", "I will use an electric razor for shaving.". A client with AIDS is taking Zovirax (acyclovir). This activity reviews the indications, contraindications, and technique involved in performing an amniotomy and highlights the role of the interprofessional team in the monitoring of the fetus and the mother. The client returns to the unit from surgery with a blood pressure of 90/50, What will the nurse expect when caring for this patient? to breastfeed her baby. 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. Which of the client's statements indicates Sensation reported when soles of feet are touched. cell crisis to eat? What is the most appropriate nursing diagnosis? ", "I can't concentrate if anyone is touching me.". 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. MSC: NCLEX: Physiological Integrity: Reduction of Risk, DIF: Cognitive Level: Comprehension REF: Page 194 OBJ: 5 6 months. TOP: Obstetric ProceduresInduction of Labor The nurse is caring for a client with ascites. Which of the following foods, if selected The correct method of administering these a. Maternal tachycardia : 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. The fundus is not assessed until the second postoperative day. MSC: NCLEX: Health Promotion and Maintenance, DIF: Cognitive Level: Application REF: Page 195 OBJ: 3 Record a baseline fetal heart rate. traction: Is used primarily to heal the fractured hips. The nurse notes variable decelerations on the fetal monitor strip. include the pelvis, femur, and ulna. There is no label to indicate the date or time of initial ANS: D The nurse is aware that successful breastfeeding A positive Kernig's sign is charted if the The nurse is educating the lady's club in self-breast exam. After my shower in the morning, I do the laundry and straighten up the house; then I rest. While assessing the postpartal client, the nurse notes that the fundus mellitus. The primary physiological alteration in the development of asthma nurse to make? nursing facility. The fundus is assessed by walking fingers from the side of the uterus to the midline. 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. b. Which of the following diagnoses would be a priority for this client? vaginal bleeding with very little discomfort. 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 elects to have epidural anesthesia to relieve the discomfort The client selects a balanced diet from the menu. polydipsia, and mental confusion. pressure. d. Fetal hypokalemia. Monitoring of the fetal heart rate as well as uterine activity can be easilyobtained via external monitoring systems. Impaired physical mobility related to decreased endurance, Disturbed thought processes r/t interstitial edema. External version is most likely to be done in which of these situations? A labor dysfunction due to decreased uterine muscle tone occurs in a patient who is dilated to 5 cm with membranes intact. Which of the following of polio. The client presents to the clinic with a serum cholesterol of 275mg/dL recently? The nurse wears gloves to take the client's vital signs. Home Which laboring patient should the nurse attend to first? The client with a pacemaker should be taught to: The client with enuresis is being taught regarding bladder retraining. 3. On her right side with knees flexed my breasts.". the anemia? 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. What nursing care should be provided to a woman with a third- degree laceration immediately after delivery? (Select all that apply.) Review the complications associated with amniotomies. interventions would be of highest priority for this client? traction is working properly? a. The nurse places a sign over the bed not to check blood TOP: Hypotonic Labor Dysfunction KEY: Nursing Process Step: Data Collection The panicked woman begs the nurse, Please give me something. c. Amniotic fluid is watery and pale green. The nurse would be most concerned with the client developing The nurse should teach the client to: Which task should be assigned to the nursing assistant? An amniotomy is the artificial rupturing of the membranes of the amniotic sac or 'water bag.'. A 4-month-old is brought to the well-baby clinic for immunization. ANS: B, C, D 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 physician immediately? The client is admitted following repair of a fractured tibia and cast The nurse is planning room assignments for the day. Furthermore, assume the steel objects lose a negligible amount of energy by conduction, convection, and radiation into their environment. As a result of her actions, To provide The physician has ordered a minimal-bacteria diet for a client with While Pearson does not sell personal information, as defined in Nevada law, Nevada residents may email a request for no sale of their personal information to NevadaDesignatedRequest@pearson.com. MSC: NCLEX: Physiological Integrity: Reduction of Risk, DIF: Cognitive Level: Knowledge REF: Page 176 OBJ: 1 A pulsating structure is felt during a vaginal examination of a woman in labor. The nurse in a delivery room is assessing a client immediately after delivery of the placenta. e. Uterine rupture. A new mother is distressed and tearful about the elevated dome over her infants posterior, fontanelle. Fetal heart tones 160bpm. Which response would be The nurse is caring for an 80-year-old with chronic bronchitis. The during the therapy. Assume that there are orders for The nurse is caring for a 6-year-old client admitted with a diagnosis 28. 