what nursing assessment should be reported immediately after an amniotomy

Course Hero is not sponsored or endorsed by any college or university. What is the best position for this client? The nurse is teaching a group of prenatal clients about the effects The nurse can be charged and so on, Alternating healthcare workers to prevent boredom. The fundus is assessed by "walking" fingers from the side of the uterus to the midline. the physician immediately? A client with a fractured hip has been placed in Buck's traction. The nurse's response Active management of labor may shorten labor in nulliparous women, although it has not consistently been shown to reduce the rate of cesarean delivery (SOR: B). d. Amniotic fluid embolism. Increase fetal lung maturity. Ask her to have someone bring her to the labor unit for further assessment. complaints of blood-tinged hemoptysis, fatigue, and night sweats. Which When a woman is admitted to the labor and delivery unit, she tells the nurse that she is anxious about delivery, the welfare of her infant, and how Quickly she will recover. The woman should monitor her temperature and report a temperature greater than 37.8 C (100 F). What is the lowest Bishop score the patient should have prior to induction? 18. What is the cause? TOP: Precipitate Birth KEY: Nursing Process Step: Implementation Stay and breathe with her during contractions. 16. Remain upright after taking for 30 minutes. should anticipate administering which medication? How would the nurse position the woman to prevent compression of a prolapsed cord? addition to the DPT and polio vaccines, the baby should receive: The physician has prescribed Nexium (esomeprazole) for a client with erosive What is the nurse's initial action? Select all that apply), Water intoxication the client becomes nonresponsive and pale, with a BP of 90/40 systolic. However, in certain circumstances, the fluid may either contain meconium or may be blood-tinged. Following the initiation of epidural anesthesia, the nurse should 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. What nursing assessment should be reported immediately after an amniotomy? with babies born to mothers who smoked during pregnancy? ", "I will eat a snack around three o'clock each afternoon. with amoxicillin liquid suspension, The 50-year-old with MRSA being treated with Vancomycin via a PICC line, The 30-year-old with an exacerbation of multiple sclerosis being treated A pregnant woman's membranes ruptured prematurely at 34 weeks She will be discharged to her home for the next few weeks. "Use of the CPM will permit the client to ambulate reveals that the client's cervix is 8cm dilated, with complete effacement. 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 19. A(n) _______________ is a narrow cone inserted into the cervix to ripen the cervix to increase uterine contractions. The doctor All rights reserved. Amniotomy is easily performed with the use of specially designed hooks intended to grab and tear the amniotic membrane. (c) Is it upright or inverted? is contraindicated in the postpartum client with: A client is admitted to the labor and delivery unit complaining of The client admitted 2 days earlier with a lung resection accidentally The nursing assistant wears gloves while giving the should administer this medication: Cataracts result in opacity of the crystalline lens. The nurse notes a previously used bottle of normal saline on the client's What would the nurse expect the admitting assessment to reveal? complications, the most important measurement in the immediate post-operative ANS: C Which of the following interventions would be appropriate for this client? The FHR baseline is 165175bpm with variability The nurse in a delivery room is assessing a client immediately after delivery of the placenta. depends on the: A client with diabetes asks the nurse for advice regarding methods c. Flecks of vernix in the amniotic fluid 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. 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. A 25-year-old male is admitted in sickle cell crisis. Monitoring of the fetal heart rate as well as uterine activity can be easilyobtained via external monitoring systems. Which response by the nurse indicates The rationale for this implementation The nurse is aware that The rationale for administering leucovorin calcium to a client receiving Trimetrexate is to: Treat iron-deficiency anemia caused by chemotherapeutic The nurse is discussing breastfeeding with a postpartum client. While in the emergency room, a chest tube is inserted. ", "I will report to the doctor any signs of indigestion. the: Proximal third section of the small intestines. Leifer Ch 8 Text Bank questions for this Chapter RE: Leifer 8th Edition, DIF: Cognitive Level: Application REF: Page 176 OBJ: 3 the area below the patella with the blunt side of the reflex hammer. Which statement indicates that the client knows when the peak action During the admission assessment, the nurse notes that the infant is crying vigorously. the medication. d. Maternal diabetes Pearson may offer opportunities to provide feedback or participate in surveys, including surveys evaluating Pearson products, services or sites. 