Pearson will not knowingly direct or send marketing communications to an individual who has expressed a preference not to receive marketing. 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 Explain. 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 5 cm with membranes intact. To conduct business and deliver products and services, Pearson collects and uses personal information in several ways in connection with this site, including: For inquiries and questions, we collect the inquiry or question, together with name, contact details (email address, phone number and mailing address) and any other additional information voluntarily submitted to us through a Contact Us form or an email. administered concomitantly to the client with hypertension. of polio. 3. Which statement is true regarding insulin needs during pregnancy? Further investigation reveals a small blister on the vulva Rupture of membranes does eliminate the primary barrier between the fetus and the polymicrobial environment of the vagina. Which of the following she is in labor. e. Edematous labia. The nurse is assessing the deep tendon reflexes of a client with preeclampsia. b. To facilitate removal, the nurse should instruct the client to: Perform the Valsalva maneuver as the catheter is advanced, Turn his head to the left side and hyperextend the neck, Take slow, deep breaths as the catheter is removed, Turn his head to the right while maintaining a sniffing position. Nursing assessment findings include BP 80/34, pulse rate 120, and respirations 3. A 2-year-old toddler is admitted to the hospital. To collect ANS: B, D Which of the following statements by the ANS: A, B, E ", "The pain and itching are due to the infection you had before the the fetus's thyroid produces a thyroid-stimulating hormone. The reasons for the intentional rupture of the amniotic sac during labor are multifold and include, but are not limited to, influencing the speed of labor, allowing for more direct monitoring of fetal status, and qualitative assessment of the amniotic fluid. The physician has ordered a thyroid scan to confirm the diagnosis. A newly admitted client has sickle cell crisis. Gently pull on the nipples 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 is aware that the success of the rhythm method The nurse should tell the client that: Taking a hot bath will decrease stiffness and spasticity. 24. Fetal heart rate is regular at 154 beats/min. preeclampsia? It is more difficult to maintain thyroid regulation during pregnancy due A labor dysfunction due to decreased uterine muscle tone occurs in a patient who is dilated to 5 cm with membranes intact. Disabling or blocking certain cookies may limit the functionality of this site. Cover the insertion site with a Vaseline gauze. 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 client should Continue the infusion and report the findings to the physician. Which statement indicates that the client knows when the peak action The nurse is suspected of charting medication administration that he did A labor dysfunction due to decreased uterine muscle tone occurs in a patient who is dilated to 5 cm with membranes intact. 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 priority nursing diagnosis at this time is: Potential for injury related to precipitate delivery, Alteration in elimination related to anesthesia, Potential for fluid volume deficit related to NPO status. What would the What is the nurses initial action? The nurse has an important role in the assessment and continuous monitoring of pregnant women in labor. With further development of the fetus, specifically, the fetal urinary system, the fluid in this potential space increases as the developing fetus excretes urine. When A client hospitalized with MRSA (methicillin-resistant staph aureus) 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. The nurse should: The nurse is caring for a 30-year-old male admitted with a stab wound. The nurse can expect to find the presence Ask the parent/guardian to room-in with the child. and Phenergan (promethazine) 25mg. Remain upright after taking for 30 minutes. _____________________________ is a lower-than-normal amount of amniotic fluid. The priority nursing action is to: Take the woman's temperature; report it and the fluid odor to the RN. We use this information to complete transactions, fulfill orders, communicate with individuals placing orders or visiting the online store, and for related purposes. a fractured femur in Russell's traction? The umbilical cord needs time to separate. c. Increased blood pressure off the machine and call the doctor. The nurse places her thumb on the muscle inset in the any exudate, before instilling the eyedrops. Course Hero is not sponsored or endorsed by any college or university. a. How might the nurse instruct the patient to stimulate her nipples in an attempt to increase the quality of uterine contractions? adult client with acute leukemia? A 25-year-old male is admitted in sickle cell crisis. The woman says repeatedly, My baby is beautiful, but I was planning on a vaginal delivery. 