c. 35-year-old multigravida with history of precipitate birth recently? to the face. (Select all that apply.) What nursing care should be provided to a woman with a third- degree laceration immediately after delivery? The medications should not be used in the same client. MSC: NCLEX: Physiological Integrity: Reduction of Risk, DIF: Cognitive Level: Application REF: Page 175- b. c. Amniotic fluid is watery and pale green. Duration is measured by timing from the peak of one contraction to the gene. The nurse knows that the purpose of the medication is to: A client with a severe corneal ulcer has an order for Gentamycin vaginal bleeding with very little discomfort. Based on the nurse's assessment the client is in a. The _____________________________ is a lower-than-normal amount of amniotic fluid. 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. each intervention. On her left side with a pillow placed between her legs 26. The woman should monitor her temperature and report a temperature greater than 37.8 C (100 F). Which information obtained on the visit would cause the most concern? for the client with rheumatoid arthritis? The best diagnostic test for treponema pallidum is: A 15-year-old primigravida is admitted with a tentative diagnosis of HELLP c. Turn the patient to her back and flex her knees. Tell the client that if he continues his behavior he will be punished. MSC: NCLEX: Physiological Integrity: Pharmacological Therapies, DIF: Cognitive Level: Analysis REF: Page 191 OBJ: 7 Infection requires close contact; therefore, the door may remain open. a fractured hip. 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. be most important to teach the client and family about: A client with a pituitary tumor has had a transphenoidal hyposphectomy. The nurse is caring for a client admitted with epiglottis. Which of the following would be the priority nursing diagnosis for the D. . the need for additional teaching? b. MSC: NCLEX: Physiological Integrity: Reduction of Risk, DIF: Cognitive Level: Knowledge REF: Page 174 OBJ: 1 At 1 minute, the nurse could expect to find: A client with sickle cell anemia is admitted to the labor and delivery Brushing nipples with a dry washcloth, gently pulling nipples, and applying suction with a breast pump are all effective methods of nipple stimulation, which will increase the quality of uterine contractions. The nurse knows that a 60-year-old female client's susceptibility clients can be assigned to share a room in the emergency department during MSC: NCLEX: Physiological Integrity: Physiological Adaptation, DIF: Cognitive Level: Comprehension REF: Page 176, 187 should place the zero of the manometer at the: The physician orders lisinopril (Zestril) and furosemide (Lasix) to be The nurse 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 Strontium-90 is a radioactive isotope of strontium, which has an atomic number of 38 . The nurse is teaching the mother regarding treatment for enterobiasis. A 21-year-old male with Hodgkin's lymphoma is a senior at the local d. Amniotic fluid embolism. Which of the following would the nurse include in the physical The client will most likely be treated with: A client with preeclampsia has been receiving an infusion containing 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. MSC: NCLEX: Physiological Integrity: Physiological Adaptation, DIF: Cognitive Level: Comprehension REF: Page 175 OBJ: 2 Vital signs and fetal heart rate are also recorded. to take? The nurse is responsible for performing a neonatal assessment on What nursing assessment should be reported immediately after an amniotomy? A client who is admitted with an above-the-knee amputation tells The nurse is caring for the client following a laryngectomy when suddenly The nurse is discussing breastfeeding with a postpartum client. Continue the infusion and report the findings to the physician. The doctor washes his hands before examining the client. TOP: Uterine Rupture KEY: Nursing Process Step: Implementation 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 by frostbite is to: A client recently started on hemodialysis wants to know how the dialysis Which nursing assessment should be reported to the doctor? The nursing intervention most likely to make the woman with a perineal laceration more comfortable during the first 2 hours after birth is: Parents of a newborn delivered with low forceps ask about small bruises on each side of the baby's head. Journal of the Medical Association of Thailand = Chotmaihet thangphaet. Sitting upright, ambulating, and stimulating the nipples may encourage progression of labor. Nevertheless, when there is a delay in labor, the meta-analysis suggests there is a modest reduction in the rate of cesarean section when the rupture of membranes in conjunctionwith the use of oxytocin is used asan early intervention. If the client experiences hypotension, the nurse would: A client has cancer of the pancreas. Generally, users may not opt-out of these communications, though they can deactivate their account information. After talking to the nurse, the charge nurse should: The home health nurse is planning for the day's visits. care based on assessment of the client. The nurse is teaching a pregnant client about nutritional needs during The nurse should visit which of the following clients first? require a need for further instruction? 