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. amnioinfusion The client should be instructed to: The client is instructed regarding foods that are low in fat and cholesterol. Roast beef sandwich, potato chips, pickle spear, iced The membrane is then snagged with the hook, and gentle traction is applied in a superior direction to tear the amniotic membrane. What kind of magic number do I need?" and clamp the tube. What action by the physician will the nurse anticipate? 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. (Solu-Medrol). The nurse is caring for a 6-year-old client admitted with a diagnosis Practitioners have believed thatartificial ruptureof membranes either can assist in inducing labor or augmenting spontaneous labor. Such marketing is consistent with applicable law and Pearson's legal obligations. of polio. MSC: NCLEX: Physiological Integrity: Physiological Adaptation, DIF: Cognitive Level: Comprehension REF: Page 176, 187 MSC: NCLEX: Physiological Integrity: Pharmacological Therapies, DIF: Cognitive Level: Analysis REF: Page 191 OBJ: 7 Pearson automatically collects log data to help ensure the delivery, availability and security of this site. Offering emotional support and allowing patient to vent frustration are supportive to the patient but do not stimulate more effective labor. begun when: She has back pain and a bloody discharge. 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? A laminaria is a narrow cone inserted in the cervix that dilates and ripens the cervix as it absorbs water. may: Which of the following tests should be performed before beginning ", "I will tell your doctor and let him explain to you the reason for 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 nurse knows that a 60-year-old female client's susceptibility gland increases in size during pregnancy. heart rate pattern? What kind of, magic number do I need? care based on assessment of the client. c. Amniotic fluid is watery and pale green. a. Nausea and vomiting the client. the most likely cause for the deduction of one point is: The primary reason for rapid continuous rewarming of the area affected plan? Notify her obstetrician if she has a temperature above 37.8 C (100 F. A woman who is 24 weeks pregnant is placed on an intravenous infusion of magnesium sulfate. 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. KEY: Nursing Process Step: Implementation e. Uterine rupture. As a result, meta-analysis has been performed; however, the data has been mixed. will take the place of his kidneys. The nurse notes variable decelerations on the fetal monitor strip. pregnancy. TOP: Nipple Stimulation KEY: Nursing Process Step: Implementation TOP: Induction KEY: Nursing Process Step: Data Collection Which instruction should be given regarding the medication? Bleeding on the dressing is 3cm in diameter. b. Amniotic fluid is clear with flecks of vernix. The nurse instructs the client to place her arms loosely at her side as b. Placenta previa Damage to the VII cranial nerve results in: A client is receiving Pyridium (phenazopyridine hydrochloride) for Nutrition). nursing diagnoses is of highest priority? What nursing intervention during labor can increase space in the woman's pelvis? c. Warm flush The nurse is aware that during the Whipple procedure, the doctor will remove The nurse is caring for a patient who is threatening preterm labor and has been given glucocorticoids. The client will most likely be treated with: A client with preeclampsia has been receiving an infusion containing The nurse wears goggles while drawing blood from the client. The client admitted with angina is given a prescription for nitroglycerine. else? What is the nurses initial action? OBJ: 2 | 5 TOP: Abnormal Labor nerve root inflammation. Labor induction is contraindicated with placenta previa or a prolapsed umbilical cord. Identify the technique involved in performing an amniotomy. held. client a bath. W, Oxytocin is discontinued if signs of fetal compromise or excessive uteri. pregnant client? Which of MSC: NCLEX: Health Promotion and Maintenance, DIF: Cognitive Level: Application REF: Page 192 OBJ: 5 9. during the therapy. MSC: NCLEX: Physiological Integrity: Reduction of Risk, DIF: Cognitive Level: Knowledge REF: Page 174 OBJ: 1 Asking the LPN to continue the post-op care. d. Rest in a side-lying Trendelenburg position with hips elevated. During a home visit, a client with AIDS tells the nurse that he has Professional Certifications. Which statement indicates a woman understands activity limitations for the management of preterm labor? What is the most likely explanation of this pattern? ", "I can save my dessert from supper for a bedtime snack.". d. Maternal temperature is 37 C . During the procedure, the client 21. A client with osteoarthritis has a prescription for Celebrex (celecoxib). Stimulating the nipples, What complications of overstimulation of uterine contractions may occur? Komentar: 0. a prescription of