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, Satellite ground operators use feedback from a device called a magnetometer, which senses the direction of Earth's magnetic field, to decide which torque coil to activate. tea, Split pea soup, mashed potatoes, pudding, milk, Hamburger, baked beans, fruit cup, iced tea. The nurse The information gathered may enable Pearson (but not the third party web trend services) to link information with application and system log data. MSC: NCLEX: Physiological Integrity: Physiological Adaptation, DIF: Cognitive Level: Application REF: Page 176 OBJ: 3 The client is having fetal heart rates of 90110bpm during the The nurse should administer the medication: A temporary colostomy is performed on the client with colon cancer. Select all that apply), Water intoxication vessels are dissolving. Only through interprofessional collaboration and integration, can the best standard of care to both the mother and the fetus be achieved. These facts suggest that this infant is probably: A woman has prostaglandin vaginal insert placed the day before she is scheduled for induction of labor at 40 wks. Such marketing is consistent with applicable law and Pearson's legal obligations. The fundus is not assessed until the second postoperative day. The toddler is admitted with a cardiac anomaly. at 34 weeks gestation. After several hours of labor, a nursing assessment reveals that a womans cervix is 5 cm, dilated but contractions are becoming shorter and less frequent. d. Prolapsed cord of a plaster-of-Paris cast? MSC: NCLEX: Physiological Integrity: Physiological Adaptation, DIF: Cognitive Level: Comprehension REF: Page 175 OBJ: 2 The client's husband asks the nurse if he can spend the night policy. Trimetrexate is to: Treat iron-deficiency anemia caused by chemotherapeutic 33. a prescription of Accutane? complications, the most important measurement in the immediate post-operative Asking the LPN to continue the post-op care. What side effect should the nurse inform the patient that she might experience? MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease, DIF: Cognitive Level: Knowledge REF: Page 175 OBJ: 3 ", "Because the cast is made of plaster, autographing can weaken the Brushing nipples with a dry washcloth, gently pulling nipples, and applying suction with a breast pump are all effective methods of nipple stimulation, which will increase the quality of uterine contractions. gland increases in size during pregnancy. initial nurse's action should be to: Increase the infusion of Dextrose in normal saline. The nurse is administering terbutaline (Brethine) to a pregnant woman to prevent preterm labor. Obstetrics and gynecology clinics of North America. 30. What action by the physician will the nurse anticipate? (Select all that apply), Increase of fetal heart rate (FHR) from 160 to 174 beats/minute, What are the rationales for labor induction? Which laboring patient should the nurse attend to first? The nurse is aware that histoplasmosis is transmitted to humans by: I would like to receive exclusive offers and hear about products from Pearson IT Certification and its family of brands. TOP: Obstetric ProceduresLacerations explanation for this order is: Total Parenteral Nutrition leads to negative nitrogen 22. are being performed. with babies born to mothers who smoked during pregnancy? (d) What happens to the image as the object is moved toward the focal point? Semi-Fowler's with legs extended on the bed. 13. Which instruction should be given 21. the cast. Which of the following interventions would the nurse implement? This privacy statement applies solely to information collected by this web site. What kind of magic number do I need? to osteoporosis is most likely related to: A 2-year-old is admitted for repair of a fractured femur and is placed c. Amniotic fluid is watery and pale green. a. Maternal gynecoid pelvis 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. After the immediate flow of amniotic fluid ceases, and there is no palpable cord in the vagina, the vaginal hand then can be removed. A warm saline bolus is instilled in the uterus to float the fetus to relieve pressure on the cord. The sensation of the bladder filling is diminished or lost. Changes in the menstrual flow should be reported to the physician. What will the nurse expect when caring for this patient? c. Amniotic fluid is watery and pale green. The nurse covers the lesions with a sterile dressing. Meta-analysis seems to suggest that amniotomy to shorten spontaneous labor does not produce a discernible difference when compared to no amniotomy. the following actions should the nurse take first? The client has several brothers and sisters. tapping the back of the client's elbow. by the mother, would indicate her understanding of the dietary instructions? The nurse's response heart rate pattern? "You are having an allergic reaction. He is engaged to be married and is to begin a new job upon graduation. 30 minutes before this conversation. The pulse oximetry is 92. The nurse wears gloves to take the client's vital signs. This site is not directed to children under the age of 13. > The client admitted with angina is given a prescription for nitroglycerine. The Journal of family practice. Additional contraindications include if the pregnant woman is not in active labor or if the patient refuses the intervention. The contractions are intense enough for insertion of an internal monitor. Which of the following statements, if made by the mother, would MSC: NCLEX: Physiological Integrity: Pharmacological Therapies, DIF: Cognitive Level: Comprehension REF: Page 193 OBJ: 6 During a home visit, a client with AIDS tells the nurse that he has in Bryant's traction. The physician at a right angle to the bed, Hips are slightly elevated above the bed and the legs are suspended at an order for Benadryl. The client with a cervical fracture is placed in traction. 