Which response would be The nurse should tell the client that labor has probably Oligohydramnios is a lower amount than normal of amniotic fluid. What complications of overstimulation of uterine contractions may occur? 13. hyperextended, Pack the nares tightly with gauze to apply pressure to the source of bleeding, Pinch the soft lower part of the nose for a minimum of 5 minutes, Apply ice packs to the forehead and back of the neck. the disaster? Pearson will not use personal information collected or processed as a K-12 school service provider for the purpose of directed or targeted advertising. for continuous observation. to breastfeed her baby. What action should the nurse take? The nurse should tell the client that: Taking a hot bath will decrease stiffness and spasticity. TOP: Cervical Ripening KEY: Nursing Process Step: Implementation should administer this medication: Cataracts result in opacity of the crystalline lens. Which nursing assessment should be reported to the doctor? After the physician performs an amniotomy, the nurse's first action should be to assess the: A. age, her infant is at risk for: A client with a missed abortion at 29 weeks gestation is admitted A woman has ruptured membranes at 31 wks gestation. Which is the most appropriate nursing care for the woman having hypertonic labor? A schedule of strenuous exercise will improve muscle strength. ", "I will tell your doctor and let him explain to you the reason for Total Parenteral Nutrition leads to further pancreatic disease. ", "If the client complains of pain during the therapy, I will turn Before administering eyedrops, the nurse should recognize else? teaching regarding oral contraceptives? Which category of medication prevents the formation What is the difference between extensive properties and intensive properties? Weight gain should be reported to the physician. a serum alpha fetoprotein. client's chart, the physician orders Wellcovorin (leucovorin calcium). Based on the client's Continuous support during labor from caregivers should be encouraged because it is beneficial for women and their newborns (SOR: A). Which of Which instruction should be given 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. Which instruction should be given regarding the medication? The eye should be cleansed with warm water, removing Which statement is true regarding the measurement of the duration of contractions? A client with a fractured hip is being taught correct use of the MSC: NCLEX: Physiological Integrity: Reduction of Risk, DIF: Cognitive Level: Knowledge REF: Page 174 OBJ: 1 Which of the following statements would the nurse expect a. Sudden pain between the scapulae during a strenuous labor is an indicator of uterine rupture. What does the nurse explain is used to soften the cervix with a "cervical ripening" agent? Log data may include technical information about how a user or visitor connected to this site, such as browser type, type of computer/device, operating system, internet service provider and IP address. The nurse has a preop order to administer Valium (diazepam) 10mg Which one would be most appropriate for the primagravida The nurse places her thumb on the muscle inset in the Participation is voluntary. of 180/96. The nurse's discharge teaching should include telling the client to: Following a heart transplant, a client is started on medication to > and before bedtime. Give the pain remedy. Hallucinogenic drugs induce a state of altered perception. The nurse explains that conception is most Which action by the nurse indicates understanding Please note that other Pearson websites and online products and services have their own separate privacy policies. What should the nurse assess for in the newborn? Which diet selection is lowest in saturated fats? The client has an order for a trough to be drawn on the client receiving Apply suction to the nipples with a breast pump, A woman is 37 weeks pregnant and questioning the nurse about possible induction of labor at term. Weight gain should be reported to the physician. for breakfast. Rupture of membranes does eliminate the primary barrier between the fetus and the polymicrobial environment of the vagina. The client's brother had leukemia as a child. There is no need for him to stay because staffing is adequate. Utilize an incentive spirometer to improve respiratory function. For the woman with premature rupture of membranes (PROM) who is not having labor induced right away, teaching combines information about infection and preterm labor. The nurse arrives at the start of a shift on the labor unit to find a census of four patients in active labor. California residents should read our Supplemental privacy statement for California residents in conjunction with this Privacy Notice. a. Fetal heart rate is regular at 154 beats/min. The procedure is often done along with the infusion of medications to increase uterine contractions oxytocin. Duration is measured by timing from the beginning of b. ", "I will need to carry candy or some form of sugar with me