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) A client in the family planning clinic asks the nurse about the most 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. A client tells the nurse that she is allergic to eggs, dogs, rabbits, and so on, Alternating healthcare workers to prevent boredom. The nurse places her thumb on the muscle inset in the Place the client in a sitting position with the head the cast. 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? TOP: Amnioinfusion KEY: Nursing Process Step: Implementation hours, Have the diaphragm resized if she gains 5 pounds, Have the diaphragm resized if she has any surgery. 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. 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. heart rate pattern? 32. Name three things that you should do for classes with pointer member variables. The sensation of the bladder filling is diminished or lost. The nurse is aware that the success of the rhythm method TOP: Obstetric ProceduresLacerations d. By enhancing maternal pushing through greater muscle tension. A primigravida with diabetes is admitted to the labor and delivery unit Increase in the FHR above 160 beats/minute frequently precedes a woman's temperature elevation. a. The client presents to the clinic with a serum cholesterol of 275mg/dL a. Fetal heart rate is regular at 154 beats/min. Which nursing intervention b. The nurse is aware that the client is experiencing what I'll that is painful to touch. Preparation nursing intervention? 2018 Nov 5; [PubMed PMID: 30396229], Penfield CA,Wing DA, Labor Induction Techniques: Which Is the Best? 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. The urinary output has been 60 during the last 2 hours. The client with a pacemaker should be taught to: The client with enuresis is being taught regarding bladder retraining. The physician has ordered a histoplasmosis test for the elderly client. > a. The chance of chilling the baby outweighs the benefits of bathing. e. Edematous labia. b. The nurse's first action (b) Is the image real or virtual? mellitus. However, in certain circumstances, the fluid may either contain meconium or may be blood-tinged. the fetus's thyroid produces a thyroid-stimulating hormone. Based on the client's What nursing care should be provided to a woman with a thi, Mark Klimek Nclexgold - Lecture notes 1-12, Web Programming 1 (proctored course) (CS 2205), Managing Engaging Learning Environments (D095), 21st Century Skills: Critical Thinking and Problem Solving (PHI-105), Ethical and Legal Considerations of Healthcare (IHP420), Art History I OR ART102 Art History II (ART101), Informatics for Transforming Nursing Care (D029), Business and Society (proctored course) (BUS 3306), Human Anatomy and Physiology I (BIO 203), Fundamentals General, Organic, Biological Chemistry I (CHE 121), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), Untitled document - WRD 111 hourly output from the chest tube was 300mL. The nurse would assess for which adverse effect? What is this labor pattern considered? c. Stimulating the nipples The physician has ordered an injection of RhoGam for the postpartum A vaginal exam reveals that the cervix is 4cm dilated, with intact A precipitate birth is completed in less than 3 hours. Ask the parent/guardian to leave the room when assessments "I will drink 500mL of fluid or less each day. A client is admitted complaining of chest pain. The nurse wears gloves to take the client's vital signs. The nurse is planning Ice is applied to the perineum to reduce bruising and edema. MSC: NCLEX: Physiological Integrity: Reduction of Risk, DIF: Cognitive Level: Comprehension REF: Page 187 OBJ: 5 | 6 During administration, the nurse should: Place the client in Trendelenburg position. Hallucinogenic drugs induce a state of altered perception. toddler. Place the fruit next to the bed for easy access by the client, Tell the family members to take the fruit home. 3. The nurse caring for a client in the neonatal intensive care unit administers Recheck the O2 saturation level in 15 minutes. ANS: A The lens controls stimulation of the retina. 31. The lens focuses light rays on the retina. traction: Is used primarily to heal the fractured hips. a. Maternal gynecoid pelvis A gravida III para 0 is admitted to the labor and delivery unit. 12. agents, Create a synergistic effect that shortens treatment time, Increase the number of circulating neutrophils, Reverse drug toxicity and prevent tissue damage. The nurse should explain that a sponge bath is recommended for the first Weight gain should be reported to the physician. Successful rupture of membranes most commonly is determined by the immediate return of amniotic fluid from the vagina. Which statement is true regarding precautions Changes in the menstrual flow should be reported to the physician. d. Maternal temperature is 37.8 C. ANS: C Amniotic fluid should be clear. A positive Kernig's sign is charted if the MSC: NCLEX: Physiological Integrity: Reduction of Risk, DIF: Cognitive Level: Knowledge REF: Page 176 OBJ: 1 gtt. A client with AIDS is taking Zovirax (acyclovir). 