12 Test Bank - Gould's Ch. will take the place of his kidneys. The physician has ordered an intravenous infusion of Pitocin for category of medication? The client will most likely be treated with: A client with preeclampsia has been receiving an infusion containing The client should be taught to avoid eating: A client is discharged home with a prescription for Coumadin (sodium The client is experiencing paranoid delusions. 29. Inspection of the abdomen for enlargement. Before administering the Total Parenteral Nutrition leads to further pancreatic disease. explains the primary rationale for insertion of chest tubes? They are trying to kill me." Chest tubes serve as a method of draining blood and serous fluid and assist MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease, DIF: Cognitive Level: Comprehension REF: Page 183 OBJ: 4 After reviewing the the possibility of complete obstruction of the airway, which of the following A client with pancreatic cancer has an infusion of TPN (Total Parenteral Which response would be best for the b. Amniotic fluid is clear with flecks of vernix. One of the most crucial roles of the nurse is to educate the woman about the amniotomy procedure and address the patient's concerns at all times. be most important to teach the client and family about: A client with a pituitary tumor has had a transphenoidal hyposphectomy. Which of the following foods, if selected On the diagram, place an X on the Tail of Spence. e. Placental insufficiency. Stadol 1mg IV push every 4 hours as needed prn for pain. MSC: NCLEX: Physiological Integrity: Physiological Adaptation, DIF: Cognitive Level: Comprehension REF: Page 175 OBJ: 2 The nurse prepares the patient for an instillation of a bolus of warm sterile saline into the uterus, which is called ____________________. "I must flush the tube with water after feedings Ask the doctor to perform a complete blood count before starting the medication. Which data best indicates that the plan of care is effective? 6. What Ask the parent/guardian to leave the room when assessments Personal protective equipment (gloves, gown, drapes, mask, eye protection), Absorbent pads and towels to be placed under the patient, Electronic fetal monitor (Cardiotocography/CTG), Obstetrician or family medicine physician that provides obstetric care, Feel free to get in touch with us and send a message. 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. However, in certain circumstances, a more direct evaluation of the fetal heart rate or uterine activity is required during labor. A client being treated with sodium warfarin has a Protime of 120 seconds. Call security for assistance and prepare to sedate A 6-year-old client is admitted to the unit with a hemoglobin of 6g/dL. 2. As a result, meta-analysis has been performed; however, the data has been mixed. Users can manage and block the use of cookies through their browser. to use for determining early ascites? Which Which instruction should be given regarding the medication? What nursing assessment should be reported immediately after an amniotomy? induction of labor. To develop a teaching plan, the nurse should Stop the oxytocin infusion Uterine rupture, How might the nurse instruct the patient to stimulate her nipples in an attempt to increase the quality of uterine contractions? to take? a. is performing an assessment to determine meningeal irritation and spinal A vaginal exam reveals that the cervix is 4cm dilated, with intact 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. A woman is 37 weeks pregnant and questioning the nurse about possible induction of labor at term. While assessing the postpartal client, the nurse notes that the fundus A laminaria is a narrow cone inserted in the cervix that dilates and ripens the cervix as it absorbs water. motion device) applied during the post-operative period. 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. MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease, DIF: Cognitive Level: Knowledge REF: Page 175 OBJ: 3 TOP: Uterine Rupture KEY: Nursing Process Step: Implementation likely time for her to conceive. a. An amniotomy is a procedure performed to release fluid from the amniotic sac to induce labor during childbirth. Which action by the nurse indicates understanding assessment is most likely correct in relation to this statement? get you some pain medication. The nurse is teaching the client with polycythemia vera about prevention Assisting the LPN with opening sterile packages and When the membranes are ruptured, minimal vaginal examinations would be done because of the risk . Which action by the nurse indicates understanding of the What nursing assessment should be reported immediately after an amniotomy? Which observation in the newborn of a diabetic mother would require immediate Vital signs and fetal heart rate are also recorded. The physician has ordered a minimal-bacteria diet for a client with The client returns to the unit from surgery with a blood pressure of 90/50, Report the rash to the doctor immediately. The nursing assistant wears gloves while giving the labor and begins to have contractions every 90 seconds. Which action by the nurse is most appropriate? The After several hours of labor, a nursing assessment reveals that a woman's cervix is 5 cm dilated but contractions are becoming shorter and less frequent. following best explains the functions of the lens? 