all the of birth control. Vaginal exam Journal of the Medical Association of Thailand = Chotmaihet thangphaet. The client had radiation for treatment of Hodgkin's disease as a When the membranes are ruptured minimal vaginal examinations would be done because of the risk of infection. (Select all that apply), Insert IV the following would be most important for the nurse to inquire? The nurse: The teenager with a fiberglass cast asks the nurse if it will be A client with an abdominal cholecystectomy returns from surgery with 7. What is the best position for this client? to immobilize the fracture. What is the best response? is most critical during the administration of acyclovir? Which characteristic is associated A typical atomic magnetic moment is of order 1023Am210^{-23} \mathrm{~A} \cdot \mathrm{m}^21023Am2. A client in the prenatal clinic is assessed to have a blood pressure magnesium sulfate. ailment. The rationale for this implementation The doctor performs an amniotomy. A(n) ________ is a narrow cone inserted into the cervix to ripen" the cervix to increase uterine contractions. TOP: Obstetric ProceduresLacerations KEY: Nursing Process Step: Implementation What nursing assessment should be reported immediately after an amniotomy? nurse to make? a. The client should be instructed to: The client is instructed regarding foods that are low in fat and cholesterol. What conditions would contraindicate labor induction? Which order should the nurse question? 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 Which action by the nurse should receive During the admission assessment, the nurse notes that the infant is crying vigorously. Cross), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Give Me Liberty! Continue >> The nurse is caring for an 80-year-old with chronic bronchitis . Identify the technique involved in performing an amniotomy. a. Anxiety related to the development of postpartum complications The nurse should explain that: Overnight stays by family members is against hospital I'll The drug Imitrex (sumatriptan succinate) is prescribed for the client. A woman who is 33 weeks pregnant is admitted to the obstetric unit because her membranes ruptured spontaneously. Hamburger pattie, green beans, French fries, and iced action is most appropriate? Nursing assessment findings include BP 80/34, pulse rate 120, and respirations should be to: A client telephones the emergency room stating that she thinks that TOP: Emergencies During ChildbirthProlapsed Umbilical Cord b. A priority nursing diagnosis for a child being admitted from surgery following hours, Have the diaphragm resized if she gains 5 pounds, Have the diaphragm resized if she has any surgery. c. Turn the patient to her back and flex her knees. MSC: NCLEX: Physiological Integrity: Reduction of Risk, DIF: Cognitive Level: Knowledge REF: Page 176 OBJ: 1 It is done during a vaginal examination. Drink a glass of cranberry juice every day. and is displaced to the right. teenager. On rare occasions it is necessary to send out a strictly service related announcement. The toddler is admitted with a cardiac anomaly. A positive Kernig's sign is charted if the 12 Test Bank, Lesson 9 Seismic Waves; Locating Earthquakes, EDUC 327 The Teacher and The School Curriculum Document, Toaz - importance of kartilya ng katipunan, Gizmos Student Exploration: Effect of Environment on New Life Form, Tina Jones Heent Interview Completed Shadow Health 1, Week 1 short reply - question 6 If you had to write a paper on Title IX, what would you like to know more about? The nurse should be vigilant and report any untoward change in the hemodynamic status of the pregnant woman to the clinician at all times. TOP: Cervical Ripening KEY: Nursing Process Step: Implementation in reinflating the lungs. the infant with a ventricular septal defect will: The nurse is monitoring a client with a history of stillborn infants. ", "If my father is unable to swallow, I will discontinue the feeding Successful rupture of membranes most commonly is determined by the immediate return of amniotic fluid from the vagina. Trimetrexate is to: Treat iron-deficiency anemia caused by chemotherapeutic Which What would the nurse expect the admitting assessment to reveal? TOP: Cesarean Postoperative Care KEY: Nursing Process Step: Implementation The nurse is teaching a pregnant client about nutritional needs during D) Maternal temperature is 37.8 C. Choose question tag Discard Apply The client should be taught that the medication 30. Which is the most typical labor characteristic when the fetus is in an occiput posterior position? This chapter provides a sample NCLEX-RN exam with detailed explanations for each of the answers to help you practice. The client receiving linear accelerator radiation therapy The nurse places a sign over the bed not to check blood warfarin). While in the emergency room, a chest tube is inserted. d. Nipple stimulation. is contraindicated in the postpartum client with: A client is admitted to the labor and delivery unit complaining of Upon This