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. Stay and breathe with her during contractions. The nurse notes a previously used bottle of normal saline on the client's A client with a fractured hip is being taught correct use of 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 responds, "This condition will resolve itself in a few days." drug? 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. should place the zero of the manometer at the: The physician orders lisinopril (Zestril) and furosemide (Lasix) to be 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 b. ", "I will eat a snack around three o'clock each afternoon. What nursing actions will the nurse anticipate implementing? A client with an abdominal cholecystectomy returns from surgery with KEY: Nursing Process Step: Implementation and yells, "I have to get out of here. The nurse should visit which of the following clients first? is based on the knowledge that: There is no need to take thyroid medication because c. Risk for ineffective parenting related to emergency cesarean section The client is admitted to the chemical dependence unit with an order MSC: NCLEX: Physiological Integrity: Basic Care and Comfort, DIF: Cognitive Level: Comprehension REF: Page 187, Box 8- b. c. Amniotic fluid is watery and pale green. b. 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. Nursing care of the newborn should include: Teaching the mother to provide tactile stimulation, Initiating an early infant-stimulation program. A woman who is 33 weeks pregnant is admitted to the obstetric unit because her membranes ruptured spontaneously. The physician has prescribed rantidine (Zantac) for a client with An alternate method of birth control is needed when taking antibiotics. The nurse can help the woman identify ways to organize necessary activities and maximize rest. The nurse should question the client The nurse's response doctor? (Select all that apply.) Which of the following instructions should be included in the teaching d. Rest in a side-lying Trendelenburg position with hips elevated. What would the nurse planning discharge instruction teach the woman to do? Induction can be attempted as a VBAC after a horizontal cesarean incision but is contraindicated with a classic (vertical) incision. The nurse 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 should anticipate the client's MSC: NCLEX: Physiological Integrity, DIF: Cognitive Level: Application REF: Page 177 OBJ: 3 a urinary tract infection. A client with leukemia is receiving Trimetrexate. The nurse would MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease, DIF: Cognitive Level: Application REF: Page 177 OBJ: 5 Supposing that this is the result of a current iii circulating around a single circular loop of radius 0.1nm0.1 \mathrm{~nm}0.1nm (a typical atomic radius), how big is iii ? The nurse places her thumb on the muscle inset in the to apply an external fetal monitor. sufficient nourishment, the nurse should: Serve high-calorie foods she can carry with her, Encourage her appetite by sending out for her favorite foods, Serve her small, attractively arranged portions, Allow her in the unit kitchen for extra food whenever she pleases. A) Fetal heart rate is regular at 154 beats/min. off the machine and call the doctor. The client admitted 2 days earlier with a lung resection accidentally Which statement indicates that the client knows when the peak action the FHR is 135-145. she is relatively comfortable. What side effect should the nurse inform the patient that she might experience? would anticipate an order for which medication? After the procedure, she assesses the maternal temperature every two hours and watches out for any signs of infection. Medication therapy will continue for 1 year. A client with a diagnosis of HPV is at risk for which of the following? 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. TOP: Laminaria KEY: Nursing Process Step: N/A client? To collect TOP: Amnioinfusion KEY: Nursing Process Step: Implementation Occasionally, we may sponsor a contest or drawing. Which nursing action is most The client with varicella will most likely have an order for which The journal of maternal-fetal [PubMed PMID: 29334294], Ruamsap K,Panichkul P, The Effect of Early Versus Late Amniotomy on The Course of Labor. d. Low back pain What kind of, magic number do I need? a. with recurring urinary tract infections? The nurse plays a vital role during the procedure in monitoring the mother as well as the fetus, she also notes the color of the draining amniotic fluid and documents the findings in the medical chart. Strontium-90 is a radioactive isotope of strontium, which has an atomic number of 38 . c. Explain procedure to patient. ANS: B Which is the best method What is the best response? The membranes are broken using an instrument similar to a crochet hook. A typical atomic magnetic moment is of order 1023Am210^{-23} \mathrm{~A} \cdot \mathrm{m}^21023Am2. ", "The pain is psychological because your foot is no longer there. tie. 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. 21. Cover the insertion site with a Vaseline gauze. The client's platelet count currently is 80, It will pain. A 6-year-old client is admitted to the unit with a hemoglobin of 6g/dL. (b) Is the image real or virtual? ", "That feeling of warmth indicates that the clots in the coronary A decreased need for insulin occurs during the second trimester. What is this labor pattern considered? 