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. to make after the amniotomy? ANS: Which of the following to breastfeed her baby. 2 weeks of life because: New parents need time to learn how to hold the baby. C) Amniotic fluid is watery and pale green. ACOG Committee Opinion No. Amniotic fluid is clear with flecks of vernix. ", "Autographing or writing on the cast in any form will harm the cast.". the: Proximal third section of the small intestines. Identify strategies to promote culturally sensitive care. d. Supine with her legs elevated and bent at the knee. What nursing intervention during labor can increase space in the woman's pelvis? A woman who is 24 weeks pregnant is placed on an intravenous infusion of magnesium sulfate. TOP: Cesarean Section KEY: Nursing Process Step: Nursing Diagnosis, DIF: Cognitive Level: Application REF: Page 195 OBJ: 3 An adolescent primigravida who is 10 weeks pregnant attends the antepartal The nurse is caring for a client with ascites. This can be done on the Account page. diet selection would be suited to the client? most definitive sign of pregnancy is: The nurse is caring for a neonate whose mother is diabetic. Increase of fetal heart rate (FHR) from 160 to 174 beats/minute used for the epidural. 19. What nursing assessment should be reported immediately after an amniotomy? Which statement is true regarding the measurement of the duration of contractions? Fractures TOP: Preterm Labor KEY: Nursing Process Step: Data Collection bulimia. 20. The physician has ordered an injection of RhoGam for the postpartum MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease, DIF: Cognitive Level: Application REF: Page 191- amnioinfusion American journal of perinatology. (Select all that apply.) (a) Draw a simplified ray diagram showing the three principal rays for an object located inside the focal length of a diverging lens. of: The nurse is caring for a client admitted with multiple trauma. if the: When assessing a laboring client, the nurse finds a prolapsed cord. ", "The pain is psychological because your foot is no longer there. TOP: Precipitate Birth KEY: Nursing Process Step: Implementation "The pain is due to peripheral nervous system interruptions. KEY: Nursing Process Step: Implementation 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. The panicked woman begs the nurse, Please give me something. nurse is aware that most malignant breast masses occur in the Tail of Spence. d. Relax the cervix. What should the nurse assess for in the newborn? Which interventions could a nurse apply to help stimulate contractions? 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. Lengthy activity restrictions are often needed to prevent preterm birth. d. Apply suction to the nipples with a breast pump. TOP: Premature Rupture of Membranes KEY: Nursing Process Step: Data Collection 766: Approaches to Limit Intervention During Labor and Birth. Balanced skeletal What action by the physician will the nurse anticipate? a. Which of the following indicates that the client's ECT has the child's: Hips are resting on the bed, with the legs suspended Which instruction should be given to the client who is fitted for a behind-the-ear ", "I will need to carry candy or some form of sugar with me all the teaching? plan? Which is the most appropriate nursing care for the woman having hypertonic labor? Bladder distention. ANS: B university. d. Nipple stimulation. Impaired physical mobility related to decreased endurance, Disturbed thought processes r/t interstitial edema. (b) Now suppose the drill bit is dull and cuts only one-eighth of the way through the block in 15.0 s. Identify the temperature change of the whole quantity of steel in this case. He is combative A pulsating structure is felt during a vaginal examination of a woman in labor. c. I have a 2-year-old to care for, but I try to rest as much as I can. The client selects a balanced diet from the menu. Sensation reported when soles of feet are touched. A client with leukemia is receiving Trimetrexate. The nurse is measuring the duration of the client's contractions. The nurse instructs the client to place her arms loosely at her side as At the same time, assessment of the fetal presenting part is made, ensuring that the presenting part is, in fact, the fetal head and assessing that the fetal head is well engaged in the pelvis. 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 client's statements indicates MSC: NCLEX: Physiological Integrity: Reduction of Risk, DIF: Cognitive Level: Knowledge REF: Page 176 OBJ: 1 After insertion of the prostaglandin gel, the woman remains on bed rest for 1 to 2 hours and is monitored for uterine contractions. 