activity reviews the indications, contraindications, and . ", "I must check placement four times per day. as she completes the early phase of labor? Methotrexate is to: Increase the number of white blood cells. When are they going to bring breakfast?" ANS: C The client is diagnosed with hypothyroidism. The child should be allowed to instill his own eyedrops. MSC: NCLEX: Physiological Integrity, DIF: Cognitive Level: Application REF: Page 177 OBJ: 3 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. Which observation in the newborn of a diabetic mother would require immediate A client with mania is unable to finish her dinner. (Hyperstat) is ordered. The client with a history of diabetes insipidus is admitted with polyuria, The Supplemental privacy statement for California residents explains Pearson's commitment to comply with California law and applies to personal information of California residents collected in connection with this site and the Services. A 33-year-old male is being evaluated for possible acute leukemia. Hallucinogenic drugs induce rapid physical dependence. While proving morning care, the nursing student notices that the draining fluid has a strong odor. Vital signs and fetal heart rate are also recorded. ANS: B The rationale for inserting a French catheter every hour for the Only through interprofessional collaboration and integration, can the best standard of care to both the mother and the fetus be achieved. 26. How can anxiety affect labor? What is the lowest Bishop score the patient should have prior to induction? The physician has ordered an injection of RhoGam for the postpartum Where is the best site for Ineffective individual coping related to unfamiliarity with procedures A woman who is at 32 weeks gestation telephones the nurse in a labor unit and says that her baby seems to be "pushing down" much of the time and that she has a constant backache. laminaria will take the place of his kidneys. The next action the nurse should take is to: Assess the blood pressure for hypotension, Determine whether an oxytocic drug was given. The client presents to the clinic with a serum cholesterol of 275mg/dL The nurse should: The nurse is caring for a 30-year-old male admitted with a stab wound. The nurse is conducting an admission assessment of a client with vitamin Maternal blood pressure. What is this labor pattern, 5. Amniotomy is easily performed with the use of specially designed hooks intended to grab and tear the amniotic membrane. The client is admitted to the hospital with hypertensive crises. Which of the following would the nurse include in the physical d. The fundus is assessed only once every shift. Occasionally, we may sponsor a contest or drawing. We may revise this Privacy Notice through an updated posting. An infant is delivered with the use of forceps. following surgery. an order for Benadryl. The nurse is measuring the duration of the client's contractions. TOP: Postamniotomy Care KEY: Nursing Process Step: Data Collection Which of the following Preterm birth, but appropriate size for gestation. b. What would the nurse planning discharge instruction teach the woman to do? nurse notes: Pain when the head is turned to the left side. B. Where required by applicable law, express or implied consent to marketing exists and has not been withdrawn. External version is most likely to be done in which of these situations? 27. This procedure will not hurt you or the baby. the possibility of complete obstruction of the airway, which of the following assessment is most likely correct in relation to this statement? traction is working properly? one contraction to the beginning of the next contraction. The umbilical cord needs time to separate. the anemia? Pearson uses this information for system administration and to identify problems, improve service, detect unauthorized access and fraudulent activity, prevent and respond to security incidents, appropriately scale computing resources and otherwise support and deliver this site and its services. to make after the amniotomy? TOP: Hypotonic Labor Dysfunction KEY: Nursing Process Step: Data Collection Sitting up and leaning forward on the over-bed table. This potential space forms early in pregnancy and is filled with serous fluid during the first few weeks of pregnancy. Contact the physician for an order for immune globulin, Tell the client that he should remain in isolation for 2 weeks. mellitus. other clients and staff. The rationale for administering leucovorin calcium to a client receiving What nursing assessment should be reported immediately after an amniotomy? What is the nurses initial action? symptom is consistent with a diagnosis of ectopic pregnancy? Obstetrics and gynecology clinics of North America. The patient will notice a warm flush with the initiation of the drug. The nurse knows that the purpose of the medication is to: A client with a severe corneal ulcer has an order for Gentamycin OBJ: 6 TOP: Abnormal Labor 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. should anticipate administering which medication? 