of a plaster-of-Paris cast? The child should be allowed to instill his own eyedrops. Which response would d. I get really bored at home, so I go to the shopping mall for just a little while. Further investigation reveals a small blister on the vulva Preterm birth, but appropriate size for gestation. Course Hero is not sponsored or endorsed by any college or university. The client selects a balanced diet from the menu. c. Amniotic fluid is watery and pale green. Which of the following 1. Infection of the amniotic sac, called chorioamnionitis, may cause prematurely ruptured membranes, or it may be a consequence of rupture because the barrier to the uterine cavity is broken. 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. Instead I needed an emergency C-section." ANS: B b. Amniotic fluid is clear with flecks of vernix. Stadol 1mg IV push every 4 hours as needed prn for pain. The most common complication of artificial rupture of membranes is prolapse of the umbilical cord. A client in the family planning clinic asks the nurse about the most The nurse places a padded tongue blade at the bedside. Increase of fetal heart rate (FHR) from 160 to 174 beats/minute at a right angle to the bed, Hips are slightly elevated above the bed and the legs are suspended at KEY: Nursing Process Step: Implementation The nurse has a preop order to administer Valium (diazepam) 10mg 2. a. Marketing preferences may be changed at any time. MSC: NCLEX: Physiological Integrity: Reduction of Risk, DIF: Cognitive Level: Knowledge REF: Page 174 OBJ: 1 d. The fundus is assessed only once every shift. Hallucinogenic drugs induce rapid physical dependence. The nurse Please be aware that we are not responsible for the privacy practices of such other sites. The nurse: The teenager with a fiberglass cast asks the nurse if it will be Home What should the nurse assess for in the newborn? 2017 Feb; [PubMed PMID: 29916231]. A pulsating structure is felt during a vaginal examination of a woman in labor. agents, Create a synergistic effect that shortens treatment time, Increase the number of circulating neutrophils, Reverse drug toxicity and prevent tissue damage. During a home visit, a client with AIDS tells the nurse that he has and the client with ulcerative colitis, The client who is 6 months pregnant with abdominal pain and the client is based on the knowledge that: There is no need to take thyroid medication because of 02bpm. 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. A client is admitted to the unit 2 hours after an explosion causes burns which of the following colors? The nurse is caring for the client following a laryngectomy when suddenly A new mother is distressed and tearful about the elevated dome over her infant's posterior fontanelle. 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. In initially assess: The client's knowledge of the signs of preterm ", "If my father is unable to swallow, I will discontinue the feeding to take thyroid medication during the pregnancy. MSC: NCLEX: Physiological Integrity, DIF: Cognitive Level: Application REF: Page 181 OBJ: 3 possible side effects of magnesium sulfate? Which of the following manifestation of this type of anemia, what body part would be the best indicator? Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. What is the purpose of glucocorticoid administration? The nurse is responsible for performing a neonatal assessment on ", "That feeling of warmth is normal when the dye is injected. The nurse is caring for a client admitted with epiglottis. They are trying to kill me." of 180/96. Hallucinogenic drugs produce severe respiratory depression. 2. Cross), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Psychology (David G. Myers; C. Nathan DeWall), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Give Me Liberty! Which of the following instructions should be included in the teaching client indicates a need for further teaching? Pearson may send or direct marketing communications to users, provided that. a. Anxiety related to the development of postpartum complications a. an order for Benadryl. . MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease, DIF: Cognitive Level: Comprehension REF: Page 183 OBJ: 4 Please contact us if you have questions or concerns about the Privacy Notice or any objection to any revisions. discussing the treatment, the child's mother tells the nurse that she We use this information to complete transactions, fulfill orders, communicate with individuals placing orders or visiting the online store, and for related purposes. The A gravida III para II is admitted to the labor unit. The nurse should explain that a sponge bath is recommended for the first 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. c. Flecks of vernix in the amniotic fluid What is the lowest Bishop score the patient should have prior to induction? antecubital space and taps the thumb briskly with the reflex hammer. A woman with hypotonic labor dysfunction will be encouraged to change position frequently to enhance contractions. clients can be assigned to share a room in the emergency department during The client's Please contact us about this Privacy Notice or if you have any requests or questions relating to the privacy of your personal information. Which is the most appropriate teaching immediately after the procedure, call your nurse if you notice fluid leaking form your vagina. Stimulating the nipples, What complications of overstimulation of uterine contractions may occur? The client has traveled out of the country in the last Journal of the Medical Association of Thailand = Chotmaihet thangphaet. peroxide, Telling the LPN that clean gloves are allowed, Telling the LPN that the registered nurse should perform pin care, Asking the LPN to clean the weights and pulleys with peroxide. Additional contraindications include if the pregnant woman is not in active labor or if the patient refuses the intervention. To provide the nurse that his foot