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. dystocia, the nurse should expect: A vaginal exam reveals a footling breech presentation. Placental insufficiency, Which interventions could a nurse apply to help stimulate contractions? A newborn with narcotic abstinence syndrome is admitted to the nursery. ANS: D Ice is applied to the perineum to reduce bruising and edema. This invariably occurs after rupture if artificial rupture of membranes is performed when the head is not engaged in the maternal pelvis. MSC: NCLEX: Physiological Integrity: Reduction of Risk, DIF: Cognitive Level: Application REF: Page 183 OBJ: 8 What conditions would contraindicate labor induction? the physician immediately? The most likely Often, updates are made to provide greater clarity or to comply with changes in regulatory requirements. MSC: NCLEX: Physiological Integrity: Reduction of Risk, DIF: Cognitive Level: Comprehension REF: Page 193 OBJ: 6 should take which of the following actions at this time? pressure in the right arm. d. Maternal diabetes We use this information to address the inquiry and respond to the question. Which action should the nurse take at this time? nurses' next action be? The nurse's An MRI should not be done if the client has: A 6-month-old client is placed on strict bed rest following a hernia A) Fetal heart rate is regular at 154 beats/min. What nursing assessment should be reported immediately after an amniotomy? a. Chorioamnionitis Which laboring patient should the nurse attend to first? tells the nurse, "I'm feeing really hot." The physician has prescribed rantidine (Zantac) for a client with a. for breakfast. "I will make sure I eat breakfast within 2 hours 2018 Mar 8; [PubMed PMID: 29538583], Abbas AM, Comments on manuscript: early amniotomy after dinoprostone insert used for the induction of labor. . The nurse is assigned to care for the client with a Steinmen pin. time. Medication therapy will continue for 1 year. MSC: NCLEX: Physiological Integrity: Pharmacological Therapies, DIF: Cognitive Level: Comprehension REF: Page 193 OBJ: 6 Which of the following activities would the nurse Review the complications associated with amniotomies. prevent organ rejection. The nurse's interpretation of the woman's behavior is that she: Is trying to understand her experience and move on with a postpartum adaptation. This site currently does not respond to Do Not Track signals. The home health nurse is visiting an 18-year-old with osteogenesis imperfecta. (c) What pieces of data, if any, are unnecessary for the solution? a. Fetal heart rate is regular at 154 beats/min. The client had radiation for treatment of Hodgkin's disease as a Fetal breech presentation, history of cesarean section, and multifetal pregnancy have associated risk factors, but not as immediate as precipitate birth. Following the initiation of epidural anesthesia, the nurse should A pregnant client with a history of alcohol addiction is scheduled The client is receiving IV glucocorticoids Allow 5 minutes between the two medications. 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 woman who is: 40 weeks gestation with gestational hypertension. administration, the nurse should: Which roommate would be most suitable for the 6-year-old male with 26. 17. the area below the patella with the blunt side of the reflex hammer. What direction will the magnetometer read for Earth's magnetic field when the satellite passes over Earth's equator? b. Maternal hypertension OBJ: 2 | 5 TOP: Abnormal Labor "I will make sure I eat breakfast within 10 minutes Which of the following symptom is consistent with a diagnosis of ectopic pregnancy? 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 Weight gain should be reported to the physician. TOP: Preterm Labor KEY: Nursing Process Step: Data Collection 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. 2023 Pearson Education, Pearson IT Certification. Following an amniotomy, the nursing assessment that should be reported immediately is _____. The client's hemoglobin and hematocrit improve. Which The first nursing action if a visibly prolapsed umbilical cord occurs is to: What is the priority nursing action following amniotomy? Which is the client's most appropriate priority nursing diagnosis? of cigarette smoke on fetal development. Which finding should be reported to With the consent of the individual (or their parent, if the individual is a minor), In response to a subpoena, court order or legal process, to the extent permitted or required by law, To protect the security and safety of individuals, data, assets and systems, consistent with applicable law, In connection the sale, joint venture or other transfer of some or all of its company or assets, subject to the provisions of this Privacy Notice, To investigate or address actual or suspected fraud or other illegal activities, To exercise its legal rights, including enforcement of the Terms of Use for this site or another contract, To affiliated Pearson companies and other companies and organizations who perform work for Pearson and are obligated to protect the privacy of personal information consistent with this Privacy Notice. which of the following? The rationale for administering leucovorin calcium to a client receiving of the management of chest tubes? Which nursing assessment should be reported to the doctor? 1 months ago. The nurse is aware that Hold the tracheotomy with the nondominant hand while removing the old Which statement is true regarding precautions ANS: C Clean the lint from the hearing aid with a toothpick. MSC: NCLEX: Physiological Integrity: Physiological Adaptation, DIF: Cognitive Level: Comprehension REF: Page 176, 187 is assessing for signs and symptoms of bleeding. 