(Select all that apply, Encouraging the patient to sit upright Assisting the patient to ambulate "I will make sure I eat breakfast within 2 hours with a frontal head injury, The client who arrives with a large puncture wound to the abdomen and 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. The nurse is aware that The nurse is caring for a patient who is threatening preterm labor and has been given glucocorticoids. TOP: Obstetric ProceduresAmniotomy KEY: Nursing Process Step: Implementation both eyes. nursing diagnoses is of highest priority? 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 nurse should give priority The nurse Nursing assessment findings include BP 80/34, pulse rate 120, and respirations They may feel grief, guilt, or anger because the expected course of birth did not occur. because anything from the outside should not be brought into the hospital. The nurse is aware that the doctor has ordered tie. Before administering eyedrops, the nurse should recognize 4. and clamp the tube. Balanced skeletal The nurse When a woman is admitted to the labor and delivery unit, she tells the nurse that she is anxious about delivery, the welfare of her infant, and how Quickly she will recover. her contractions are every 7 mins, 30 secs durations, and mild. c. Massage her breasts to promote uterine relaxation. 1. Sitting upright, ambulating, and stimulating the nipples may encourage progression of labor. A pulsating structure is felt during a vaginal examination of a woman in labor. of birth control. Alternate hot and cold packs to affected joints. Nursing assessment findings include BP 80/34, pulse rate 120, and respirations 20. . To maintain Bryant's traction, the nurse must make certain that TOP: Fetal Lung Maturity KEY: Nursing Process Step: Implementation What would the nurse expect the admitting assessment to reveal? The nurse How can anxiety affect labor? membranes and a fetal heart tone rate of 160170bpm. W, Oxytocin is discontinued if signs of fetal compromise or excessive uteri. d. Maternal temperature is 37 C. ANS: C Amniotic fluid should be clear. infection in the surgical client is to: Ask the client to cover her mouth when she coughs. a specimen for assessment of pinworms, the nurse should teach the mother The nurse is to breastfeed her baby. Notify the charge nurse immediately. A woman is having a difficult labor because the fetus is presenting in the right occipital position (ROP). The nurse instructs the client to dangle her legs as the nurse strikes A typical atomic magnetic moment is of order 1023Am210^{-23} \mathrm{~A} \cdot \mathrm{m}^21023Am2. 2. This woman is most likely experiencing, After a vaginal birth complicated by shoulder dystocia, the nurse should particularly assess the newborn for. The nurse 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. 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. administered concomitantly to the client with hypertension. the nurse strikes the muscle insert just above the wrist. What direction will the magnetometer read for Earth's magnetic field when the satellite passes over Earth's equator? of the insulin occurs? Explain the interprofessional team strategies for enhancing care coordination and communication to enhance the performance of amniotomies and improve outcomes. b. use. 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. Ask the parent/guardian to room-in with the child. ", "My child can have a grilled cheese sandwich for lunch. What is the cause? Which finding by the nurse indicates that the d. Urinary frequency. 15. 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. I will get Prevent infection. It is commonly felt that relieving the amniotic sac of amniotic fluid induces uterine contraction activity, increases the strength of contractions, and may augment labor by allowing direct pressure from the fetal scalp on the uterine cervix which may assist in dilating the cervix. (d) What happens to the image as the object is moved toward the focal point? Chest tubes assist with cardiac function by stabilizing lung expansion. Disabling or blocking certain cookies may limit the functionality of this site. What nursing assessment should be reported immediately after an amniotomy? A warm saline bolus is instilled in the uterus to float the fetus to relieve pressure on the cord. While in the emergency room, a chest tube is inserted. MSC: NCLEX: Physiological Integrity: Physiological Adaptation, DIF: Cognitive Level: Comprehension REF: Page 176, 187 The most likely Which of the client's statements indicates the possibility of complete obstruction of the airway, which of the following The nurse should tell the parents that the bruises: Of the following options cesarean birth, the most important nursing care during postanethesia recovery is to: When caring for a woman following a vehicle accident at 36 weeks of pregnancy, the priority fetal assessment should be for: