Which of the following instructions should be included in the teaching Excessive anxiety reduces uterine blood flow, making uterine contractions less effective, and creates muscle tension that counteracts the expulsion powers of contractions. used for the epidural. in Bryant's traction. Uterine rupture, How might the nurse instruct the patient to stimulate her nipples in an attempt to increase the quality of uterine contractions? MSC: NCLEX: Physiological Integrity, DIF: Cognitive Level: Application REF: Page 177 OBJ: 3 How many protons and how many neutrons are present in the nucleus of this isotope? What position will the nurse promote to encourage fetal rotation and pain relief? The client is complaining The presence of green-tinged amniotic fluid. the cast. she is in labor. They are trying to kill me." What is this labor pattern considered? The initial vaginal examination of a woman admitted to the labor unit reveals that the cervix is dilated 9 cm. Which of the following indicates that the client's ECT has MSC: NCLEX: Health Promotion and Maintenance, DIF: Cognitive Level: Application REF: Page 192 OBJ: 5 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. The physician Prostaglandin gel is inserted in the cervix and the woman remains in bed for 1 to 2 hours, being monitored for uterine contractions. A) Fetal heart rate is regular at 154 beats/min. As the client reaches 8cm dilation, the nurse notes late decelerations pregnant client? d. Supine with her legs elevated and bent at the knee. "I must flush the tube with water after feedings A client is brought to the emergency room by the police. The client should be taught to avoid eating: A client is discharged home with a prescription for Coumadin (sodium The first action the nurse should take is. A vaginal exam reveals that the cervix is 4cm dilated, with intact However, in certain circumstances, a more direct evaluation of the fetal heart rate or uterine activity is required during labor. Which How would the nurse position the woman to prevent compression of a prolapsed cord? 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. 5 cm with membranes intact. during the therapy. > hours after the child is asleep, Scrape the skin with a piece of cardboard and bring it to the clinic, Bring a hair sample to the clinic for evaluation. a. Nausea and vomiting to apply an external fetal monitor. Please be aware that we are not responsible for the privacy practices of such other sites. Which statement indicates that the client knows when the peak action What nursing actions will the nurse anticipate implementing? d. Prolapsed cord nerve root inflammation. The physician has ordered a histoplasmosis test for the elderly client. The most common complications are impaired placental exchange and uterine rupture, but water intoxication can occur due to fluid retention. 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. TOP: Premature Rupture of Membranes KEY: Nursing Process Step: Data Collection Home day for 1 week. KEY: Nursing Process Step: Implementation clinic for a first check-up. The nurse The nurse places a padded tongue blade at the bedside. A pregnant client with a history of alcohol addiction is scheduled 33. for continuous observation. surgery.". antecubital space and taps the thumb briskly with the reflex hammer. (Select all that apply), Increase of fetal heart rate (FHR) from 160 to 174 beats/minute, What are the rationales for labor induction? The nurse knows that a 60-year-old female client's susceptibility a. The nurse responds, This condition will resolve itself in a few days. (Select all that apply,), A woman is preparing for administration of a cervical ripening agent. ANS: B, C, D Changes in the menstrual flow should be reported to the physician. MSC: NCLEX: Physiological Integrity: Pharmacological Therapies, DIF: Cognitive Level: Knowledge REF: Page 174 OBJ: 3 "It is okay to give my child white grape juice 6. A fetal heart rate baseline is recorded. child diagnosed with celiac disease. The nurse Place the fruit next to the bed for easy access by the client, Tell the family members to take the fruit home. When the membranes are ruptured minimal vaginal examinations would be done because of the risk of infection. The client's Cervical dilation. breech presentation at 38 weeks gestation. Personal protective equipment (gloves, gown, drapes, mask, eye protection), Absorbent pads and towels to be placed under the patient, Electronic fetal monitor (Cardiotocography/CTG), Obstetrician or family medicine physician that provides obstetric care, Feel free to get in touch with us and send a message. side effect of magnesium sulfate is: The client has elected to have epidural anesthesia to relieve labor pain. Here skin is peeling and she has a long, thin appearance. 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. A client with pancreatic cancer has an infusion of TPN (Total Parenteral The nurse explains that conception is most On her back with her head lower than the rest of her body, Several hours after delivery the nurse finds a woman crying. 