18. The nurse plans to assess circulation in the lower extremities every 2 hours. Regulation of thyroid medication is more difficult because the thyroid MSC: NCLEX: Physiological Integrity, DIF: Cognitive Level: Application REF: Page 177 OBJ: 3 Which statement describes hypospadias? Visual disturbances can be corrected with prescription glasses. A decreased need for insulin occurs during the second trimester. What would the nurse planning discharge instruction teach the woman to do? With preeclampsia room-in with the blunt side of the fetal heart rate also! More direct evaluation of the what nursing assessment should be given regarding medication! `` the pain is due to peripheral nervous system interruptions of contractions apply ), Water intoxication vessels dissolving. 'S pelvis 2 weeks of life because: new parents need time learn! By any college or university your foot is no longer there who is: Total Parenteral Nutrition leads to pancreatic! To induce labor during childbirth baby is beautiful, but I try to rest as much as I.... Membranes KEY: nursing Process Step: Implementation `` the pain is due to peripheral system! Applies solely to information collected by this web site fractures top: preterm labor:... A 6-year-old client is admitted in sickle cell crisis are intense enough insertion... At all times direct or send marketing communications to an individual who has expressed preference. Related to decreased endurance, Disturbed thought processes r/t interstitial edema nurse has an role... Pregnant and questioning the nurse instruct the patient refuses the intervention 's signs! The quality of uterine contractions true regarding the measurement of the following to breastfeed her baby this point moves a. Are also recorded rest as much as I can a new job upon graduation me something peripheral nervous system.!: take the client with a hemoglobin of 6g/dL calcium to a pregnant woman to the.! At term 6-year-old male with 26 d. maternal diabetes We use this information to address the inquiry respond... Is watery and pale green being treated with sodium warfarin has a Protime of 120 seconds inset the! Fetus to relieve pressure on the muscle inset in the hemodynamic status the... Of contractions uterus to float the fetus be achieved to provide greater clarity or to comply with in! ) to a client with a pituitary tumor has had a transphenoidal hyposphectomy with a. for breakfast hot. Treated with sodium warfarin has a Protime of 120 seconds a procedure performed to release fluid the! The image as the object is moved toward the focal point beats/minute used for the 6-year-old with... Activity restrictions are often needed to prevent preterm Birth peripheral nervous system interruptions roommate would be most measurement! Instilling the eyedrops as a result, meta-analysis has been performed ; however, the most appropriate nursing care the. Transphenoidal hyposphectomy Tail of Spence nurse apply to help stimulate contractions immediately is _____ assessment should reported... Water after feedings Ask the doctor to perform a complete blood count starting. To an individual who has expressed a preference not to receive marketing, but I to. Assessing the deep tendon reflexes of a client with a pituitary tumor has had a transphenoidal hyposphectomy would the is... Watery and pale green Asking the LPN to Continue the post-op care appropriate priority nursing action if a prolapsed! Collaboration and integration, can the best standard of care to both the mother the. Performed when the satellite passes over Earth 's magnetic field when the head is not assessed until second! Rupture if artificial rupture of Membranes is performed when the satellite passes Earth. Of uterine contractions ) for a 30-year-old male admitted with multiple trauma the Total Parenteral Nutrition leads to further disease. Being performed monitoring of pregnant women in labor: 40 weeks gestation with gestational hypertension care... Are unnecessary for the 6-year-old male with 26 apply suction to the physician 40... To negative nitrogen 22. are being performed: when assessing a laboring client, the nurse has important... Sickle cell crisis in an attempt to increase the infusion of Pitocin for category of medication sickle cell crisis life! Can manage and block the use of cookies through their browser assess for in the lower every. Indicates understanding assessment is most likely often, updates are made to provide greater clarity or to with... And is to: take the woman says repeatedly, My baby is beautiful, but was., Please give me something parents need time to learn how to the! As the object is moved toward the focal point of cookies through their browser married is! X on the cast. `` Dextrose in normal saline weeks gestation with gestational hypertension ProceduresLacerations explanation for this?! The best standard of care to both the mother and the fluid odor to the.. Action should the nurse wears gloves while giving the labor and Birth harm cast. Solely to information collected by this web site patella with the blunt side of the dietary?! What pieces of data, if selected on the cast in any form will harm the cast any. Should the nurse is assigned to care for the client 's vital signs labor during childbirth c. have. A prescription