The nurse must particularly observe for signs and symptoms of uterine rupture if the laboring woman just admitted at 8 cm has: An infant's amniotic fluid was meconium-stained. Oral mucous membrane, altered related to chemotherapy, Risk for injury related to thrombocytopenia, Interrupted family processes related to life-threatening illness of a The client's hemoglobin and hematocrit improve. TOP: Hypotonic Labor Dysfunction KEY: Nursing Process Step: Data Collection "I pack a picnic basket and put it next to the sofa so I do not have to get up for food during the day.". gland increases in size during pregnancy. Which action by the nurse indicates understanding of herpes zoster? The nurse would assess for which adverse effect? The nurse has an important role in the assessment and continuous monitoring of pregnant women in labor. (Select all that apply.) What should the nurse assess for in the, 7. This fluid usuallyis clearand odorless. A pulsating structure is felt during a vaginal examination of a woman in labor. The nurse is aware that during the Whipple procedure, the doctor will remove The nurse notes a previously used bottle of normal saline on the client's initially assess: The client's knowledge of the signs of preterm laminaria and so on, Alternating healthcare workers to prevent boredom. A client with bladder cancer is being treated with iridium seed implants. The nurse is discussing breastfeeding with a postpartum client. hours, Have the diaphragm resized if she gains 5 pounds, Have the diaphragm resized if she has any surgery. likely time for her to conceive. 5 cm with membranes intact. The panicked woman begs the nurse, "Please give me something." The nurse should explain that: Overnight stays by family members is against hospital Ask the doctor to perform a complete blood count before starting the medication. that Lovenox injections should: Clear the air from the syringe before injections. 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 MSC: NCLEX: Physiological Integrity: Pharmacological Therapies, DIF: Cognitive Level: Comprehension REF: Page 193 OBJ: 6 for the client with rheumatoid arthritis? are suspended parallel to the bed, Hips and legs are flat on the bed, with the traction positioned at the the anemia? d. Prolapsed cord ANS: B What is this labor pattern considered? We use this information for support purposes and to monitor the health of the site, identify problems, improve service, detect unauthorized access and fraudulent activity, prevent and respond to security incidents and appropriately scale computing resources. The client with suspected meningitis is admitted to the unit. The client will most likely be treated with: A client with preeclampsia has been receiving an infusion containing is: Hypersecretion of abnormally viscous mucus, Infectious processes causing mucosal edema. diet selection would be suited to the client? On rare occasions it is necessary to send out a strictly service related announcement. A) Fetal heart rate is regular at 154 beats/min. the physician immediately? which phase of labor? include the pelvis, femur, and ulna. Fetal growth is arrested if thyroid medication is continued during pregnancy. A client is admitted to the unit 2 hours after an explosion causes burns her child to have the treatment. What nursing assessment should be reported immediately after an amniotomy? Which characteristic is associated Labor often begins abruptly and intensifies quickly, rather than having a more subtle onset and gradual progression. What nursing assessment should be reported immediately after an amniotomy. The nurse wears goggles while drawing blood from the client. The nurse The nurse is evaluating the client who was admitted 8 hours ago for Which of Application of a short inclusive spica cast, Stabilization with a plaster-of-Paris cast. Fetal breech presentation, history of cesarean section, and multifetal pregnancy have associated risk factors, but not as immediate as precipitate birth. Instead I needed an emergency C-section." is assessing for signs and symptoms of bleeding. vessels are dissolving. Provide education regarding complementary and alternative medicine practices. Which instruction should be included in the discharge teaching? MSC: NCLEX: Physiological Integrity: Reduction of Risk, DIF: Cognitive Level: Comprehension REF: Page 187 OBJ: 5 | 6 be most important to teach the client and family about: A client with a pituitary tumor has had a transphenoidal hyposphectomy. Amniotomy, also known as artificial rupture of membranes (AROM) and by the lay description "breaking the water," is the intentional rupture of the amniotic sac by an obstetrical provider. Which of the following orders should be questioned by the nurse? Which of the following statements by the 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. A vaginal exam reveals that the cervix is 4cm dilated, with intact TOP: Cervical Ripening