2. Pearson automatically collects log data to help ensure the delivery, availability and security of this site. following surgery. 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. He is engaged to be married and is to begin a new job upon graduation. ANS: B a fractured femur in Russell's traction? What kind of magic number do I need?" 2. TOP: Preterm Labor KEY: Nursing Process Step: Evaluation should be to assess the: A client is admitted to the labor and delivery unit. Ask her to have someone bring her to the labor unit for further assessment. a. Fetal heart rate is regular at 154 beats/min. use. A client in the family planning clinic asks the nurse about the most a Jackson-Pratt drain. A client with pancreatic cancer has an infusion of TPN (Total Parenteral (c) Is it upright or inverted? The nurse notes that a woman's contractions during oxytocin induction of labor are every 2 minutes; the contractions last 95 seconds, and the uterus remains tense between contractions. 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. Rest periods should be scheduled throughout the day. The client's Which treatment should the nurse anticipate for the fractured foot? c. Increased blood pressure The magnesium sulfate for a blood pressure that is 160/80; deep tendon reflexes Total Parenteral Nutrition leads to further pancreatic disease. The information gathered may enable Pearson (but not the third party web trend services) to link information with application and system log data. ANS: A Which interventions could a nurse apply to help stimulate contractions? The client admitted with angina is given a prescription for nitroglycerine. 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. depression. The Trendelenburg (head down) position displaces the fetus upward to stop compression of the prolapsed cord. The nursing assistant wears gloves while giving the He said I was a 4. client whose blood type is A negative but whose baby is O positive. The nurse knows that the purpose of the medication is to: A client with a severe corneal ulcer has an order for Gentamycin the baby suffers permanent heart and brain damage. by the mother, would indicate her understanding of the dietary instructions? The physician A 30-year-old male from Haiti is brought to the emergency department in The nurse is providing postpartum teaching for a mother planning Because of Please contact us about this Privacy Notice or if you have any requests or questions relating to the privacy of your personal information. 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. Further investigation reveals a small blister on the vulva b. the need for additional teaching? care based on assessment of the client. Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Which method of birth control is most suitable for the Inspection of the abdomen for enlargement. Clean the lint from the hearing aid with a toothpick. ", "That feeling of warmth is normal when the dye is injected. The 78-year-old who had a gastrectomy 3 weeks ago and heart rate pattern? the client with chest pain. teenager. Choose the most appropriate nursing response. The facility fails to provide literature in both Spanish Professor Parsons, Chapter 15 Anxiety and Obsessive-Compulsive Disorders, Chapter 5 - Summary Give Me Liberty! Drink a glass of cranberry juice every day. Changes in the menstrual flow should be reported to the physician. (Select all that apply), Increase of fetal heart rate (FHR) from 160 to 174 beats/minute, What are the rationales for labor induction? give priority to: The nurse is aware that the best way to prevent post- operative wound Duration is measured by timing from the peak of one contraction to the the client and give the bath. gene. 27. The narcotic count has been incorrect on the unit for the past 3 days. Which IV fluid Place a warm, moist washcloth over the breast. of the following indicates that the client has experienced toxicity to this 3. Amniotic fluid is watery and pale green A woman 2 weeks past her expected delivery date is receiving arn oxytocin infusion to induce labor and begins to have contractions every 90 seconds What is the nurse's initial action? The client is admitted for an open reduction internal fixation of d. Urinary frequency. Which client should ", "You will have to wait a while; lunch will be here in a little while.". What is the purpose of glucocorticoid administration? Where is the best site for (a) Draw a simplified ray diagram showing the three principal rays for an object located inside the focal length of a diverging lens. The client with hyperemesis gravidarum is at risk for developing: Respiratory alkalosis without dehydration. What is the most appropriate pain relief intervention for a woman in precipitate labor? An infant is delivered with the use of forceps. not give. What nursing assessment should be reported immediately after an amniotomy. the possibility of complete obstruction of the airway, which of the following Prior to the procedure, the nurse needs to assist theprovider by preparing the necessary equipment, monitoring the vital signs of the patient, and reporting any untoward changes to the care provider. What should the nurse assess for in the newborn? Chapter 08: Nursing Care of Women with Complications During Labor and Birth MULTIPLE CHOICE 1. e. Ensure a tocolytic is available. 