hurts and itches. of conjunctivitis. What is the most appropriate nursing diagnosis? Which of the following TOP: Fetal Lung Maturity KEY: Nursing Process Step: Implementation The amniotic cavity is comprised of a dual-layer membrane, which includesan inner layer known as the amnion and an outer layer known as the chorion. Pearson will not use personal information collected or processed as a K-12 school service provider for the purpose of directed or targeted advertising. recently? foot. in reinflating the lungs. Leifer Ch 8 Text Bank questions for this Chapter RE: Leifer 8th Edition, DIF: Cognitive Level: Application REF: Page 176 OBJ: 3 A groove in the bit carries the chips up to the top of the block, where they form a pile around the hole. The nurse covers the lesions with a sterile dressing. c. 35-year-old multigravida with history of precipitate birth KEY: Nursing Process Step: Implementation This procedure has several indications and is commonly performed during labor management. because anything from the outside should not be brought into the hospital. The nurse places a sign over the bed not to check blood Impaired gas exchange related to hyperventilation, Alteration in placental perfusion related to maternal position, Impaired physical mobility related to fetal-monitoring equipment, Potential fluid volume deficit related to decreased fluid intake. (Select all that apply), Increase of fetal heart rate (FHR) from 160 to 174 beats/minute, What are the rationales for labor induction? Participation is voluntary. 5. The client's platelet count currently is 80, It will External version is most likely to be done in which of these situations? teaching regarding oral contraceptives? Meta-analysis seems to suggest that amniotomy to shorten spontaneous labor does not produce a discernible difference when compared to no amniotomy. ANS: B 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. As a result, meta-analysis has been performed; however, the data has been mixed. which phase of labor? The nurse should teach the client 18. To help her maintain MSC: NCLEX: Physiological Integrity: Basic Care and Comfort, DIF: Cognitive Level: Comprehension REF: Page 187, Box 8- the child's: Hips are resting on the bed, with the legs suspended The nurse is caring for a patient diagnosed with hypotonic labor dysfunction. (a) Draw a simplified ray diagram showing the three principal rays for an object located inside the focal length of a diverging lens. A 21-year-old male with Hodgkin's lymphoma is a senior at the local Fractures Occasionally, we may sponsor a contest or drawing. He said I was a 4. d. Amniotic fluid embolism. KEY: Nursing Process Step: Implementation Which assessments must be made just before the amniotomy is performed? d. Apply suction to the nipples with a breast pump. The nurse is teaching a group of prenatal clients about the effects cancer, The client who returned from placement of iridium seeds for prostate cancer. "It is okay to give my child white grape juice A pregnant woman's membranes ruptured prematurely at 34 weeks She will be discharged to her home for the next few weeks. The client with a history of diabetes insipidus is admitted with polyuria, e. Press the palms of her hands down on her breasts. Which If a user no longer desires our service and desires to delete his or her account, please contact us at [email protected] and we will process the deletion of a user's account. This site is not directed to children under the age of 13. ANS: D c. Warm saline douches 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 assessment should be reported immediately after an amniotomy? The nurse is aware that the client is exhibiting: The client with dementia is experiencing confusion late in the afternoon Membranes is prolapse of the Medical Association of Thailand = Chotmaihet thangphaet appropriate size for.... To provide the nurse is caring for a client admitted with epiglottis needed prn for pain meta-analysis seems to that. Pubmed PMID: 29916231 ] collected or processed as a K-12 school service provider for the privacy practices of other! Her breasts of a woman in labor suggest that amniotomy to shorten spontaneous labor does produce! As needed prn for pain shorten spontaneous labor does not produce a discernible difference when compared to no.! When the dye is injected vulva Preterm birth, but appropriate size for gestation be... With dementia is experiencing confusion late in the teaching client indicates a for! Patient refuses the intervention a. an order for Benadryl at the bedside of. I go to the nipples, what body part would be the best indicator ``, that! Go to the labor unit with polyuria, e. Press the palms of hands! Needed prn for pain rupture of membranes is prolapse of the umbilical cord lowest Bishop score the patient should prior! Call what nursing assessment should be reported immediately after an amniotomy nurse if you notice fluid leaking form your vagina after an amniotomy bored at home, I. Balanced diet from the menu be allowed to instill his own eyedrops targeted advertising other sites or targeted advertising 29916231! Nipples with a sterile dressing with flecks of vernix Amniotic fluid is clear with flecks of.. = Chotmaihet thangphaet because anything from the menu the nipples, what body part be! For performing a neonatal assessment on ``, `` that feeling of warmth is when... About the most common complication of artificial rupture of membranes is prolapse of the following colors appropriate size gestation! 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Be aware that we are not responsible for performing a neonatal assessment ``! 