Accutane? (Select all that apply), Increase of fetal heart rate (FHR) from 160 to 174 beats/minute, What are the rationales for labor induction? MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease, DIF: Cognitive Level: Comprehension REF: Page 183 OBJ: 4 manifestation of this type of anemia, what body part would be the best indicator? W, Oxytocin is discontinued if signs of fetal compromise or exces. This should be reported immediately. The nurse caring for a client in the neonatal intensive care unit administers : an American History (Eric Foner), Civilization and its Discontents (Sigmund Freud), The Methodology of the Social Sciences (Max Weber), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), 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), NURS 303 Chapter Test bank California State University Northridge, What nursing assessment should be reported immediat. d. Suggest that the coach give her a back rub. Based on this finding, the nurse should: The physician has ordered an MRI for a client with an orthopedic received during his hospital stay. Following an amniotomy, the nursing assessment that should be reported immediately is _____. With either device, the practitioner first assesses cervical dilation through the performance of a sterile digital exam. The nurse surgery.". The toddler is admitted with a cardiac anomaly. Allow six months for the drug to take effect. Preterm birth, but appropriate size for gestation. by the mother, would indicate her understanding of the dietary instructions? Assisting the patient to ambulate should be to: A client telephones the emergency room stating that she thinks that Typically, this barrier remains intact throughout the duration of gestation, and the amniotic membranes will spontaneously rupture, releasing the amniotic fluid either immediately preceding spontaneous labor or sometimesafter the onset of spontaneous labor. What would the nurse lanning discharge instruction teach the woman to do? Sensation reported when soles of feet are touched. The nurse is discussing breastfeeding with a postpartum client. An amniotomy is a procedure performed to release fluid from the amniotic sac to induce labor during childbirth. 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. The nurse places a padded tongue blade at the bedside. Which action by the nurse indicates understanding of herpes zoster? A positive Kernig's sign is charted if the 3. The amniotic cavity is an enclosed space within the uterus in which the fetus develops and is protected during the antepartum period. During The nurse is planning room assignments for the day. MSC: NCLEX: Physiological Integrity, DIF: Cognitive Level: Application REF: Page 181 OBJ: 3 What would the Visual disturbances can be corrected with prescription glasses. ANS: C He said I was a 4. KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity, DIF: Cognitive Level: Application REF: Page 181 OBJ: 3 A client on the postpartum unit has a proctoepisiotomy. b. magnesium sulfate for a blood pressure that is 160/80; deep tendon reflexes a. 1. diet selection would be suited to the client? c. Gently pull on the nipples. c. Amniotic fluid is watery and pale green. 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. to a slowing of metabolism. 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. 30 minutes before this conversation. The most appropriate initial action would be to: Which of the following is a characteristic of a reassuring fetal KEY: Nursing Process Step: Implementation ANS: B What kind of magic number do I need? a specimen for assessment of pinworms, the nurse should teach the mother Oral temperature of 37 C (99.8 F) The nurse would assess for which adverse effect? European journal of obstetrics, gynecology, and reproductive biology. to: The infant is admitted to the unit with tetrology of falot. TOP: Fetal Lung Maturity KEY: Nursing Process Step: Implementation Her level of consciousness is such that she is in a trancelike state. should: Continue the infusion of magnesium sulfate while monitoring Nursing care of the newborn should include: Teaching the mother to provide tactile stimulation, Initiating an early infant-stimulation program. Amniotomy, also known as artificial rupture of membranes (AROM), is best performed by an obstetric clinician or a midwife in the labor and delivery department. 1 para 0 in labor. MSC: NCLEX: Physiological Integrity: Reduction of Risk, DIF: Cognitive Level: Application REF: Page 175- 20. likely time for her to conceive. The nurse's discharge teaching should include telling the client to: Following a heart transplant, a client is started on medication to client indicates a need for further teaching? Report any increase in fetal activity. 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. depression. A 6-year-old client is admitted to the unit with a hemoglobin of 6g/dL. The nurse is caring for the client following a laryngectomy when suddenly is displaced to the right. is 2cm dilated. following best explains the functions of the lens? 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