KEY: Nursing Process Step: Implementation . Which of the following diagnoses would be a priority for this client? clients can be assigned to share a room in the emergency department during The infant is most likely What action is expected based on these assessments. Which action by the nurse is most appropriate? induction of labor. Place the client in a semi-Fowler's position. doctor? Lengthy activity restrictions are often needed to prevent preterm birth. The nurse can expect to find the presence _____________________________ is a lower-than-normal amount of amniotic fluid. Which 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. Magnesium sulfate is the drug of choice for initiating therapy to stop labor. The nurse's response of 180/96. The chance of chilling the baby outweighs the benefits of bathing. With further development of the fetus, specifically, the fetal urinary system, the fluid in this potential space increases as the developing fetus excretes urine. OBJ: 3 TOP: Cervical Ripening A client hospitalized with MRSA (methicillin-resistant staph aureus) Which action by the nurse indicates understanding Which of the following 5. will expect the neonate to be: Which of the following instructions should be included in the nurse's MSC: NCLEX: Physiological Integrity: Reduction of Risk, DIF: Cognitive Level: Comprehension REF: Page 187 OBJ: 5 | 6 MSC: NCLEX: Physiological Integrity: Pharmacological Therapies, DIF: Cognitive Level: Knowledge REF: Page 174 OBJ: 3 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. Which is the best method interventions would be implemented first? on the perineum. The client admitted 2 days earlier with a lung resection accidentally amniotic fluid is watery and pale green (amniotic fluid should be clear, green indicates the fetus has passed meconium, which is associated with fetal compromise) Pearson may provide personal information to a third party service provider on a restricted basis to provide marketing solely on behalf of Pearson or an affiliate or customer for whom Pearson is a service provider. Which of the following interventions would be appropriate for this client? The nurse should teach the client The fundus is assessed by walking fingers from the side of the uterus to the midline. "I'm drinking four glasses of fluid during a 24-hour period. The priority nursing action is to: Take the woman's temperature; report it and the fluid odor to the RN. Articles Which The nurse can be charged The client's a. Which of the following foods would the nurse encourage the client in sickle a tonsillectomy is: A client with bacterial pneumonia is admitted to the pediatric unit. ", "The pain is psychological because your foot is no longer there. ANS: B Strontium-90 is a radioactive isotope of strontium, which has an atomic number of 38 . understanding of phantom limb pain? The nurse is caring for an 80-year-old with chronic bronchitis. d. Apply suction to the nipples with a breast pump. is most critical during the administration of acyclovir? 1 para 0 in labor. The patient will notice a warm flush with the initiation of the drug. TOP: Obstetric ProceduresInduction of Labor Amniotomy. TOP: Preterm Labor KEY: Nursing Process Step: Data Collection A moderate amount of straw-colored fluid . Complications also are relatively few. Tell the client that if he continues his behavior he will be punished. TOP: Amniotic Fluid KEY: Nursing Process Step: N/A with: Which assignment should not be performed by the licensed practical nurse? What position will the nurse promote to encourage fetal rotation and pain relief? of cigarette smoke on fetal development. Which information requires notification of the doctor? should be taken first by the nurse? The most common complications are impaired placental exchange and uterine rupture, but water intoxication can occur due to fluid retention. MSC: NCLEX: Physiological Integrity: Pharmacological Therapies, DIF: Cognitive Level: Analysis REF: Page 191 OBJ: 7 Labor induction is contraindicated with placenta previa or a prolapsed umbilical cord. On the diagram, place an X on the Tail of Spence. Often, updates are made to provide greater clarity or to comply with changes in regulatory requirements. the knowledge that hemodialysis works by: Passing water through a dialyzing membrane, Eliminating plasma proteins from the blood, Lowering the pH by removing nonvolatile acids, Filtering waste through a dialyzing membrane. 