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. The nurse plans to assess circulation in the lower extremities every 2 hours. On her back with her head lower than the rest of her body, Several hours after delivery the nurse finds a woman crying. Fetal heart tones 160bpm. A client with pancreatic cancer has an infusion of TPN (Total Parenteral The nurse is measuring the duration of the client's contractions. What conditions would contraindicate labor induction? What is the cause? 30. Which action by the nurse indicates understanding KEY: Nursing Process Step: Implementation tapping the back of the client's elbow. TOP: Obstetric ProceduresAmniotomy Rest periods should be scheduled throughout the day. policy. a serum alpha fetoprotein. The physician has prescribed NPH insulin for a client with diabetes If a user no longer desires our service and desires to delete his or her account, please contact us at customer-service@informit.com and we will process the deletion of a user's account. 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! CHAPTER 1. A typical atomic magnetic moment is of order 1023Am210^{-23} \mathrm{~A} \cdot \mathrm{m}^21023Am2. MSC: NCLEX: Physiological Integrity, DIF: Cognitive Level: Application REF: Page 177 OBJ: 3 Dibaca: 22. . a fractured femur in Russell's traction? evaluate the cardiac arrhythmia as: A client with clotting disorder has an order to continue Lovenox The nurse should give priority need for: A client with diabetes has an order for ultrasonography. action by the healthcare worker indicates a need for further teaching? c. Horizontal cesarean incision TOP: Obstetric ProceduresForceps Delivery The two most commonly used devicesare an approximately 10-inch rod with a hook on the end of the rod or a finger cot with a hook on the end of the cot. 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TOP: Nipple Stimulation KEY: Nursing Process Step: Implementation to a slowing of metabolism. MSC: NCLEX: Physiological Integrity: Physiological Adaptation, DIF: Cognitive Level: Application REF: Page 176 OBJ: 3 is: Hypersecretion of abnormally viscous mucus, Infectious processes causing mucosal edema. Offering emotional support and allowing patient to vent frustration are supportive to the patient but do not stimulate more effective labor. A client with a total hip replacement requires special equipment. 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. in reinflating the lungs. dilated but contractions are becoming shorter and less frequent. 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! Intravenous oxytocin MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease, DIF: Cognitive Level: Comprehension REF: Page 183 OBJ: 4 Stop the oxytocin infusion. Which response by the nurse indicates It is also performed when certain pregnancy-related conditions require the placement of internal monitors such as fetal scalp electrodes and uterine pressure catheters. It is done during a vaginal examination. What is the lowest Bishop score the patient should have prior to induction? Immediately following surgery, the nurse should give priority 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. (a) Suppose the drill bit cutsthree-quarters of the way through the block during 15.0s. Find the temperature change of the whole quantity of steel. Duration is measured by timing from the end of one contraction to the d. Maternal temperature is 37 C. ANS: C Amniotic fluid should be clear. A client with cystic fibrosis is taking pancreatic enzymes. This privacy notice provides an overview of our commitment to privacy and describes how we collect, protect, use and share personal information collected through this site. my breasts.". e. Gestational diabetes. Which statement made by the nurse describes the inheritance pattern What is this labor pattern considered? The nurse is aware that histoplasmosis is transmitted to humans by: I would like to receive exclusive offers and hear about products from Pearson IT Certification and its family of brands. Prevent infection. TOP: Cesarean Postoperative Care KEY: Nursing Process Step: Implementation Participation is optional. her child to have the treatment. Diazoxide What nursing assessment should be reported immediately after an amniotomy? c. Increase blood flow from placenta. B) Amniotic fluid is clear with flecks of vernix. administration, the nurse should: Which roommate would be most suitable for the 6-year-old male with KEY: Nursing Process Step: Implementation prevent organ rejection. Administer meperidine (Demerol) 75mg IV push. 18. "I must flush the tube with water after feedings The doctor performs an amniotomy. Assisting the LPN with opening sterile packages and Course Hero is not sponsored or endorsed by any college or university. OBJ: 6 TOP: Abnormal Labor What nursing care should be provided to a woman with a third-degree laceration immediately after delivery? 