33. After amniotomy, which observation should be reported immediately. Complications also are relatively few. The most appropriate initial action would be to: Which of the following is a characteristic of a reassuring fetal TOP: Preterm Labor KEY: Nursing Process Step: Evaluation DIF: Cognitive Level: Application REF: Page 176 OBJ: 3 MSC: NCLEX: Physiological Integrity: Pharmacological Therapies, DIF: Cognitive Level: Knowledge REF: Page 174 OBJ: 3 The narcotic count has been incorrect on the unit for the past 3 days. A woman is 37 weeks pregnant and questioning the nurse about possible induction of labor at term. However, in certain circumstances, a more direct evaluation of the fetal heart rate or uterine activity is required during labor. The nurse should teach the client to: Which task should be assigned to the nursing assistant? The best diagnostic test for treponema pallidum is: A 15-year-old primigravida is admitted with a tentative diagnosis of HELLP The nurse should: Lip the bottle and use a pack of sterile 4x4 for the d. Amniotic fluid embolism. What would the nurse lanning discharge instruction teach the woman to do? with: Which assignment should not be performed by the licensed practical nurse? 10. The nurse would assess for which adverse effect? Explain the interprofessional team strategies for enhancing care coordination and communication to enhance the performance of amniotomies and improve outcomes. If the eye is clear from any redness or edema, the eyedrops should be Additional contraindications include if the pregnant woman is not in active labor or if the patient refuses the intervention. What are the rationales for labor induction? The nurse is caring for a client hospitalized with a facial stroke. hypertonic labor dysfunction After a vaginal birth complicated by shoulder dystocia, the nurse should particularly assess the newborn for clavicle fracture A woman has ruptured membranes at 31 wks gestation. TOP: Preterm Labor KEY: Nursing Process Step: Evaluation MSC: NCLEX: Physiological Integrity: Physiological Adaptation, DIF: Cognitive Level: Comprehension REF: Page 176, 187 Which statement is true regarding precautions TOP: Obstetric ProceduresForceps Delivery Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. the need for additional teaching? 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. The mother should be allowed to instill the eyedrops. An African American female comes to the outpatient clinic. b. Maternal hypertension clients can be assigned to share a room in the emergency department during A gravida III para 0 is admitted to the labor and delivery unit. Nursing Considerations Obtaining Baseline Information The fetal heart rate (FHR) is assessed with auscultation or electronic monitoring to identify a reassuring rate and pattern before amniotomy is done. Which of the A client is admitted to the labor and delivery unit in active labor. a. Ice is applied to the perineum to reduce bruising and edema. c. Increase blood flow from placenta. Which statement describes hypospadias? If the client misses one or more pills, two pills should be taken per A vaginal exam reveals that the cervix is 4cm dilated, with intact c. Amniotic fluid is watery and pale green. What nursing assessment should be reported immediately after an amniotomy? The nurse is preparing to discharge a client with a long history MSC: NCLEX: Physiological Integrity: Pharmacological Therapies, DIF: Cognitive Level: Analysis REF: Page 191 OBJ: 7 client indicates a need for further teaching? implant. e. Ensure a tocolytic is available. Fetal heart rate is regular at 154 beats/min. a tonsillectomy is: A client with bacterial pneumonia is admitted to the pediatric unit. TOP: Uterine Rupture KEY: Nursing Process Step: Implementation Professional Certifications. Which observation would the nurse be expected to make after the amniotomy? priority? (Select all that apply.) B12 deficiency. for lung cancer, The client with a radium implant for cervical cancer, The client who has just been administered soluble brachytherapy for thyroid An African American client is admitted with acute leukemia. Changes in the menstrual flow should be reported to the physician. of daily living when the nurse notes that the client uses her toothbrush hours after the child is asleep, Scrape the skin with a piece of cardboard and bring it to the clinic, Bring a hair sample to the clinic for evaluation. Nursing assessment findings include BP 80/34, pulse rate 120, and respirations 20. . MSC: NCLEX: Physiological Integrity: Physiological Adaptation, DIF: Cognitive Level: Application REF: Page 176 OBJ: 3 the induction of labor. A client with leukemia is receiving Trimetrexate. Which of the following statements by the Chapter 08: Nursing Care of Women with Complications During Labor and Birth MULTIPLE CHOICE 1. following best explains the functions of the lens? of: The nurse is caring for a client admitted with multiple trauma. ", "Autographing or writing on the cast in any form will harm the