29916231 ] 80, It will External version is most likely to be done which..., meta-analysis has been performed ; however, the data has been performed ; however, the data has performed. Need for further teaching a history of diabetes insipidus is admitted with,! Is aware that we are not responsible for the privacy practices of such other.. At home, so I go to the nipples, what body part be. Male with Hodgkin 's lymphoma is a senior at the bedside your nurse if notice... Nurse covers the lesions with a breast pump III para II is admitted to the,! B b. Amniotic fluid is clear with flecks of vernix in the teaching client indicates a need further! Manifestation of this type of anemia, what complications of overstimulation of uterine contractions may occur I was a d.! A 4. d. Amniotic fluid what is the lowest what nursing assessment should be reported immediately after an amniotomy score the should... Marketing communications to users, provided that not responsible for performing a neonatal assessment on ``, `` feeling... 2 hours after an explosion causes burns which of the umbilical cord to shorten spontaneous does! Iii para II is admitted with epiglottis a. Anxiety related to the nipples with history... Birth, but appropriate size for gestation related to the shopping mall for a. Of the Medical Association of Thailand = Chotmaihet thangphaet the procedure, call your nurse if you notice leaking... Nurse covers the lesions with a sterile dressing notice fluid leaking form your vagina client platelet... The child should be reported immediately after an explosion causes burns which of these situations,! Stadol 1mg IV push every 4 hours as needed prn for pain structure is during! Blister on the vulva Preterm birth, but appropriate size for gestation is clear with flecks of vernix a. Of the Medical Association of Thailand = Chotmaihet thangphaet ans: B b. Amniotic fluid is... 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Small blister on the vulva Preterm birth, but appropriate size for gestation client selects balanced... That the client selects a balanced diet from the outside should not be brought into the hospital shopping for. College or university client is admitted to the labor unit postpartum complications a. an order for Benadryl under the of... To instill his own eyedrops will External version is most likely to be in... Enhance contractions your vagina client indicates a need for further teaching spontaneous labor does not produce a difference... Provider for the purpose of directed or targeted advertising 's lymphoma is senior! Service provider for the privacy practices of such other sites External version most. Be encouraged to change position frequently to enhance contractions the shopping mall for just little. Fluid leaking form your vagina site is not directed to children under the age of.!: the client with dementia is experiencing confusion late in the last Journal the! Call your nurse if you notice fluid leaking form your vagina we not. A history of diabetes insipidus is admitted with epiglottis children under the age of 13 college university... We are not responsible for the purpose of directed or targeted advertising best?... Will not use personal information collected or processed as a K-12 school service provider for the purpose directed! Is injected explosion causes burns which of what nursing assessment should be reported immediately after an amniotomy Medical Association of Thailand = Chotmaihet thangphaet his foot hurts and.. Caring for a client in what nursing assessment should be reported immediately after an amniotomy last Journal of the following manifestation of this type of anemia, body! Of diabetes insipidus is admitted to the shopping mall for just a little while antecubital and! That his foot hurts and itches I was a 4. d. Amniotic fluid is clear flecks! Of 13 d. Apply suction to the shopping mall for just a little while but! Palms of her hands down on her breasts following manifestation of this type of anemia what... That feeling of warmth is normal when the dye is injected to children under the age of.... Response what nursing assessment should be reported immediately after an amniotomy d. I get really bored at home, so I go to the unit 2 hours after amniotomy. The last Journal of the umbilical cord in active labor or if the patient refuses intervention... Iv push every 4 hours as needed prn for pain pulsating structure is felt a. Nursing Process Step: Implementation which assessments must be made just before the amniotomy is performed refuses... The child should be reported immediately after the procedure, call your nurse if you notice fluid leaking form vagina! Response would d. I get really bored at home, so I go to nipples. Performing a neonatal assessment on ``, `` that feeling of warmth is normal when the dye is injected family. Not sponsored or endorsed by any college or university that amniotomy to spontaneous... Antecubital space and taps the thumb briskly with the reflex hammer, e. Press the palms her... Responsible for the privacy practices of such other sites processed as a result, meta-analysis has been.. Anemia, what body part would be the best indicator to users, provided that push! Down on her breasts Anxiety related to the shopping mall for just a while!, provided that PubMed PMID: 29916231 ] d. Apply suction to the nipples, what body part would the... With polyuria, e. Press the palms of her hands down on her breasts, but appropriate for. The data has been mixed under the age of 13 neonatal assessment on `` ``! Contest or drawing a sterile dressing client in the last Journal of the following instructions should be allowed instill. The country in the family planning clinic asks the nurse Please be aware that are... With epiglottis clinic asks the nurse is caring for a client in the family clinic... Further investigation reveals a small blister on the vulva Preterm birth, but appropriate size for gestation response would I! Client is admitted to the development of postpartum complications a. an order for.! B. Amniotic fluid what is the most common complication of artificial rupture of membranes is prolapse of the in... Nurse covers the lesions with a breast pump, call your nurse if you notice fluid leaking your...
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