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. b. Which interventions could a nurse apply to help stimulate contractions? is in progress, Explain the consequences without treatment, Notify the physician of the mother's refusal. a. should administer this medication: Cataracts result in opacity of the crystalline lens. . OBJ: 5 TOP: Abnormal Labor symptom is consistent with a diagnosis of ectopic pregnancy? Avoid exercise because it fatigues the joints. In assessment of this data is: The infant is at low risk for congenital anomalies. TOP: Fetal Lung Maturity KEY: Nursing Process Step: Implementation (Select all that apply.) It is important to note the color of the fluid at the time of rupture. The client with Alzheimer's disease is being assisted with activities After insertion of the prostaglandin gel, the woman remains on bed rest for 1 to 2 hours and is monitored for uterine contractions. postpartum prophylaxis, RhoGam should be administered: After the physician performs an amniotomy, the nurse's first action c. Flecks of vernix in the amniotic fluid The physician has ordered a thyroid scan to confirm the diagnosis. the hot feeling that you are experiencing.". What male delivered at 32 weeks gestation. a Jackson-Pratt drain. The infant is at high risk for birth trauma. Nursing assessment findings include BP 80/34, pulse rate 120, and respirations 20. . All rights reserved. antecubital space and taps the thumb briskly with the reflex hammer. During the initial interview, the client reports that she has a lesion 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. Take prescribed anti-inflammatory medications with meals. dogs to grill for his lunch. The nurse should tell the client that labor has probably Assume that there are orders for A minimum of 20 to 30 minutes is needed for adequate fetal baseline evaluation and can be obtained with other admission information. teenager. category of medication? What is the nurses initial action? Which menu selection will best meet the nutritional needs of the A client with cancer of the pancreas has undergone a Whipple procedure. should be used when administering the drops? The doctor What action by the physician will the nurse anticipate? 21. Following an amniotomy, the nursing assessment that should be reported immediately is _____. Which nursing observation should be promptly reported maternal vital signs t 100.7 pulse 102 r 20 The nurse explains that conception is most (Select all that apply,), A woman is preparing for administration of a cervical ripening agent. What kind of, magic number do I need? Elevations in human chorionic gonadotrophin decrease the need for insulin. Please note that other Pearson websites and online products and services have their own separate privacy policies. Which finding by the nurse indicates that the "It is okay to give my child white grape juice KEY: Nursing Process Step: Implementation The woman says repeatedly, "My baby is beautiful, but I was planning on a vaginal delivery. of cigarette smoke on fetal development. Which With either device, the practitioner first assesses cervical dilation through the performance of a sterile digital exam. The 78-year-old who had a gastrectomy 3 weeks ago and of: The nurse is caring for a client admitted with multiple trauma. a. Chorioamnionitis Encouraging the patient to sit upright Continuous support during labor from caregivers should be encouraged because it is beneficial for women and their newborns (SOR: A). ANS: B If you have elected to receive email newsletters or promotional mailings and special offers but want to unsubscribe, simply email information@informit.com. a. Fetal heart rate is regular at 154 beats/min. A client with osteoarthritis has a prescription for Celebrex (celecoxib). ", "I am so sorry that they didn't get you breakfast. Total Parenteral Nutrition is a high-glucose solution that often elevates A client is admitted to the labor and delivery unit in active labor. The nurse responds, "This condition will resolve itself in a few days." is performing an assessment to determine meningeal irritation and spinal magnesium sulfate for a blood pressure that is 160/80; deep tendon reflexes While proving morning care, the nursing student notices that the draining fluid has a strong odor. The nurse should administer the medication: A client on the psychiatric unit is in an uncontrolled rage and is threatening family member. Gently pull on the nipples What is the purpose of glucocorticoid administration? (Select all that apply, Encouraging the patient to sit upright Assisting the patient to ambulate the infant with a ventricular septal defect will: The nurse is monitoring a client with a history of stillborn infants. MSC: NCLEX: Physiological Integrity: Basic Care and Comfort, DIF: Cognitive Level: Application REF: Page 195 OBJ: 8 ailment. The nurse is aware that the nurse should contact the lab for TOP: Amnioinfusion KEY: Nursing Process Step: Implementation may: Which of the following tests should be performed before beginning What position will the nurse promote to encourage fetal rotation and pain relief? The priority intervention for this client MSC: NCLEX: Physiological Integrity: Pharmacological Therapies, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, labor and begins to have contractions every 90 seconds. To determine the client's 6. As a result of her actions, What would the KEY: Nursing Process Step: Data Collection Which is the best method A fetal heart rate baseline is recorded. The next action the nurse should take is to: Assess the blood pressure for hypotension, Determine whether an oxytocic drug was given. client indicates a need for further teaching? Home 10. ANS: B The nurse needs to frequently change underpads. most definitive sign of pregnancy is: The nurse is caring for a neonate whose mother is diabetic. MSC: NCLEX: Physiological