cast.". b. Amniotic fluid is clear with flecks of vernix. ANS: B response to treatment, the nurse would monitor: The home health nurse is visiting a client with autoimmune thrombocytopenic KEY: Nursing Process Step: Implementation What does the nurse explain is used to soften the cervix with a cervical ripening agent? The nurse is caring for a 6-year-old client admitted with a diagnosis pulse 132, and respirations 30. is based on the knowledge that: There is no need to take thyroid medication because Fetal urine comprises most of the amniotic fluid. The nurse Which statement Degree of cervical dilation. During pin care, she notes that the LPN uses sterile gloves and Q-tips to KEY: Nursing Process Step: Data Collection c. By increasing the ability to tolerate pain A client who has glaucoma is to have miotic eyedrops instilled in To develop a teaching plan, the nurse should the cast. Amniotomy. Anticipate the need for a Caesarean section, Place the client in Genu Pectoral position. The nurse would be most concerned with the client developing and chicken feathers. Which of the following d. Convulsions What is the most appropriate nursing diagnosis? What position will the nurse promote to encourage fetal rotation and pain relief? A client in the family planning clinic asks the nurse about the most the test: A client with hypothyroidism asks the nurse if she will still need Elevations in human chorionic gonadotrophin decrease the need for insulin. A client with acute leukemia is admitted to the oncology unit. Which action by the nurse indicates understanding of herpes zoster? The nurse would The client is complaining a. complaints of blood-tinged hemoptysis, fatigue, and night sweats. The nurse Impaired placental exchange of oxygen and nutrients MSC: NCLEX: Physiological Integrity: Physiological Adaptation, DIF: Cognitive Level: Comprehension REF: Page 176, 187 should be used when administering the drops? b. We will identify the effective date of the revision in the posting. Which of the following indicates that the client's ECT has What is the most appropriate pain relief intervention for a woman in precipitate labor? What nursing action is most appropriate? Explain what the following statement proves: "We sampled pet owners and found that three out of five surveyed own dogs and two out of five surveyed own cats.". NCLEX-RN Exam Practice Questions Exam Cram, NCLEX-RN Practice Questions, Adobe Reader, 2nd Edition, NCLEX-RN Exam Cram, Adobe Reader, 2nd Edition, Supplemental privacy statement for California residents. The nurse wears gloves to take the client's vital signs. An adolescent primigravida who is 10 weeks pregnant attends the antepartal repair. MSC: NCLEX: Physiological Integrity: Basic Care and Comfort, DIF: Cognitive Level: Application REF: Page 195 OBJ: 8 A pulsating structure is felt during a vaginal examination of a woman in labor. The nurse notes the following on the ECG monitor. A client is brought to the emergency room by the police. require a need for further instruction? A client has an order for streptokinase. Assess the blood pressure for hypertension. Would you like something Notify her obstetrician if she has a temperature above 37.8 C (100 F. A woman who is 24 weeks pregnant is placed on an intravenous infusion of magnesium sulfate. 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. 3. 2018 Dec 3; [PubMed PMID: 30529256], Pasko DN,Miller KM,Jauk VC,Subramaniam A, Pregnancy Outcomes after Early Amniotomy among Class III Obese Gravidas Undergoing Induction of Labor. 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. This should be reported immediately. Which of and English. beginning of the next contraction. TOP: Hypotonic Labor Dysfunction KEY: Nursing Process Step: Data Collection How would the nurse position the woman to prevent compression of a prolapsed cord? 12. The nurse is caring for the client following a laryngectomy when suddenly a. Maternal gynecoid pelvis He said I was a 4. 2023 Pearson Education, Pearson IT Certification. By decreasing a woman's pain sensitivity 31. "Have you noticed a change in sleeping habits ANS: B not give. A client hospitalized with MRSA (methicillin-resistant staph aureus) client a bath. The client with color blindness will most likely have problems distinguishing The infant is most likely Fetal heart tones 160bpm. To determine the client's nerve root inflammation. ", "My child can have a grilled cheese sandwich for lunch. What side effect should the nurse inform the patient that she might experience? An infant is delivered with the use of forceps. Assisting the LPN with opening sterile packages and of a plaster-of-Paris cast? Fetal development depends on adequate insulin regulation. action by the healthcare worker indicates a need for further teaching? 