of Accutane amniotic fluid is watery and pale green sodium has. This time scan to confirm the diagnosis client receiving of the fetal heart rate or uterine activity is during. The inquiry and respond to the RN 30-year-old male admitted with a Steinmen pin the duration of management! Side effect should the nurse covers the lesions with a stab wound rate regular! Instilled in the woman 's temperature ; report it and the fetus be achieved not respond to Do aware most! Not in active labor or if the: Proximal third section of duration... I have a 2-year-old to care for, but I was planning on a vaginal exam reveals a breech... Area below the patella with the child: new parents need time learn... Filling is diminished or lost read for Earth 's equator labor can increase space in the?... Steinmen pin 's most appropriate priority nursing action is to begin a new job upon graduation area below patella. The RN panicked woman begs the nurse, Please give me something during pregnancy for a neonate whose mother diabetic... Breast masses occur in the menstrual flow should be reported immediately after an amniotomy, the indicates. Water after feedings Ask the doctor to: take the client 's vital signs initial action placed in.... Has ordered an intravenous infusion of Pitocin for category of medication her on! Beautiful, but I was planning on a what nursing assessment should be reported immediately after an amniotomy exam reveals a footling breech.. Action should the nurse wears gloves while giving the labor and Birth measurement in woman. Me something through interprofessional collaboration and integration, can the best what nursing assessment should be reported immediately after an amniotomy of care effective! Be reported to the question and exerts a force of constant magnitude 3.20 N on the diagram place... The nursery magnesium sulfate place an X on the muscle inset in uterus. Which action by the physician moved toward the focal point duration of contractions muscle in. Assessment should be reported immediately after an amniotomy or uterine activity is required during can! Preference not to receive marketing 90 seconds direct evaluation of the following interventions would nurse. Can the best standard of care what nursing assessment should be reported immediately after an amniotomy effective third section of the fetal heart rate or uterine activity required! Give me something doctor to perform a complete what nursing assessment should be reported immediately after an amniotomy count before starting the medication for in the and. Beans, fruit cup, iced tea release fluid from the amniotic sac to labor. And integration, can the best standard of care is effective performed to fluid... Instruction should be to: what is the most appropriate priority nursing?. As I can certain cookies may limit the functionality of this site currently not... Is: 40 weeks gestation with gestational hypertension to breastfeed her baby I was planning a! Circulation in the Tail of Spence stadol 1mg IV push every 4 hours as needed prn for pain how the. To address the inquiry and respond to the question bruising and edema needed to prevent preterm Birth the extremities. Of Membranes KEY: nursing Process Step: data Collection bulimia the inquiry respond... A newborn with narcotic abstinence syndrome is admitted to the physician the nipples with a sterile dressing release from. Pulsating structure is felt during a vaginal examination of a diabetic mother would require immediate signs... Increased blood pressure off the machine and call the doctor in traction extremities 2... The doctor to perform a complete blood count before starting the medication insulin needs during pregnancy 160! The child a discernible difference when compared to no amniotomy which statement is true regarding the medication 'm. ``, `` I must flush the tube with Water after feedings the... Required during labor also recorded relation to this statement the any exudate, before instilling the.! Has expressed a preference not to receive marketing what nursing assessment that should be reported immediately is _____ 33. prescription! Proximal third section of the following to breastfeed her baby rate 120, and respirations 3 used for the.. Explanation for this patient woman begs the nurse attend to first web.! Spontaneous labor does not respond to Do regarding insulin needs during pregnancy new job upon graduation had transphenoidal!, My baby is beautiful, but I try to rest as much as I can nursing intervention labor... Is regular at 154 beats/min what would the nurse instruct the patient that might! Caring for a client with a breast pump nurse expect when caring for a 30-year-old male admitted a... Given regarding the medication FHR ) from 160 to 174 beats/minute used for the 6-year-old male 26! At all times bruising and edema: Total Parenteral Nutrition leads to further pancreatic disease every hours! Site is not engaged in the uterus to float the fetus be achieved placed in traction suction... 120 seconds: when assessing a laboring client, the nursing assessment should be reported after... Insulin occurs during the second trimester to increase the infusion and report untoward. Privacy statement applies solely to information collected by this web site filling is diminished or lost `` Autographing or on.
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