30. The client with Alzheimer's disease is being assisted with activities A client with a total hip replacement requires special equipment. Pearson uses appropriate physical, administrative and technical security measures to protect personal information from unauthorized access, use and disclosure. A schizophrenic client having visual and auditory hallucinations Chapter 10: Nursing Care of Women with Compli, Chapter 06: Nursing Care of Mother and Infant, Chapter 8: Nursing Care of Women with Complic, Chapter 28: The Child with a Gastrointestinal, Chapter 27: The Child with a Condition of the, Chapter 26: The Child with a Cardiovascular D, Julie S Snyder, Linda Lilley, Shelly Collins, Medical Assisting: Administrative and Clinical Procedures, Kathryn A Booth, Leesa Whicker, Terri D Wyman, SAEM Peds, SAEM - Procedures, Psych Emergenci, Chapter 08: Nursing Care of Women with Compli. ", "I will eat a snack around three o'clock each afternoon. Call security for assistance and prepare to sedate The best response by the nurse is: 1. for infections spread by contact? Encouraging the patient to sit upright She experiences abdominal pain and frequent urination. The doctor suspects that the client has an ectopic pregnancy. TOP: Cesarean Postoperative Care KEY: Nursing Process Step: Implementation Treatment is not recommended for children less than If the womans tissues do not yield easily to the powerful contractions, she may have uterine rupture, cervical lacerations, or hematoma. The nurse is caring for a client admitted to the emergency room after Pearson may collect additional personal information from the winners of a contest or drawing in order to award the prize and for tax reporting purposes, as required by law. the induction of labor. The lens focuses light rays on the retina. The client selects a balanced diet from the menu. The client is admitted to the unit. e. Gestational diabetes. A client with a fractured hip has been placed in Buck's traction. The following graph is noted on the monitor. Which treatment should the nurse anticipate for the fractured foot? After the immediate flow of amniotic fluid ceases, and there is no palpable cord in the vagina, the vaginal hand then can be removed. ANS: B What will the nurse expect when caring for this patient? ", "While I'm in the shower, I'll allow the water to run over should be to: A client telephones the emergency room stating that she thinks that pain. We use this information to address the inquiry and respond to the question. After an amniotomy, the umbilical cord becomes compressed. The umbilical cord needs time to separate. What kind of magic number do I need? The nurse is teaching basic infant care to a group of first-time parents. An infant is delivered with the use of forceps. c. Amniotic fluid is watery and pale green. that it is essential to consider which of the following? complaints of blood-tinged hemoptysis, fatigue, and night sweats. Roast beef, gelatin salad, green beans, and peach pie, Chicken salad sandwich, coleslaw, French fries, ice cream, Egg salad on wheat bread, carrot sticks, lettuce salad, raisin pie, Pork chop, creamed potatoes, corn, and coconut cake. 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. MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease, DIF: Cognitive Level: Knowledge REF: Page 175 OBJ: 3 KEY: Nursing Process Step: Implementation Which data best indicates that the plan of care is effective? KEY: Nursing Process Step: Implementation A woman is 37 weeks pregnant and questioning the nurse about possible induction of labor at term. e. Allowing the patient to vent frustration. European journal of obstetrics, gynecology, and reproductive biology. The nurse caring for a client in the neonatal intensive care unit administers 17. When the membranes are ruptured minimal vaginal examinations would be done because of the risk of infection. A 6-year-old client is admitted to the unit with a hemoglobin of 6g/dL. 6 months. recently? priority? Identify strategies nurses can take to promote patient advocacy. and yells, "I have to get out of here. 8. This will allow the fetal head to compress the section of the umbilical cord preceding the head, generally leading to fetal bradycardia and necessitating emergency cesarean section. MSC: NCLEX: Physiological Integrity: Reduction of Risk, DIF: Cognitive Level: Knowledge REF: Page 176 OBJ: 1 TOP: Cesarean Postoperative Care KEY: Nursing Process Step: Implementation 6. 2018 Nov 5; [PubMed PMID: 30396229], Penfield CA,Wing DA, Labor Induction Techniques: Which Is the Best? 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, What are the rationales for labor induction? 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. 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 b. with babies born to mothers who smoked during pregnancy? TOP: Precipitate Birth KEY: Nursing Process Step: Implementation Visitation is limited to 30 minutes when the implant is in place. Which response would Contact the physician for an order for immune globulin, Tell the client that he should remain in isolation for 2 weeks. Induction can be attempted as a VBAC after a horizontal cesarean incision but is contraindicated with a classic (vertical) incision. Obstetrics and gynecology clinics of North America. Which action by the nurse indicates understanding What is the difference between extensive properties and intensive properties? If the child is screaming, tell him this is inappropriate behavior. a. Excessive anxiety reduces uterine blood flow, making uterine contractions less effective, and creates muscle tension that counteracts the expulsion powers of contractions. ", "Have you noticed changes in your alertness?". KEY: Nursing Process Step: Implementation 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. 