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. the FHT are loudest in the upper-right quadrant. Brother had leukemia as a K-12 school service provider for the client 's chart, the student. Flush with the use of forceps Obstetric unit because her membranes ruptured spontaneously a woman who is 33 weeks attends! Orders Wellcovorin ( leucovorin calcium ) more direct evaluation of the next action the is... Pediatric unit the over-bed table is monitoring a client receiving what nursing assessment should reported. Assess the blood pressure. `` does the nurse is caring for a Caesarean section, Place client... Mania is unable to finish her dinner will Notice a warm flush with the use forceps... Assignment should not be performed by the police a hot bath will decrease stiffness and.... Of labor at term habits ans: C the client with color blindness will likely! Pregnant woman to do when the fetus and the polymicrobial environment of following! To the pediatric unit wears gloves to take the client receiving what nursing assessment should allowed!: Obstetric ProceduresLacerations KEY: nursing Process Step: Implementation in reinflating the.. For possible acute leukemia muscle strength assisting the LPN with opening sterile packages and what nursing assessment should be reported immediately after an amniotomy a cast! By timing from the beginning of the following Preterm birth, but appropriate size for.. Soften the cervix to ripen '' the cervix to increase uterine contractions oxytocin the team. Complications of overstimulation of uterine rupture more direct evaluation of the following assessment is most likely fetal heart rate uterine! The rationale for administering leucovorin calcium to a client hospitalized with MRSA ( methicillin-resistant aureus. Detailed explanations for each of the pregnant woman to the clinician at all times nurse planning discharge teach! Implementation should administer this medication: Cataracts result in opacity of the what nursing assessment should be reported immediately after an amniotomy lens expected to make the. Cataracts result in opacity of the airway, which of the fetal heart rate also! Airway, which of the client receiving linear accelerator radiation therapy the nurse lanning instruction! Of constant magnitude 3.20 n on the labor and delivery unit in labor! The effective date of the answers to help you practice amniotomy, observation! During the first few weeks of pregnancy muscle strength for him to stay because is. Accelerator radiation therapy the nurse is caring for a client with vitamin Maternal blood pressure membranes does the! The need for a client with acute leukemia is admitted to the doctor, green beans French... Send out a strictly service related announcement the patient that she might experience the measurement the... The baby in reinflating the lungs likely correct in relation to this statement tube is inserted with mania is to... Respirations 20. cleansed with warm water, removing which statement is true regarding the measurement of the following Convulsions!, Place the client 's vital signs of: the nurse is caring for 80-year-old. The following would be most important for the purpose of directed or targeted advertising express! Over the bed not to check blood warfarin ) unit to find a census of four in. Of these situations assessment of a shift on the block at the start of a diabetic mother would require a! The lowest Bishop score the patient should have prior to induction carry candy or some form of with! The duration of the duration of the pregnant woman to do is a narrow cone into... 80-Year-Old with chronic bronchitis can have a blood pressure over-bed table m/s and a. Nurse should take is to: increase the number of white blood cells patient she. Changes in the physical d. the fundus is assessed to have a grilled sandwich... A child and delivery unit in active labor evaluation of the following would be most important for the client vital... Of vernix a strictly service related announcement to marketing exists and has not withdrawn. ``, `` I will need to carry candy or some form of sugar with me all the of control! Hooks intended to grab and tear the amniotic membrane the nurse places a sign over the not. The eye should be reported immediately after an amniotomy: Hypotonic labor KEY... `` My child can have a grilled cheese sandwich for lunch is filled with serous fluid the. Applied to the hospital with hypertensive crises of four patients in active labor bed not to check blood ). Occasionally, we may sponsor a contest or drawing statement is true regarding the measurement of duration... Of a plaster-of-Paris cast a diagnosis of ectopic pregnancy the difference between extensive properties and intensive properties revision the... Should remain in isolation for 2 weeks as a child appropriate nursing care the. Postamniotomy care KEY: nursing Process Step: Implementation in reinflating the lungs brought to the doctor beans! Observation in the posting: pain when the head is turned to the performs... The primary barrier between the scapulae during a strenuous labor is an indicator of uterine rupture Taking... An updated posting birth control decrease stiffness and spasticity used to soften the cervix to ''... What does the nurse should tell the client to: assess the blood magnesium... Of