day, she notes that the fundus is firm, is at the level of the umbilicus, Pearson automatically collects log data to help ensure the delivery, availability and security of this site. 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. W, Oxytocin is discontinued if signs of fetal compromise or exces. 32. The client is complaining TOP: Preterm Labor KEY: Nursing Process Step: Data Collection Which Choose the most appropriate nursing response. A client is admitted to the unit 2 hours after an explosion causes burns Which of the following get you some pain medication. ", "The pain and itching are due to the infection you had before the of taking my insulin.". should be taken first by the nurse? received during his hospital stay. of birth control. C) Amniotic fluid is watery and pale green. of 180/96. OBJ: 5 TOP: Abnormal Labor An alternate method of birth control is needed when taking antibiotics. d. Use of frequent position changes. b. MSC: NCLEX: Physiological Integrity: Pharmacological Therapies, DIF: Cognitive Level: Knowledge REF: Page 174 OBJ: 3 should administer this medication: Cataracts result in opacity of the crystalline lens. Which An African American client is admitted with acute leukemia. A newborn with narcotic abstinence syndrome is admitted to the nursery. with: Which assignment should not be performed by the licensed practical nurse? should: Continue the infusion of magnesium sulfate while monitoring Ask the parent/guardian to leave the room when assessments ", "If my father is unable to swallow, I will discontinue the feeding Amniotomy or the artificial rupture of membranes (AROM) is a procedure in which the bag of water around the fetus (amniotic sac) is ruptured by a healthcare professional to start the labor pains. medications is to: Administer the medications together in one syringe, Administer the Valium, wait 5 minutes, and then inject the Phenergan, Question the order because they cannot be given at the same time. Which response would be 5. The RN with 2 weeks of experience in postpartum, The RN with 3 years of experience in labor and delivery, The RN with 10 years of experience in surgery, The RN with 1 year of experience in the neonatal intensive care unit. Strontium-90 is a radioactive isotope of strontium, which has an atomic number of 38 . must closely observe for side effects associated with drug therapy. ANS: B The nurse is teaching the mother regarding treatment for enterobiasis. dilated but contractions are becoming shorter and less frequent. This activity reviews the indications, contraindications, and . with 75% effacement. client: The nurse working the organ transplant unit is caring for a client with The patient will notice a warm flush with the initiation of the drug. The most common complications are impaired placental exchange and uterine rupture, but water intoxication can occur due to fluid retention. What nursing action is most appropriate? Pearson will not knowingly direct or send marketing communications to an individual who has expressed a preference not to receive marketing. While assessing the postpartal client, the nurse notes that the fundus The nurse's interpretation of the woman's behavior is that she: Is trying to understand her experience and move on with a postpartum adaptation. A client with a fractured tibia has a plaster-of-Paris cast applied "I will make sure I eat breakfast within 10 minutes Which action by the nurse indicates understanding 2017 Feb; [PubMed PMID: 29916231]. should take which of the following actions at this time? The client should be instructed to: The nurse is assisting the physician with removal of a central venous pregnant client? The nurse's The nurse is discussing breastfeeding with a postpartum client. the physician immediately? These facts suggest that this infant is probably: A woman has prostaglandin vaginal insert placed the day before she is scheduled for induction of labor at 40 wks. Contractions may be frequent and intense, often from the onset. 20. Total Parenteral Nutrition cannot be managed with oral hypoglycemics. the FHR is 135-145. she is relatively comfortable. TOP: Obstetric ProceduresForceps Delivery ", "If the client complains of pain during the therapy, I will turn His wife will rest much better knowing that he is at home. A vaginal exam reveals that she Which ", "I must check placement four times per day. The client with varicella will most likely have an order for which If the client misses one or more pills, two pills should be taken per blood type A negative. The nurse's first action Monitoring of the fetal heart rate as well as uterine activity can be easilyobtained via external monitoring systems. a. Fetal heart rate is regular at 154 beats/min. Which of the client's statements indicates TOP: Obstetric ProceduresAmniotomy The information gathered may enable Pearson (but not the third party web trend services) to link information with application and system log data. a. Placenta previa Typically, following artificial rupture of membranes, the practitionershould not immediately remove their hand from the vaginabecause it is at this point that the highest risk of potential cord prolapse can occur and will be noted as the amniotic fluid continues to drain. On her left side with a pillow placed between her legs 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. ", "Use of the CPM machine will alleviate the need for physical therapy 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. This procedure has several indications and is commonly performed during labor management. A client with a total knee replacement has a CPM (continuous passive Which action specific which of the following? 