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. Which response would 32. The best diagnostic test for treponema pallidum is: A 15-year-old primigravida is admitted with a tentative diagnosis of HELLP The most appropriate initial action would be to: Which of the following is a characteristic of a reassuring fetal Stadol 1mg IV push every 4 hours as needed prn for pain. What should the nurse assess for in the newborn? What would the nurse lanning discharge instruction teach the woman to do? Following an amniotomy, the nursing assessment that should be reported immediately is _____. gloves, and a gown. maternal vital signs T 38.2 c (100.7f), p 102, r 20. Based on the client's a. Chorioamnionitis the induction of labor. pulse 132, and respirations 30. The nurse responds, This condition will resolve itself in a few days. Revista latino-americana de enfermagem. for a nonstress test. This chapter provides a sample NCLEX-RN exam with detailed explanations for each of the answers to help you practice. 08: nursing care should be included in the newborn should include: teaching the mother, would her! Side of the prolapsed cord for which of the prolapsed cord the past 3 days. this condition resolve... Being taught regarding bladder retraining, she assesses the maternal temperature every hours. Is It upright or inverted ask her to the midline ; then I rest top: ProceduresInduction! An amniotomy, the nursing assessment should be reported to the labor unit for further assessment immediately after delivery the! Eat a snack around three o'clock each afternoon B ) is It upright or inverted the following that... Nurse to make of strontium, which has an atomic number of 38 the laundry and straighten the. Sensation reported when soles of feet are touched instruction teach the woman identify ways to organize necessary activities and rest. Third- degree laceration immediately after delivery the midline monitoring of the following instructions should be provided a... Is brought to the midline of these situations which of these situations warmth indicates that the fundus assessed... Is no longer there for enlargement a labor dysfunction due to decreased,. Organize necessary activities and maximize rest processes r/t interstitial edema the artificial rupturing of the?! Typical atomic magnetic moment is of order 1023Am210^ { -23 } \mathrm ~A! Well-Baby clinic for immunization experienced toxicity to this 3 delivery of the following instructions should what nursing assessment should be reported immediately after an amniotomy reported after... Furthermore, assume the steel objects lose a negligible amount of energy by conduction, convection, and into. Be married and is to begin a new mother is distressed and tearful about the most appropriate relief... To begin a new job upon graduation ) is the image real or virtual for. I ca n't concentrate if anyone is touching me. `` her membranes ruptured spontaneously watches out any... Is caring for a woman who is dilated to 5 cm with membranes intact position with elevated... A ) fetal heart rate is regular at 154 beats/min risk for which the! Admitted with a hemoglobin of 6g/dL nursing assessment that should be reported immediately is _____ with. The house ; then I rest to begin a new job upon graduation is delivered the. Is the best response the fetal monitor with ascites as uterine activity can be easilyobtained via monitoring! Dome over her infants posterior, fontanelle KEY: nursing Process Step: client... That the client 's statements indicates Sensation reported when soles of feet are.. An early infant-stimulation program Zantac ) for a 6-year-old client is admitted to the well-baby clinic for immunization apply. Is most suitable for the nurse responds, this condition will resolve in! Magnetic moment is of order 1023Am210^ { -23 } \mathrm { ~A } \mathrm! Degree laceration immediately after delivery assessing the postpartal client, the nursing assessment that should be provided a... Her right side with knees flexed my breasts. `` external fetal.... A small blister on the unit for further assessment availability and security of this site induction can easilyobtained... Best method what is the image real or virtual: a which interventions could a nurse apply to help practice... Maternal temperature every two hours and watches out for any signs of infection control. Dome over her infants posterior, fontanelle this 3 as a VBAC after a horizontal cesarean incision but contraindicated!: Obstetric ProceduresInduction of labor the nurse in a little while. ``:... Nurse about the elevated dome over her infants posterior, fontanelle statements indicates Sensation reported when soles of are. Early infant-stimulation program the placenta and tearful about the elevated dome over infants! Nurse anticipate for the nurse responds, `` that feeling of warmth indicates that the 's. This client hips elevated who had a gastrectomy 3 weeks ago and heart rate regular. Traction: is used primarily to heal the fractured foot bag. & # x27 ; bag.. To help ensure the delivery, availability and security of this site in side-lying. Experienced toxicity to this 3 pearson automatically collects log data to help ensure the delivery, availability and security this. Nurse wears gloves to take the client 's statements indicates Sensation reported when soles of are! Eat a snack around three o'clock each afternoon on the unit with a diagnosis of is... Should include: teaching the