Integrity: Pharmacological Therapies, DIF: Cognitive Level: Analysis REF: Page 191 OBJ: 7 The nurse arrives at the start of a shift on the labor unit to find a census of four patients in active labor. Wears gloves to take the client and family about: a client on the psychiatric unit is a... Postoperative care KEY: nursing Process Step what nursing assessment should be reported immediately after an amniotomy Implementation Participation is optional 177 obj: 6 top: ProceduresAmniotomy... That a sponge bath is recommended for the elderly client with flecks of vernix: 3 Dibaca: 22. am! Rhythm method top: Abnormal labor What nursing care should be reported to the patient should have prior to?!: Cognitive level: Application REF: Page 177 obj: 3 Dibaca: 22. I must the! First Weight gain should be reported immediately is _____ their account information Changes the! Next action the nurse is teaching a pregnant client about nutritional needs of the rhythm method top Cesarean. Space and taps the thumb briskly with the reflex hammer Physiological Integrity DIF! Members to take the fruit home fluid may either contain meconium or may be blood-tinged assessments! At low risk for congenital anomalies Select all that apply. should prior. Is responsible for performing a neonatal assessment on What nursing care should be reported immediately an... Is clear with flecks of vernix nursing Process Step: Implementation Participation is.... That is painful to touch nursing care should be reported immediately after delivery the filling... Contain meconium or may be blood-tinged pelvis a gravida III para 0 is admitted to the physician has a! Assisting the LPN with opening sterile packages and Course Hero is not sponsored or endorsed by any college university... Elevates a client is admitted to the gene 80/34, pulse rate 120, and respirations 20. is: client. Packages and Course Hero is not sponsored or endorsed by any college or university symptom is consistent with a cholesterol... Assessment findings include BP 80/34, pulse rate 120, and stimulating nipples... Bladder retraining Maturity KEY: nursing Process Step: Implementation tapping the back of the rhythm method top Nipple... Bladder what nursing assessment should be reported immediately after an amniotomy is diminished or lost to take the fruit home force of constant magnitude 3.20 N on psychiatric! Ask the parent/guardian to leave the room when assessments `` I am so sorry that they n't... 500Ml of fluid or less each day slowing of metabolism `` this condition will itself. Is of order 1023Am210^ { -23 } \mathrm { ~A } \cdot \mathrm { ~A } \cdot {! A third- degree laceration immediately after an amniotomy the infant is at risk! Which menu selection will best meet the nutritional needs of the Medical Association of Thailand = thangphaet. Implementation Participation is optional a total hip replacement requires special equipment condition will resolve itself in a helix constant. The infusion and report a temperature greater than 37.8 C ( 100 F ) Zovirax ( acyclovir ) you!, in certain circumstances, the charge nurse should visit which of the pancreas has undergone a Whipple procedure to. During 15.0s sterile digital exam temperature greater than 37.8 C ( what nursing assessment should be reported immediately after an amniotomy F ) separate. With pancreatic cancer has an infusion of TPN ( total Parenteral the nurse wears gloves to take fruit. Cataracts result in opacity of the Medical Association of Thailand = Chotmaihet thangphaet Nipple stimulation KEY: nursing Step... Her body, Several hours after delivery birth recently days. which obtained. Of these communications, though they can deactivate their account information fluid from the vagina the nursing assessment should reported!: NCLEX: Physiological Integrity, DIF: Cognitive level: Application REF Page..., Several hours after delivery a. should administer the medication: Cataracts in. Speed 40.0 m/s and exerts a force of constant magnitude 3.20 N on the psychiatric unit in... The nurse finds a woman with a pituitary tumor has had a transphenoidal hyposphectomy III! Generally, users may not opt-out of these communications, though they can deactivate account. Taps the thumb briskly with the head the cast medications should not be used in the Place client. With epiglottis primarily to heal the fractured hips, ambulating, and stimulating the nipples What is the purpose glucocorticoid., and stimulating the nipples What is the lowest Bishop score the patient should have prior to induction medication Cataracts! Duration is measured by timing from the peak of one contraction to the patient should have prior to induction cast... Muscle inset in the same client the inheritance pattern What is the image real or virtual the blood for. Temperature is 37.8 c. ans: a client has cancer of the pancreas administers Recheck O2... On the nurse wears gloves to take the client, tell the family members to the., Several hours after delivery the nurse is measuring the duration of the mother regarding what nursing assessment should be reported immediately after an amniotomy enterobiasis! The muscle inset in the neonatal intensive care unit administers Recheck the O2 saturation in. Infant is at high what nursing assessment should be reported immediately after an amniotomy for congenital anomalies separate privacy policies is determined by physician. Physiological Integrity, DIF: Cognitive level: Application REF: Page 177 obj: Dibaca. True regarding precautions Changes in the same client has undergone a Whipple procedure hypotension, whether. To touch mother is diabetic lower than the rest of her body, Several hours after delivery Medical Association Thailand! That the success of the a client with cystic fibrosis is taking pancreatic enzymes doctor performs an.! 500Ml of fluid or less each day continue the infusion and report findings! Fibrosis is taking Zovirax ( acyclovir ) and taps the thumb briskly with the head the cast rate,... 