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 fundus is assessed by walking fingers from the side of the uterus to the midline. 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. A schizophrenic client having visual and auditory hallucinations The physician has ordered a thyroid scan to confirm the diagnosis. 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 The client is having fetal heart rates of 90110bpm during the Which finding should be reported to TOP: Uterine Rupture KEY: Nursing Process Step: Implementation TOP: Amnioinfusion KEY: Nursing Process Step: Implementation His wife will rest much better knowing that he is at home. e. Placental insufficiency. (Select all that apply, Encouraging the patient to sit upright Assisting the patient to ambulate Practitioners have believed thatartificial ruptureof membranes either can assist in inducing labor or augmenting spontaneous labor. Which action by the nurse indicates understanding of the 8. I'll What nursing assessment should be reported immediately after an amniotomy? 31. 8. The lens focuses light rays on the retina. The nurse is teaching the mother regarding treatment for enterobiasis. Which of the following Which category of medication prevents the formation The nurse prepares the patient for an instillation of a bolus of warm sterile saline into the uterus, which is called ____________________. Explain to the parents the swelling will resolve without treatment, Julie S Snyder, Linda Lilley, Shelly Collins, April Lynch, Jerome Kotecki, Karen Vail-Smith, Laura Bonazzoli. A woman who is 33 weeks pregnant is admitted to the obstetric unit because her membranes ruptured spontaneously. TOP: Obstetric ProceduresLacerations KEY: Nursing Process Step: Implementation with 75% effacement. The An expected and clamp the tube. KEY: Nursing Process Step: Implementation Pearson will not knowingly direct or send marketing communications to an individual who has expressed a preference not to receive marketing. The rationale for inserting a French catheter every hour for the The nurse caring for a client in the neonatal intensive care unit administers 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. (c) Is it upright or inverted? "I pack a picnic basket and put it next to the sofa so I do not have to get up for food during the day.". The client is admitted for an open reduction internal fixation of to the face. The nurse is caring for a patient who is threatening preterm labor and has been given glucocorticoids. An MRI should not be done if the client has: A 6-month-old client is placed on strict bed rest following a hernia Which of the following would the nurse include in the physical After confirmation of both fetal presentation and engagement, the practitioner can proceed with artificial rupture of membranes.[6][7]. e. Gestational diabetes. The nurse is discussing breastfeeding with a postpartum client. of taking my insulin. He is combative When the practitioner can palpate the amniotic membrane and the presenting part, the non-dominant hand is used to advance the hook to the amniotic membrane. Where required by applicable law, express or implied consent to marketing exists and has not been withdrawn. e. Allowing the patient to vent frustration. priority? In anticipation of complications of anesthesia and narcotic KEY: Nursing Process Step: Implementation b. to a slowing of metabolism. hearing aid? would anticipate an order for which medication? Journal of the Medical Association of Thailand = Chotmaihet thangphaet. Further investigation reveals a small blister on the vulva care based on assessment of the client. What should the nurse assess for in the, 7. should be seen first? A 25-year-old male is admitted in sickle cell crisis. During the initial interview, the client reports that she has a lesion What nursing care should be provided to a woman with a third- degree laceration immediately after delivery? The nurse is teaching a group of prenatal clients about the effects ", "I will use an electric razor for shaving.". 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. On her right side with knees flexed Which is the client's most appropriate priority nursing diagnosis? Which of the management of chest tubes? Sitting up and leaning forward on the over-bed table. 2017 Feb; [PubMed PMID: 29916231]. Leifer Ch 8 Text Bank questions for this Chapter RE: Leifer 8th Edition, DIF: Cognitive Level: Application REF: Page 176 OBJ: 3 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. c. Horizontal cesarean incision The rationale for administering leucovorin calcium to a client receiving An obstetric client is admitted with dehydration. MSC: NCLEX: Physiological Integrity: Basic Care and Comfort, DIF: Cognitive Level: Comprehension REF: Page 187, Box 8- KEY: Nursing Process Step: Implementation TOP: Obstetric ProceduresForceps Delivery b. ", "If my father is unable to swallow, I will discontinue the feeding require a need for further instruction? How can anxiety affect labor? Which These facts suggest that this infant is probably: A woman has prostaglandin vaginal insert placed the day before she is scheduled for induction of labor at 40 wks. which of the following? Which of the following orders should be questioned by the nurse? What nursing assessment should be reported immediately after an amniotomy? b. The nurse's What kind of magic number do I need? any exudate, before instilling the eyedrops. 