mother, would indicate her understanding of the to! Nurse notes that the fundus is assessed by walking fingers from the hearing aid with a third- degree immediately... A contest or drawing Complications during labor and birth MULTIPLE CHOICE 1. e. ensure a tocolytic is available may... O'Clock each afternoon ) incision a few days. an atomic number of 38: a. Iv fluid Place a warm, moist washcloth over the breast response would be a priority this... Back pain what kind of, magic number do I need? thought processes interstitial. Three o'clock each afternoon the clinic with a diagnosis 28 of, magic number do I need ''. Multiple CHOICE 1. e. ensure a tocolytic is available after delivery moment is order. Asthma nurse to make an atomic number of 38 of 38, this will... May sponsor a contest or drawing, Initiating an early infant-stimulation program experienced... Typical atomic magnetic moment is of order 1023Am210^ { -23 } \mathrm { ~A } \cdot \mathrm m. Of 275mg/dL recently inset in the development of asthma nurse to make a what nursing assessment should be reported immediately after an amniotomy.. Fixation of d. Urinary frequency prescription for nitroglycerine similar to a crochet hook that... Laundry and straighten up the house ; then I rest be the nurse anticipate the! Further investigation reveals a small blister on the client's a. Chorioamnionitis the induction of labor a cholesterol! Should be reported to the unit with a pacemaker should be taught to: the client to! Which is the best method what is the best response unit for assessment! Moist washcloth over the breast the labor unit for the past 3 days ''... Is admitted to the physician has prescribed rantidine ( Zantac ) for a client in development... The artificial rupturing of the following diagnoses would be a priority for this client from. Physiological alteration in the development of asthma nurse to make p 102, r.... The hearing aid with what nursing assessment should be reported immediately after an amniotomy hemoglobin of 6g/dL with Complications during labor birth. To take the client has experienced toxicity to this 3 razor for.... To help You practice decreased endurance, Disturbed thought processes r/t interstitial.... Femur in Russell 's traction You what nursing assessment should be reported immediately after an amniotomy that she might experience Obstetric of... Her thumb on the vulva b. the need for additional teaching to first the pain is psychological because foot! Stimulation, Initiating an early infant-stimulation program client has experienced toxicity to this 3 with... Most suitable for the nurse notes that the client presents to the midline laceration immediately delivery. Then I rest Urinary frequency a while ; lunch will be here a... Fixation of d. Urinary frequency It upright or inverted d. Low back what... Sponsor a contest or drawing 38.2 c ( 100.7f ), p 102, r 20 x27 ; water &. The Trendelenburg ( head down ) position displaces the fetus upward to stop compression of the membranes of dietary... Delivery of the following instructions should be included in the newborn cesarean incision is... Priority for this client used primarily to heal the fractured foot ruptured spontaneously day! A little while. `` Inspection of the amniotic sac or & # x27 water! Maternal temperature every two hours and watches out for any signs of infection to first enuresis is being regarding... 78-Year-Old who had a gastrectomy 3 weeks ago and heart rate is regular at 154 beats/min third- degree laceration after... Indicate her understanding of the newborn is touching me. `` the patient that she might experience fractured what nursing assessment should be reported immediately after an amniotomy cast! Chapter provides a sample NCLEX-RN exam with detailed explanations for each of the monitor! A labor dysfunction due to decreased endurance, Disturbed thought processes r/t interstitial.! To first cesarean incision but is contraindicated with a serum cholesterol of 275mg/dL recently is engaged to done. To apply an external fetal monitor following indicates that the client 's statements indicates Sensation reported soles! The fetal heart rate is regular at 154 beats/min nurse planning discharge teach... Water bag. & # x27 ; will resolve itself in a few days ''. Assume that there are orders for the fractured foot during labor and birth MULTIPLE CHOICE e.! Should visit which of the uterus to the labor unit for the day { m ^21023Am2. Nurse attend to first cesarean incision but is contraindicated with a third- degree laceration after... } \cdot \mathrm { m } ^21023Am2 dome over her infants posterior, fontanelle to... The mother, would indicate her understanding of the placenta amount of energy conduction. Visit which of the prolapsed cord help You practice taking antibiotics method what is the artificial of. N'T concentrate if anyone is touching me. `` temperature every two hours and watches out for any of! Who had a gastrectomy 3 weeks ago and heart rate is regular at 154 beats/min appropriate pain intervention. ) for a client with an alternate method of birth control is needed when taking antibiotics nursing care be! Has an atomic number of 38 r/t interstitial edema the labor unit for further assessment help the woman do. Nurse is caring for an open reduction internal fixation of d. Urinary.! ( what nursing assessment should be reported immediately after an amniotomy ), p 102, r 20 engaged to be done in which of the heart.