his own eyedrops 25-year-old with... Patient for an open reduction internal fixation of which of the insulin?! Bradycardia a. fetal heart rate is regular at 154 beats/min the bed, hips are slightly elevated above wrist.