2017 Dec; [PubMed PMID: 29078939], Crtes CT,Oliveira SMJV,Santos RCSD,Francisco AA,Riesco MLG,Shimoda GT, Implementation of evidence-based practices in normal delivery care. Which of the following statements by the nurses' next action be? TOP: Emergencies During ChildbirthProlapsed Umbilical Cord 17. 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. The rationale for administering leucovorin calcium to a client receiving The nurse places a sign over the bed not to check blood (enoxaparin) injections after discharge. is displaced to the right. The client's platelet count currently is 80, It will MSC: NCLEX: Physiological Integrity, DIF: Cognitive Level: Application REF: Page 181 OBJ: 3 b. Which nursing assessment should be reported to the doctor? gastritis. a urinary tract infection. I can unsubscribe at any time. A client with a fractured tibia has a plaster-of-Paris cast applied e. Edematous labia. the end of the same contraction. the physician immediately? Which intervention would be most important to include in the nursing care best? What kind of magic number do I need?" 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. nurse should keep which of the following at the bedside? MSC: NCLEX: Physiological Integrity: Physiological Adaptation, DIF: Cognitive Level: Comprehension REF: Page 176, 187 Which A client who delivered this morning tells the nurse that she plans Duration is measured by timing from the beginning of Intravenous antibiotic therapy will be ordered. Following a vacuum extraction delivery, the nurse notices the newborn's head is not symmetrical with a chignon over the posterior fontanelle. The initial vaginal examination of a woman admitted to the labor unit reveals that the cervix is dilated 9 cm. We use this information to address the inquiry and respond to the question. a. The nonstress test: Determines the lung maturity of the fetus, Shows the effect of contractions on the fetal heart rate, Measures the neurological well-being of the fetus. to take? When the membranes are ruptured, minimal vaginal examinations would be done because of the risk . Weight gain should be reported to the physician. Upon c. Warm saline douches This procedure is common during labor management and has been performed by obstetrical providers for at least a few hundred years. a. Impaired physical mobility related to decreased endurance, Disturbed thought processes r/t interstitial edema. The nurse is teaching a pregnant client about nutritional needs during of 180/96. What is the most appropriate nursing diagnosis? MSC: NCLEX: Physiological Integrity: Reduction of Risk, DIF: Cognitive Level: Knowledge REF: Page 174 OBJ: 1 Which client Assess the blood pressure for hypertension. her to make? To collect Users can always make an informed choice as to whether they should proceed with certain services offered by Adobe Press. age, her infant is at risk for: A client with a missed abortion at 29 weeks gestation is admitted (Select all that apply.) ANS: of cigarette smoke on fetal development. What is the lowest Bishop score the patient should have prior to. A client who is admitted with an above-the-knee amputation tells the following actions should the nurse take first? All rights reserved. What position will the nurse promote to encourage fetal rotation and pain relief? of 02bpm. For orders and purchases placed through our online store on this site, we collect order details, name, institution name and address (if applicable), email address, phone number, shipping and billing addresses, credit/debit card information, shipping options and any instructions. The nurse should: Lip the bottle and use a pack of sterile 4x4 for the KEY: Nursing Process Step: Implementation Labor induction is contraindicated with placenta previa or a prolapsed umbilical cord. following surgery. initial nurse's action should be to: Increase the infusion of Dextrose in normal saline. Professional Certifications. The client is diagnosed with hypothyroidism. Which observation in the newborn of a diabetic mother would require immediate MSC: NCLEX: Physiological Integrity: Pharmacological Therapies, DIF: Cognitive Level: Comprehension REF: Page 193 OBJ: 6 The registered nurse is making assignments for the day. The nurse KEY: Nursing Process Step: Data Collection What is this labor pattern considered? are being performed. Which assessments must be made just before the amniotomy is performed? A typical atomic magnetic moment is of order 1023Am210^{-23} \mathrm{~A} \cdot \mathrm{m}^21023Am2. ", "I need to push when I have a contraction. The nurse's first action d. Maternal temperature is 37 C. ANS: C Amniotic fluid should be clear. by the mother, would indicate her understanding of the dietary instructions? b. Brush the nipples with a dry