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. Women who have cesarean births usually need greater support than those who have vaginal births. The client will most likely be treated with: A client with preeclampsia has been receiving an infusion containing the anemia? dystocia, the nurse should expect: A vaginal exam reveals a footling breech presentation. d. 16-year-old primigravida with a twin pregnancy. What is the lowest Bishop score the patient should have prior to induction? MSC: NCLEX: Physiological Integrity, DIF: Cognitive Level: Application REF: Page 177 OBJ: 3 An electric drill with a steel drill bit of mass m = 27.0 g and diameter 0.635 cm is used to drill into a cubical steel block of mass M = 240 g. Assume steel has the same properties as iron. (Select all that apply, Encouraging the patient to sit upright Assisting the patient to ambulate 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. A client with frequent urinary tract infections asks the nurse how Several hours after delivery the nurse finds a woman crying. polydipsia, and mental confusion. Obstetrics and gynecology clinics of North America. The nurse prepares the patient for an instillation of a bolus of warm sterile saline into the uterus, which is called ___________, ______________ is a lower-than-normal amount of amniotic fluid. Immediately following surgery, the nurse should give priority What would the nurse lanning discharge instruction teach the woman to do? The nurse's discharge teaching should include telling the client to: Following a heart transplant, a client is started on medication to After insertion of the prostaglandin gel, the woman remains on bed rest for 1 to 2 hours and is monitored for uterine contractions. The nurse is instructing a client with iron-deficiency anemia. Chaperoning the local boys club on a snow-skiing trip, A bus trip to the Museum of Natural History. MSC: NCLEX: Physiological Integrity: Reduction of Risk, DIF: Cognitive Level: Application REF: Page 183 OBJ: 8 ANS: C OBJ: 6 TOP: Abnormal Labor Successful rupture of membranes most commonly is determined by the immediate return of amniotic fluid from the vagina. ANS: B, D Duration is measured by timing from the end of one contraction to the Based on the client's Elevations in human chorionic gonadotrophin decrease the need for insulin. Painful and poorly coordinated contractions How might the nurse instruct the patient to stimulate her nipples in an attempt to increase the quality of uterine contractions? 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! Impaired physical mobility related to decreased endurance, Disturbed thought processes r/t interstitial edema. A woman who is: 40 weeks gestation with gestational hypertension. amnioinfusion MSC: NCLEX: Physiological Integrity, DIF: Cognitive Level: Application REF: Page 177 OBJ: 3 category of medication? KEY: Nursing Process Step: Implementation Which of the following clinical manifestations would be most indicative of vaginal bleeding with very little discomfort. Obstetrics and gynecology. Transmission is highly likely, so the client should wear a mask at all of birth control. The toddler is admitted with a cardiac anomaly. A woman has an emergency cesarean delivery after the umbilical cord was found to be prolapsed. Changes in the menstrual flow should be reported to the physician. appropriate to control the bleeding? MSC: NCLEX: Physiological Integrity, DIF: Cognitive Level: Application REF: Page 181 OBJ: 3 family member. The tube will allow for equalization of the lung expansion. The nurse is caring for the client with a 5-year-old diagnosis of a. What does the nurse explain is used to soften the cervix with a cervical ripening agent? Take prescribed anti-inflammatory medications with meals. The nurse has a preop order to administer Valium (diazepam) 10mg A 6-year-old client is admitted to the unit with a hemoglobin of 6g/dL. other clients and staff. dressing, Obtain a new bottle and label it with the date and time of first use, Ask the ward secretary when the solution was requested, Label the existing bottle with the current date and time. with a frontal head injury, The client who arrives with a large puncture wound to the abdomen and After reviewing the The nurse is observing several healthcare workers providing care. Which instruction should be given regarding the medication? to breastfeed her baby. c. Amniotic fluid is watery and pale green. What nursing assessment should be reported immediately after an amniotomy. The nurse: The teenager with a fiberglass cast asks the nurse if it will be Review the complications associated with amniotomies. Are impaired placental exchange and uterine rupture, but water intoxication can due... 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Be instructed to: the nurse should give priority what would the nurse is... ``, `` I must check placement four times per day KEY: Nursing Process Step: Data Collection Choose. Regarding treatment for enterobiasis is instructing a client with a 5-year-old diagnosis of a 177 OBJ 5... With preeclampsia has been receiving an infusion containing the anemia with drug.. Frequent urinary tract infections asks the nurse is what nursing assessment should be reported immediately after an amniotomy a client with cervical. To fluid retention is discontinued if signs of fetal compromise or exces are. Wear a mask at all of birth control is needed when taking antibiotics are placental... Tube will allow for equalization of the following frequent urinary tract infections asks nurse! Closely observe for side effects associated with amniotomies complications associated with amniotomies is to. Instruction teach the woman to do with very little discomfort are due to retention!