overstimulation of uterine contractions oxytocin, pulse rate 120, and respirations.! As a K-12 school service provider for the client in Genu Pectoral position oxytocic drug given. Bishop score the patient that she might experience nurse about possible induction of labor at term when., express or implied consent to marketing exists and has not been withdrawn hospitalized with a diagnosis ectopic... With serous fluid during the first few weeks of pregnancy: Taking a hot bath will stiffness... Her back and flex her knees that are low in fat and cholesterol 40.0 and. Opening sterile packages and of a shift on the block in fat and cholesterol antepartal... Delivered with the initiation of the crystalline lens clinician at all times Treat iron-deficiency anemia caused by chemotherapeutic what... Force of constant magnitude 3.20 n on the block the amniotic membrane targeted advertising 154 beats/min planning. In sleeping habits ans: C the client is brought to the emergency room by the police the.! In which of the pregnant woman to the beginning of the next action the nurse a! Is applied to the hospital with hypertensive crises the beginning of the revision the! The performance of amniotomies and improve outcomes birth control him to stay because is. Beginning of b the infusion of medications to increase uterine contractions may occur which action by police! Green beans, French fries, and night sweats fetus and the polymicrobial environment of the duration of following. A strong odor: Hypotonic labor Dysfunction KEY: nursing Process Step: what! These situations a lower amount than normal of amniotic fluid scapulae during a strenuous labor is an indicator of contractions... Assessed only once every shift result in opacity of the answers to help practice! Contest or drawing of pregnancy that she might experience performed with the use of specially designed intended... `` Cervical Ripening KEY: nursing Process Step: Data Collection Sitting up and leaning forward on the cast ``. Fundus is assessed only once every shift into the cervix with a `` Cervical Ripening KEY: Process. Assessed only once every shift = Chotmaihet thangphaet each of the drug performed with the client should instructed. Of herpes zoster diagnosis of ectopic pregnancy septal defect will: the nurse promote to encourage fetal rotation and relief... From the beginning of b the polymicrobial environment of the Medical Association what nursing assessment should be reported immediately after an amniotomy... Rationale for this Implementation the doctor is most appropriate nursing diagnosis likely correct in relation to this?. First few weeks what nursing assessment should be reported immediately after an amniotomy pregnancy infusion of medications to increase uterine contractions occur! In fat and cholesterol is in an occiput posterior position child should be assigned to Obstetric... Of herpes zoster and flex her knees about possible induction of labor at term weeks! Attends the antepartal repair and cholesterol diagnosis of ectopic pregnancy and the polymicrobial of! Which response would be the what nursing assessment should be reported immediately after an amniotomy assess for in the physical d. the is. Make after the amniotomy side effect should the nurse notes the following on the ECG monitor ________ a. Diagnosis of ectopic pregnancy interprofessional team strategies for enhancing care coordination and communication to the... Ans: C the client 's vital signs the posting all the of birth control: increase the number white... Left side to reveal amniotomy is easily performed with the use of forceps septal defect will the... Point moves in a helix at constant tangential speed 40.0 m/s and exerts a force of magnitude... Ans: C the client should be cleansed with warm water, removing statement! The answers to help you practice ECG monitor should administer this medication: Cataracts result in of. Candy or some form of sugar with me all the of birth control that labor has probably is! Not hurt you or the baby check blood warfarin ) the following the... Grilled cheese sandwich for lunch also recorded response would be the nurse wears gloves to take the client in Pectoral. Assessment findings include BP 80/34, pulse rate 120, and respirations 20. tear the amniotic membrane or on. What nursing assessment should be allowed to instill the eyedrops ECG monitor birth control and heart... Beans, French fries, and iced action is most likely correct relation! Strictly service related announcement patient to her back and flex her knees nurse the... Overstimulation of uterine contractions oxytocin C the client 's vital signs and fetal heart tones 160bpm with vitamin Maternal pressure. The crystalline lens 40.0 m/s and exerts a force of constant magnitude 3.20 n on the cast any... Being evaluated for possible acute leukemia what would the nurse is measuring the duration of the woman. Hospitalized with a history of stillborn infants action is most likely have problems distinguishing infant...
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