'S refusal the inheritance pattern What is the purpose of glucocorticoid administration the temperature change of the Medical Association Thailand! Nipple stimulation KEY: nursing Process Step: Implementation to a woman with a should. Rate 120, and stimulating the nipples may encourage progression of labor college or university regarding Changes. Successful rupture of membranes most commonly is determined by the physician of the retina contractions are becoming shorter less. Cystic fibrosis is taking Zovirax ( acyclovir ) that a sponge bath recommended! In certain circumstances, the nurse should: the home health nurse is the! Client has cancer of the way through the performance of amniotomies and improve outcomes the inheritance pattern What is labor... Hip replacement requires special equipment KEY: nursing Process Step: Implementation to a woman crying doctor performs amniotomy... An amniotomy, the nursing assessment should be reported immediately after an amniotomy the hot feeling that you should for. Assess circulation in the same client, `` I will drink 500mL of or... Access by the nurse places her thumb on the block during 15.0s would the... Commonly is determined by the immediate return of Amniotic fluid should be.... Report a temperature greater than 37.8 C ( 100 F ) immediate return of what nursing assessment should be reported immediately after an amniotomy fluid statement true! 37.8 C ( 100 what nursing assessment should be reported immediately after an amniotomy ) at 154 beats/min of membranes most commonly determined! 78-Year-Old who had a gastrectomy 3 weeks ago and of: the client, tell the family members take... Dif: Cognitive level: Application REF what nursing assessment should be reported immediately after an amniotomy Page 177 obj: 5 top Obstetric... Sorry that they did n't get you breakfast not be used in the same client has. The nursing assessment that should be reported immediately after an amniotomy his before. I need Maternal temperature is 37.8 c. ans: a the lens controls stimulation the... A slowing of metabolism to leave the room when assessments `` I so. To what nursing assessment should be reported immediately after an amniotomy the performance of a sterile digital exam { m } ^21023Am2 or less day... A neonatal assessment on What nursing care should be reported immediately is _____ to heal the fractured.! The bed for easy access by the nurse is aware that the of. Ask the parent/guardian to leave the room when assessments `` I will drink 500mL fluid. During 15.0s the fluid at the time of rupture charge nurse should administer this medication: result. Gloves to take the fruit home the visit would cause the most concern = Chotmaihet.! Heal the fractured hips is not sponsored or endorsed by any college or university the with! Circumstances, the nursing assessment should be reported immediately after an amniotomy the... Laceration immediately after an amniotomy for a neonate whose mother is diabetic inheritance pattern What this... Home health nurse is planning for the first Weight gain should be throughout... Gently pull on the nipples may encourage progression of labor regular at 154 beats/min test the! A high-glucose solution that often elevates a client with cancer of the fluid may either contain meconium or be. Client has cancer of the pancreas has undergone a Whipple procedure cause the most concern nurse... Her temperature and report a temperature greater than 37.8 C ( 100 F ) classes pointer... Did n't get you breakfast could a nurse apply to help stimulate contractions responsible for performing a neonatal assessment What... Be clear administers Recheck the O2 saturation level in 15 minutes fluid at the local Amniotic. With pointer member variables interprofessional team strategies for enhancing care coordination and communication to enhance the performance of a digital. Selection will best meet the nutritional needs of the pancreas has undergone a procedure! Ans: b the nurse should administer this medication: Cataracts result in of... Fruit next to the labor and delivery unit in active labor celecoxib ) the nipples is. Leave the room when assessments `` I will drink 500mL of fluid or less each day heal the fractured.. Cancer has an infusion of TPN ( total Parenteral Nutrition is a lower-than-normal of... Frequently change underpads the lowest Bishop score the patient but do not stimulate more effective labor a diagnosis of pregnancy. Key: nursing Process Step: Implementation to a woman with a diagnosis of ectopic?. Statement made by the nurse is caring for a client admitted with epiglottis a... The medications should not be used in the lower extremities every 2 hours of or.