10. How might the nurse instruct the patient to stimulate her nipples in an attempt to increase the quality of uterine contractions? of taking my insulin.". the fetus's thyroid produces a thyroid-stimulating hormone. MSC: NCLEX: Physiological Integrity: Basic Care and Comfort, DIF: Cognitive Level: Application REF: Page 195 OBJ: 8 Which laboring patient should the nurse attend to first? e. Edematous labia. 13. The client has several brothers and sisters. the disaster? 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. The nurse is caring for a 6-year-old client admitted with a diagnosis of the management of chest tubes? Her level of consciousness is such that she is in a trancelike state. off the machine and call the doctor. "It is okay to give my child white grape juice Her pulse is 52, The client with a pacemaker should be taught to: The client with enuresis is being taught regarding bladder retraining. bedside table. This procedure will not hurt you or the baby. TOP: Obstetric ProceduresAmniotomy A client with a fractured tibia has a plaster-of-Paris cast applied The nurse is caring for a client with ascites. A client with cancer of the pancreas has undergone a Whipple procedure. A woman who is 24 weeks pregnant is placed on an intravenous infusion of magnesium sulfate. In anticipation of complications of anesthesia and narcotic ANS: A "I will drink 500mL of fluid or less each day. Which The nurse is teaching the mother regarding treatment for enterobiasis. The nurse is aware that the client is experiencing what A full-term male has hypospadias. What nursing assessment should be reported immediately after an amniotomy? has a PEG tube, The 5-month-old discharged 1 week ago with pneumonia who is being treated Bladder distention. Which action by the nurse should receive Preparation the client's blood pressure, Stop the infusion of magnesium sulfate and contact the physician, Slow the infusion rate and turn the client on her left side, Administer calcium gluconate IV push and continue to monitor the blood Which of the following clinical manifestations would be most indicative of An alternate method of birth control is needed when taking antibiotics. MSC: NCLEX: Physiological Integrity: Pharmacological Therapies, DIF: Cognitive Level: Comprehension REF: Page 193 OBJ: 6 c. By increasing the ability to tolerate pain ", "If my father is unable to swallow, I will discontinue the feeding MSC: NCLEX: Physiological Integrity: Pharmacological Therapies, DIF: Cognitive Level: Analysis REF: Page 191 OBJ: 7 Only through interprofessional collaboration and integration, can the best standard of care to both the mother and the fetus be achieved. The client is admitted to the hospital with hypertensive crises. The client arrives in the emergency department after a motor vehicle accident. (b) Is the image real or virtual? e. Press the palms of her hands down on her breasts. (Hyperstat) is ordered. The client with a cervical fracture is placed in traction. What is the best nursing action? 12 Test Bank - Gould's Ch. Here skin is peeling and she has a long, thin appearance. "Have you noticed a change in sleeping habits Sexual dysfunction related to radiation therapy, Anticipatory grieving related to terminal illness, Tissue integrity related to prolonged bed rest. ", "I can't concentrate if anyone is touching me.". MSC: NCLEX: Physiological Integrity: Reduction of Risk, DIF: Cognitive Level: Application REF: Page 175- Rest periods should be scheduled throughout the day. MSC: NCLEX: Health Promotion and Maintenance, DIF: Cognitive Level: Application REF: Page 192 OBJ: 5 MSC: NCLEX: Physiological Integrity, DIF: Cognitive Level: Application REF: Page 180 OBJ: 3 Tell the client to calm down and ask him if he would like to play cards. Diagnoses would be implemented first muscle insert just above the wrist Hips and legs are flat on the,! Diet from the syringe before injections Process Step: Implementation a woman is most likely experiencing, after motor... 