A nurse is reinforcing discharge teaching to a new parent regarding cord care. What information should be provided? 2. A nurse is collecting data on a pregnant client who is 12-weeks of gestation. What three (3) findings should be reported to the provider? 3. A nurse is performing Leopold maneuvers on a pregnant client presenting to the labor and delivery unit in active labor. The nurse notes the following findings: PMI right upper quadrant above maternal umbilicus. The nurse suspects the infant is in what presenting position?
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- A nurse is reinforcing discharge teaching to a new parent regarding cord care. What information should be provided?
2. A nurse is collecting data on a pregnant client who is 12-weeks of gestation. What three (3) findings should be reported to the provider?
3. A nurse is performing Leopold maneuvers on a pregnant client presenting to the labor and delivery unit in active labor. The nurse notes the following findings: PMI right upper quadrant above maternal umbilicus. The nurse suspects the infant is in what presenting position?
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- A group of student-nurses are about to conduct a community diagnosis. Which of the following activity is necessary during the first stage? Refer Julia immediately to an OBGyn doctor and have her checked in a hospital since she has high risk pregnancy Assist the family in providing adequate care to Julia by doing a daily home visit and Leopold’s Maneuver Discuss to Julia’s family the importance of regular prenatal check-ups Emphasize to Julia that health center services are freeA nurse is performing Leopold maneuvers on a pregnant client presenting to the labor and delivery unit in active labor. The nurse notes the following findings: PMI rightA client with an internal fetal monitor catheter in place has just received IV butorphanol (Stadol) for pain relief. Which of the following monitor tracing changes should the nurse anticipate? 1. Early decelerations. 2. Late decelerations. 3. Diminished short- and long-term variability. 4. Accelerations after contractions.
- A client delivered 4 hours ago. The nurse assesses the client and finds the following: fundus firm at the level of the umbilicus, moderate amount of lochia rubra and midline episiotomy well approximated . The nurse understands that fourth stage nursing care for the client includes which of the following ? a. Inspection every 15 minutes during the first hours after childbirth b. Ice pack to the perineum for up to 60 minutes per application c. Instructions to avoid intercourse for at least 12 weeks d. Application of ice beginning 4 hours after deliveryA client is scheduled for a contraction stress test on the labor and delivery unit following a nonreactive result on a nonstress test at the OB/GYN office. Nipple stimulation will be used to stimulate contractions. What should the nurse tell the client about the purpose of the test and what will be learned about fetal well-being? How can the nurse prepare the client for the test?A39- year-old woman in her first pregnancy delivered twin sons 2 hours ago. There were no significant antenatal complications . She had been prescribed ferrous sulphate and folic acid during the pregnancy as anemia prophylaxis , and her last hemoglobin was 10.9g / dL at 38 weeks . Which of the following nursing interventions would the nurse perform during this stage of labor? a. Coach for effective client pushing b. Promote parent interaction c. Assess uterine contractions every 30 minutes d. Obtain a urine specimen and other laboratory tests
- A 15 year old girl who is a victim of physical and sexual abuse brought to the health care facility by her mother for physical examination. She appeared scared,tense and nervous.She request the nurse not to examine certain parts of the her body and asks whether her mother could be present during examination. 1.Describe the action the nurse should take during the physical examination to make the client more comfortable while collecting the required assessment data 2.What questions should a nurse consider to facilitate analysis of the data and identification of areas where additional physical examination are needed.A nurse receives a report about assigned clients at the start of the shift. Which of the following clients should the nurse plan to see first? A client who is scheduled for discharge following a laparoscopic tubal ligation A client who has preeclampsia with a BP of 138/90 mmHg A client who experienced a vaginal birth 24 hr ago and reports no bleeding A client who experienced a cesarean birth 24 hr ago and reports pain.A 39-year-old woman in her first pregnancy delivered twin sons 2 hours ago. There were no significant antenatal complications. She had been prescribed ferrous sulphate and folic acid during the pregnancy as anemia prophylaxis, and her last hemoglobin was 10.9 g/dL at 38 weeks. Which of the following nursing interventions would the nurse perform during this stage of labor? Assess uterine contractions every 30 minutes. Coach for effective client pushing Obtain a urine specimen and other laboratory tests Promote parent-newborn interaction
- 1. What is nursing documentation? What is the importance of nursing documentation? 2. What are the different types of documentation? Define each. 3. What is post mortem care? 4. How do we provide post mortem care?You will continue to fill up the table using the same case scenario given in lesson 4. This time you will identify at least one nursing problem for each stages of labor and list at least 2 nursing interventions using the attached table. Case Scenario: Mrs. J. is a 25-y/o gravida 2, para 1, who was admitted at full term at 5:00 p.m. She stated that she had been having contractions at 8 to 10 minute intervals since 4 p.m. They lasted 25 seconds. She also stated that she had been having "a lot of false labor" and this makes her still able to feed and able to maintain a conversation and is getting excited. But now she hoped that this was "the real thing". Her membranes were intact. Mrs. J.'s temperature, pulse and respirations were normal and her blood pressure was 115/70. The fetal heart tones were 140 and regular. The nurse examined Mrs. J. and found that the baby's head was at +1 station, and the cervix was 4 cm. dilated and 70 percent effaced. As the labor progresses, there will be…Question: CREATE A SCENARIO of a client utilizing any of the Obstetric risk of a mother Base on the example of NCP given BELOW EVALUATIO N ASSESSMENT RATIONALE NURSING DIAGNOSIS INFERENCE PLANNING INTERVENTION Objective: Independent: Risk of injury related to early cord slips into Prolapsed umbilical cord occurs when the baby's umbilical cord falls into Change maternal position, usually in knee-chest position. The cord is After the 8 hour -To relieve the FHR returns pressure of the presenting part so that the oxygen can get through the baby. visible and intervention, the to normal palpable Fetal heart rate rate. the birth canal ahead of the baby's head or other parts of the baby's body. The umbilical cord slips in front or alongside the fetal presenting part. It occurs 1 of 200 will returns to presenting part. normal. Membranes Uncomplica ted birth of are raptures. Impaired gas exchanged (fetal) related to interruption the viable infant. -To protect the exposed cord. Changes in FHR…