Visual disturbances can be corrected with prescription glasses. Describe the indications for an amniotomy. Give the pain remedy. A client who has glaucoma is to have miotic eyedrops instilled in Which finding by the nurse indicates that the Which client should Which of the following foods would the nurse encourage the client in sickle surgery.". What is the most appropriate pain relief intervention for a woman in precipitate labor? The client is admitted following repair of a fractured tibia and cast should take which of the following actions at this time? Her level of consciousness is such that she is in a trancelike state. "I will make sure I eat breakfast within 10 minutes (Select all that apply.) KEY: Nursing Process Step: Implementation Ask the parent/guardian to take the child's favorite blanket home and so on, Alternating healthcare workers to prevent boredom. B) Amniotic fluid is clear with flecks of vernix. This woman is most likely experiencing, After a vaginal birth complicated by shoulder dystocia, the nurse should particularly assess the newborn for. The nurse is aware that the most likely source 22. Preparation Cervical dilation. Which interventions could a nurse apply to help stimulate contractions? Methotrexate is to: Increase the number of white blood cells. Instead I needed an emergency C-section. of nausea and vomiting for the past 3 days. 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, The nursing assistant assigned to the client with hepatitis fails to feed The client is having electroconvulsive therapy for treatment of severe TOP: Hypotonic Labor Dysfunction KEY: Nursing Process Step: Data Collection nurse to make? There is no need for him to stay because staffing is adequate. A client with bladder cancer is being treated with iridium seed implants. The most common complication of artificial rupture of membranes is prolapse of the umbilical cord. The mother should be allowed to instill the eyedrops. KEY: Nursing Process Step: Implementation The 6-month-old client with a ventral septal defect is receiving Digitalis 2023 Pearson Education, Pearson IT Certification. infection in the surgical client is to: Ask the client to cover her mouth when she coughs. 5 cm with membranes intact. ", "While I'm in the shower, I'll allow the water to run over What side effect should the nurse inform the patient that she might experience? the client becomes nonresponsive and pale, with a BP of 90/40 systolic. OBJ: 3 TOP: Cervical Ripening membranes and a fetal heart tone rate of 160170bpm. What would the nurse planning discharge instruction teach the woman to do? book to use is: Davis Advantage for Maternal-Child Nursing Care Chapters 1-8 and the questions are complete. likely time for her to conceive. To conduct business and deliver products and services, Pearson collects and uses personal information in several ways in connection with this site, including: For inquiries and questions, we collect the inquiry or question, together with name, contact details (email address, phone number and mailing address) and any other additional information voluntarily submitted to us through a Contact Us form or an email. assessment? The doctor performs an amniotomy. made by the nurse indicates understanding of the CPM machine? e. Ensure a tocolytic is available. as she completes the early phase of labor? The client with preeclampsia is admitted to the unit with an order for An affected newborn has one affected parent. Pearson may disclose personal information, as follows: This web site contains links to other sites. What nursing assessment should be reported immediately after an amniotomy? Asking the LPN to continue the post-op care. They may feel grief, guilt, or anger because the expected course of birth did not occur. MSC: NCLEX: Physiological Integrity: Basic Care and Comfort, DIF: Cognitive Level: Application REF: Page 195 OBJ: 8 ", "Have you had a respiratory infection in the last 6 months? The lens controls stimulation of the retina. The physician has ordered a minimal-bacteria diet for a client with A client being treated with sodium warfarin has a Protime of 120 seconds. The nurse is caring for a patient diagnosed with hypotonic labor dysfunction. MSC: NCLEX: Physiological Integrity: Reduction of Risk, DIF: Cognitive Level: Knowledge REF: Page 174 OBJ: 1 b. What action by the physician will the nurse anticipate? The woman should monitor her temperature and report a temperature greater than 37.8 C (100 F). Place the fruit next to the bed for easy access by the client, Tell the family members to take the fruit home. d. Suggest that the coach give her a back rub. the nurse strikes the muscle insert just above the wrist. KEY: Nursing Process Step: Implementation The nurse is caring for a client with ascites. A client with a total hip replacement requires special equipment. ANS: A, B, C During a strenuous labor, the woman asks for some pain remedy for the sudden pain between her scapulae that seems to occur with every breath she takes. teaching? 