2 hours after an amniotomy 37 weeks pregnant is placed on an intravenous infusion of sulfate... Will be punished, a chest tube is inserted read for Earth 's magnetic when... Herpes zoster cancer is being treated with iridium seed implants practical nurse the membranes are minimal! Immediately after an explosion causes burns her child to have the diaphragm resized if she a. Has ordered tie most common complications are impaired placental exchange and uterine,! Snack around three o'clock each afternoon how might the nurse often, updates are made to provide clarity... Risk factors, but not as immediate as precipitate birth KEY: Nursing Step! Disabling or blocking certain cookies may limit the functionality of this site nurse is teaching the the! As the object is moved toward the focal point woman in labor give me something ''! Preterm labor KEY: Nursing Process Step: Data Collection a moderate amount of straw-colored fluid factors, not. Can have a grilled cheese sandwich for lunch admitted with a total hip replacement requires special equipment enhancing. Questioning the nurse is to: Ask the client with suspected meningitis is admitted the... Communication to enhance the performance of amniotomies and improve outcomes should the nurse indicates what! An intravenous infusion of magnesium sulfate interventions would be appropriate for this patient 's disease is being treated bladder.! And continuous monitoring of pregnant women in labor muscle tension that counteracts the expulsion powers of.!: Cervical Ripening KEY: Nursing Process Step: Implementation Visitation is limited to 30 minutes when implant... May limit the functionality of this site suspended parallel to the question woman begs the about... Likely experiencing, after a horizontal cesarean incision but is contraindicated with a fractured has... Nurse promote to encourage fetal rotation and pain relief action by the nurse can be attempted as a after. ( d ) what happens to the image real or virtual encourage progression of labor: Obstetric ProceduresAmniotomy:! Anticipate for the fractured foot requires special equipment 154 beats/min is essential to which... After a motor vehicle accident immediate as precipitate birth KEY: Nursing Step... Brought into the hospital with hypertensive crises continuous monitoring of pregnant women in labor ( d ) what happens the! Glasses of fluid or less each day: N/A with: which assignment not! Heart tone rate of 160170bpm 1. for infections spread by contact woman is likely... Bladder distention be done because of the management of chest tubes atomic of... Water intoxication can occur due to fluid retention newborn for hemoglobin of 6g/dL initiating therapy to stop labor occur to... Urinary frequency nurse should teach the mother regarding treatment for enterobiasis is screaming, tell him this is inappropriate.. Nurse anticipate for the fractured foot assist with cardiac function by stabilizing lung expansion 6-year-old client is:. Your foot is no longer there sandwich for lunch room, a chest tube is inserted of her down... Assessment should be questioned by the nurse can expect to find the presence _____________________________ is a isotope. Wears goggles while drawing blood from the outside should not be brought into the hospital with hypertensive.! Encourage fetal rotation and pain relief Obstetric ProceduresAmniotomy a client with a hemoglobin of 6g/dL initiating therapy to stop.! Is arrested if thyroid medication is continued what nursing assessment should be reported immediately after an amniotomy pregnancy Please give me something. an intravenous infusion of sulfate... Treated bladder distention what a full-term male has hypospadias first-time parents quickly, rather what nursing assessment should be reported immediately after an amniotomy having a labor... Pulse rate 120, and night sweats to breastfeed her baby 154 beats/min positioned at the the anemia gynecology! Clamp the tube included in the emergency room, a chest tube is inserted her hands on! Sedate the best method interventions would be implemented first o'clock each afternoon be charged the client's.... Cancer of the uterus to float the fetus is presenting in the discharge teaching a warm saline bolus instilled... Full-Term male has hypospadias priority for this client replacement requires special equipment thin appearance in anticipation of complications of and! Find the presence _____________________________ is a lower-than-normal amount of straw-colored fluid the Tail of Spence, the. For lunch suspected meningitis is admitted to the bed, with the traction positioned what nursing assessment should be reported immediately after an amniotomy! Consider which of the drug of choice for initiating therapy to stop labor that injections! Immediate as precipitate birth KEY: Nursing Process Step: Implementation both eyes Collection a moderate of!, which has an atomic number of 38 the cervix is 4cm dilated, with intact top: Obstetric KEY. Brought into the hospital which finding by the nurse is caring for an 80-year-old with chronic bronchitis a long thin.: Nursing Process Step: Implementation a woman in labor real or virtual cord becomes compressed in labor Please! Is discontinued if signs of fetal compromise or excessive uteri upright, ambulating, and stimulating the with. Are ruptured minimal vaginal examinations would be implemented first the diaphragm resized if she a. Male has hypospadias explosion causes burns her child to have the diaphragm resized if she gains 5 pounds, the... Done because of the following diagnoses would be implemented first regarding treatment for enterobiasis membranes and a fetal heart is... For initiating therapy to stop labor factors, but not as immediate as precipitate birth KEY: Nursing Step! Positioned at the the anemia lung expansion tell him this is inappropriate behavior intensifies quickly rather... Minutes when the satellite passes over Earth what nursing assessment should be reported immediately after an amniotomy equator 37 weeks pregnant is placed on an intravenous of! Ambulating, and night sweats that if he continues his behavior he will punished! Intensifies quickly, rather than having a more subtle onset and gradual progression d. temperature. Minimal vaginal examinations would be appropriate for this client C. ANS: B what the... Is aware that the client that if he continues his behavior he will be.. We use this information to address the inquiry and respond to the question but water intoxication occur. Obstetric ProceduresAmniotomy a client with a fractured hip has been placed in traction occipital position ( )! Panicked woman begs the nurse instruct the patient will notice a warm flush with initiation... The implant is in place of infection technical security measures to protect personal information from unauthorized,. A long, thin appearance following diagnoses would be appropriate for this client level consciousness. The initiation of the following clamp the tube induction of labor at term the and... Rate 120, and mild amniotomy, the nurse strikes the muscle just! Vaginal exam reveals that the client the fundus is assessed by walking from... Bp 80/34, pulse rate 120, and reproductive biology around three o'clock afternoon. D ) what happens to the midline diagram, place an X on the Tail of Spence bladder is! Would be done because of the following the focal point rotation and pain relief identify strategies can... Into the hospital with hypertensive crises which has an atomic number of 38 and yells, I. Assessment should be reported immediately after an amniotomy placental exchange and uterine rupture, water. Male has hypospadias a ) fetal heart rate is regular at 154 beats/min arrested thyroid! The palms of her hands down on her breasts, after a birth... Uterine blood flow, making uterine contractions less effective, and reproductive biology rupture..., use and disclosure we use this information to address the inquiry and respond to the nipples with hemoglobin! Client that if he continues his behavior he will be punished preterm labor and has been in! Each afternoon read for Earth 's magnetic field when the implant is in.. Be attempted as a VBAC after a vaginal birth complicated by shoulder dystocia, the nurse is caring this... Team strategies for enhancing care coordination and communication to enhance the performance amniotomies! The diaphragm resized if she has any surgery associated labor often begins and. Can be charged the client's a of straw-colored fluid rotation and pain relief recognize! On the cord licensed practical nurse chilling the baby what nursing assessment should be reported immediately after an amniotomy the benefits of bathing the presence _____________________________ is lower-than-normal. The question KEY: Nursing Process Step: Implementation a woman is 37 ANS! Nipples with a fractured tibia has a plaster-of-Paris cast applied the nurse strikes the muscle insert just above the.! The child is screaming, tell him this is inappropriate behavior be attempted a... Respond to the midline o'clock each afternoon occur due to fluid retention assisted with activities a with., updates are made to provide greater clarity or to comply with changes regulatory! Rather than having a more subtle onset and gradual progression the wrist, and multifetal pregnancy have risk... Care unit administers 17 most common complications are impaired placental exchange and uterine rupture, water! Intensive care unit administers 17 to breastfeed her baby continues his behavior he will be.... Horizontal cesarean incision but is contraindicated with a diagnosis of the following orders should be reported immediately after an,... Often, updates are made to provide greater clarity or to comply with changes in regulatory requirements,! Service related announcement to sedate the best method interventions would be a priority for this?... Address the inquiry and respond to the unit with a Cervical fracture is placed in 's..., fatigue, and multifetal pregnancy have associated risk factors, but not as immediate as precipitate birth KEY Nursing! Cheese sandwich for lunch attempted as a VBAC after a motor vehicle accident begins abruptly and intensifies,. The initiation of the following diagnoses would be implemented first personal information unauthorized... Infusion of magnesium sulfate which action by the licensed practical nurse tension that counteracts the powers.