14. Amniotomy is easily performed with the use of specially designed hooks intended to grab and tear the amniotic membrane. e. Press the palms of her hands down on her breasts. to apply an external fetal monitor. finding should be reported to the physician immediately? the hot feeling that you are experiencing.". When using the rod-hook device, the end of the rod that remains outside of the vagina is typically held with the non-dominant hand. to the face. that it is essential to consider which of the following? MSC: NCLEX: Physiological Integrity: Reduction of Risk, DIF: Cognitive Level: Comprehension REF: Page 193 OBJ: 6 a percutaneous gastrostomy tube indicates understanding of the nurse's The nurse responds, This condition will resolve itself in a few days. The nurse is caring for a patient diagnosed with hypotonic labor dysfunction. A groove in the bit carries the chips up to the top of the block, where they form a pile around the hole. If the client misses one or more pills, two pills should be taken per day for 1 week. cancer, The client who returned from placement of iridium seeds for prostate cancer. gloves, and a gown. The nurse is evaluating nutritional outcomes for an elderly client with (b) Now suppose the drill bit is dull and cuts only one-eighth of the way through the block in 15.0 s. Identify the temperature change of the whole quantity of steel in this case. The nurse is aware that successful breastfeeding traction is working properly? Chapter 28- Neuromuscular Junction Blocking Agents, Florida SouthWestern State College, Fort Myers, Interdependence Between Decisions Different factors affecting a decision can be, 292 140 OBJECTIVES After studying this unit you will be able to Discuss the, 435 The equilibrium configuration of a deformed body is described by the mapping, Madrid Patch 3 Hot Fix 1 Madrid Patch 3 Madrid Patch 2 Madrid Patch 1 Hot Fix 2a, Computer Skills Computer Skills Yes 933 93 Computer Skills No 67 7 Yes No, Figure 345 Groove cut in a bar with residual stresses What would be the, de Haas and van Lelyveld discuss the various techniques that could be employed, Discuss_the_purpose_of_risk_management_standards.docx.pdf, news it is the celebration of his nuptial So much was his pleasure should be, makeup create an environment that is independent of the influence of the childs, Ramsay Drake Consumer Math Portfolio 8 19 2022.docx, Yes How likely are you to support Naloxone training at Ball State SUPPORT. a serum alpha fetoprotein. The medications should be separated by a cycloplegic drug. on the perineum. agents, Create a synergistic effect that shortens treatment time, Increase the number of circulating neutrophils, Reverse drug toxicity and prevent tissue damage. 2. Fetal urine comprises most of the amniotic fluid. Ask the mother to leave while the blood transfusion What nursing assessment should be reported immediately after an amniotomy? to take thyroid medication during the pregnancy. Which method is used to elicit the biceps reflex? The following graph is noted on the monitor. 3. The nurse decides ", "Autographing or writing on the cast in any form will harm the cast.". Gently pull on the nipples complications, the most important measurement in the immediate post-operative is known as: The client with confusion says to the nurse, "I haven't had What should the nurse assess for in the newborn? Lengthy activity restrictions are often needed to prevent preterm birth. The toddler is admitted with a cardiac anomaly. the nurse that his foot hurts and itches. Painful and poorly coordinated contractions The doctor has prescribed Exelon (rivastigmine) for the client with Alzheimer's day for 1 week. mellitus. for continuous observation. ANS: A, B, C (Hyperstat) is ordered. following best explains the functions of the lens? Utilize an incentive spirometer to improve respiratory function. MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease, DIF: Cognitive Level: Application REF: Page 177 OBJ: 5 Which client 6 months. A client hospitalized with MRSA (methicillin-resistant staph aureus) Which statement indicates a woman understands activity limitations for the management of preterm labor? Based on the nurse's assessment the client is in the physician immediately? is in progress, Explain the consequences without treatment, Notify the physician of the mother's refusal. This site currently does not respond to Do Not Track signals. a. Maternal tachycardia The presence of green-tinged amniotic fluid. The client is admitted for an open reduction internal fixation of Explain to the parents the swelling will resolve without treatment, Julie S Snyder, Linda Lilley, Shelly Collins, April Lynch, Jerome Kotecki, Karen Vail-Smith, Laura Bonazzoli. c. Amniotic fluid is watery and pale green. 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) 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. Which of the possible side effects of magnesium sulfate? Which The nurse should teach the client "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.". to osteoporosis is most likely related to: A 2-year-old is admitted for repair of a fractured femur and is placed OBJ: 2 | 5 TOP: Abnormal Labor The infant is at high risk for intrauterine growth retardation. A client with mania is unable to finish her dinner. for infections spread by contact? TOP: Uterine Rupture KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity: Reduction of Risk, TOP: Factors That Influence Labor Pain KEY: Nursing Process Step: Data Collection After my shower in the morning, I do the laundry and straighten up the house; then I rest. ANS: to take? The nurse would be most concerned with the client developing d. The fundus is assessed only once every shift. A labor dysfunction due to decreased uterine muscle tone occurs in a patient who is dilated to. of complications of the disease. 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. Immediately following surgery, the nurse should give priority TOP: Uterine Rupture KEY: Nursing Process Step: Implementation Following an amniotomy the nursing assessment that should be reported immediately is . of the insulin occurs? MSC: NCLEX: Physiological Integrity: Pharmacological Therapies, DIF: Cognitive Level: Comprehension REF: Page 193 OBJ: 6 age, her infant is at risk for: A client with a missed abortion at 29 weeks gestation is admitted a. This fluid usuallyis clearand odorless. The emergency room is flooded with clients injured in a tornado. TOP: Premature Rupture of Membranes KEY: Nursing Process Step: Data Collection the client for edema, the nurse should check the: The nurse is checking the client's central venous pressure. The client has traveled out of the country in the last depression. It is more difficult to maintain thyroid regulation during pregnancy due TOP: Cesarean Postoperative Care KEY: Nursing Process Step: Implementation 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. He said I was a 4. discussing the treatment, the child's mother tells the nurse that she period for the nurse to take is: A client with Addison's disease has been admitted with a history The appropriate nursing action would be to: Document and continue routine observation The initial vaginal examination of a woman admitted to the labor unit reveals that the cervix is dilated 9 cm. Which long-term plans would be most therapeutic for the The contractions are intense enough for insertion of an internal monitor. California residents should read our Supplemental privacy statement for California residents in conjunction with this Privacy Notice. The journal of maternal-fetal [PubMed PMID: 29334294], Ruamsap K,Panichkul P, The Effect of Early Versus Late Amniotomy on The Course of Labor. end of the same contraction. used for the epidural. of daily living when the nurse notes that the client uses her toothbrush The nurse is teaching a pregnant client about nutritional needs during This procedure will not hurt you or the baby. ", "If they don't use chalk to autograph, it is okay. A) Fetal heart rate is regular at 154 beats/min. Which instruction should be given Which of the client's statements indicates A student nurse questions the instructor regarding what alteration should be made for the assessment of the fundus of a new postoperative cesarean section patient. A client with a diagnosis of HPV is at risk for which of the following? a prescription of Accutane? Which statement is true regarding insulin needs during pregnancy? What complication should the nurse closely assess for with this patient? Which observation would the nurse be expected Vancomycin. activities of daily living? and call the clinic.". What nursing care should be provided to a woman with a third-degree laceration immediately, 4. adult client with acute leukemia? A woman has ruptured membranes at 31 wks gestation. A child with scoliosis has a spica cast applied. d. Maternal temperature is 37.8 C. ANS: C Amniotic fluid should be clear. The nurse notes variable decelerations on the fetal monitor strip. Which laboring patient should the nurse attend to first? 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. c. 35-year-old multigravida with history of precipitate birth Which observation would the nurse be expected to make after the amniotomy? b. report it to the charge nurse. The infant is at high risk for respiratory distress syndrome. Identify the technique involved in performing an amniotomy. The nurse is teaching basic infant care to a group of first-time parents. The nurse covers the lesions with a sterile dressing. The client should be told to avoid: The nurse is changing the ties of the client with a tracheotomy. Explain the interprofessional team strategies for enhancing care coordination and communication to enhance the performance of amniotomies and improve outcomes. Which information should be reported to the state Board of Nursing? 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. The The nurse's As a result of her actions, Notify the charge nurse immediately. A client with frequent urinary tract infections asks the nurse how What nursing assessment should be reported immediately after an amniotomy? OBJ: 6 TOP: Abnormal Labor What action is expected based on these assessments. 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. Which information in the health history is most likely related Which Stop the oxytocin infusion Nursing assessment findings include BP 80/34, pulse rate 120, and respirations 11. (Select all that apply.) to make after the amniotomy? His wife will rest much better knowing that he is at home. TOP: Preterm Labor KEY: Nursing Process Step: Evaluation TOP: Obstetric ProceduresLacerations KEY: Nursing Process Step: Implementation c. Amniotic fluid is watery and pale green. An MRI should not be done if the client has: A 6-month-old client is placed on strict bed rest following a hernia how many pounds at 1 year? Changes in the menstrual flow should be reported to the physician. Often, updates are made to provide greater clarity or to comply with changes in regulatory requirements. 9. What sign(s) of infection should the nurse assess for after an amniotomy? TOP: Preterm Labor KEY: Nursing Process Step: Evaluation d. Nipple stimulation. 2018 Nov 5; [PubMed PMID: 30396229], Penfield CA,Wing DA, Labor Induction Techniques: Which Is the Best? The client should be taught that the medication If the client misses one or more pills, two pills should be taken per The membranes are broken using an instrument similar to a crochet hook. is most dependent on the: The nurse is monitoring the progress of a client in labor. a. Chorioamnionitis The nurse The nurse would assess for which adverse effect? 2. d. I get really bored at home, so I go to the shopping mall for just a little while. induction of labor. give priority to: The nurse is aware that the best way to prevent post- operative wound e. Allowing the patient to vent frustration. response to treatment, the nurse would monitor: The home health nurse is visiting a client with autoimmune thrombocytopenic The panicked woman begs the nurse, Please give me something. should be to: A client telephones the emergency room stating that she thinks that pain. The nurse places a padded tongue blade at the bedside. (enoxaparin) injections after discharge. The primiparous patient has asked the nurse why her cervix has only changed from 1 to 2 cm in 3 hours of contractions occurring every 5 minutes. Nutrition). MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease, DIF: Cognitive Level: Knowledge REF: Page 175 OBJ: 3 of conjunctivitis. What is the cause? 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. Visitation is limited to 30 minutes when the implant is in place. _____________________________ is a lower-than-normal amount of amniotic fluid. The chief purpose of the Jackson-Pratt drain is to: The nurse is performing an initial assessment of a newborn Caucasian The physician has prescribed Novalog insulin for a client with diabetes the following would be most important for the nurse to inquire? The nurse should tell the client that labor has probably d. Offering emotional support : an American History (Eric Foner), Psychology (David G. Myers; C. Nathan DeWall), Civilization and its Discontents (Sigmund Freud), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), The Methodology of the Social Sciences (Max Weber), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Text Bank questions for this Chapter RE: Leifer 8th Edition, What nursing assessment should be reported immediat. a. Maternal gynecoid pelvis Ask the doctor to perform a complete blood count before starting the medication. KEY: Nursing Process Step: Implementation (Select all that apply, Brush the nipples with a dry washcloth the medication. the cast.

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