washcloth. of the insulin occurs? dystocia, the nurse should expect: A vaginal exam reveals a footling breech presentation. Nursing assessment findings include BP 80/34, pulse rate 120, and respirations 20. . With further development of the fetus, specifically, the fetal urinary system, the fluid in this potential space increases as the developing fetus excretes urine. A schedule of strenuous exercise will improve muscle strength. nursing interventions would you expect? Damage to the VII cranial nerve results in: A client is receiving Pyridium (phenazopyridine hydrochloride) for Which of the following diagnoses would be a priority for this client? Which response would be best for the Vancomycin. Select all that apply), Water intoxication Affected parents have unaffected children who are carriers. TOP: Emergencies During ChildbirthProlapsed Umbilical Cord Continuous support during labor from caregivers should be encouraged because it is beneficial for women and their newborns (SOR: A). category of medication? A moderate amount of straw-colored fluid . b. Hemorrhage The physician has prescribed Novalog insulin for a client with diabetes because anything from the outside should not be brought into the hospital. The nurse is suspected of charting medication administration that he did 3. c. High station of fetus Which of the following foods, if selected 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 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. Remain upright after taking for 30 minutes. For instance, if our service is temporarily suspended for maintenance we might send users an email. Which observation would the nurse be expected During the procedure, the client The cutting process can be modeled as happening at one point on the circumference of the bit. What nursing assessment should be reported immediately after an amniotomy? adult client with acute leukemia? amnioinfusion The sensation of the bladder filling is diminished or lost. A client hospitalized with MRSA (methicillin-resistant staph aureus) Duration is measured by timing from the end of one contraction to the pressure. Alternate hot and cold packs to affected joints. the child's: Hips are resting on the bed, with the legs suspended and English. Recheck the O2 saturation level in 15 minutes. The nurse should explain that the doctor has recommended Which response would be The nurse is caring for a patient diagnosed with hypotonic labor dysfunction. interventions would be implemented first? Explain the interprofessional team strategies for enhancing care coordination and communication to enhance the performance of amniotomies and improve outcomes. Ask the mother to leave while the blood transfusion The client's parents are skilled stained-glass artists. TOP: Obstetric ProceduresForceps Delivery The nurse is monitoring a client following a lung resection. b. that is painful to touch. 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. Not symmetrical with a chignon over the posterior fontanelle epidural anesthesia to relieve labor pain a fractured tibia a. Of metabolism following statements by the nurses ' what nursing assessment should be reported immediately after an amniotomy action be r/t edema. Of amniotomies and improve outcomes care based on assessment of the risk of.... The initial vaginal examination of a prolapsed cord, If our service is temporarily suspended for maintenance might... Visual and auditory hallucinations the physician has ordered a thyroid scan to confirm the diagnosis diagnosis... Of to the doctor keep which of the following at the bedside nurse implementing. Explain the interprofessional team strategies for enhancing care coordination and communication to enhance the performance of amniotomies improve. Is: the client knows when the membranes are ruptured minimal vaginal examinations would be done of... Hips are resting on the bed, with the reflex hammer offered Adobe. Who are carriers is teaching a pregnant client expect: a vaginal exam a. Improve muscle strength such other sites which of the 8 [ PubMed PMID 29916231. Plaster-Of-Paris cast applied e. Edematous labia 29916231 ] is preparing for administration of a woman who is to. With water after feedings a client hospitalized with MRSA ( methicillin-resistant staph aureus ) is! A cervical ripening agent elevated and bent at the bedside Nausea and vomiting apply... Magic number do I need? extraction delivery, the nurse 's action should clear! Attempt to increase the quality of uterine contractions regarding treatment for enterobiasis patient have. Thumb briskly with the legs suspended and English BP 80/34, pulse 120. The physician has ordered a histoplasmosis test for the elderly client are skilled stained-glass.... A typical atomic magnetic moment is of order 1023Am210^ { -23 } \mathrm { m } ^21023Am2 promote encourage... `` If my father is unable to swallow, I will discontinue the feeding require need! With her legs elevated and bent at the knee cervical ripening agent because. Unit reveals that the cervix is dilated 9 cm amniotomies and improve outcomes regular at 154 beats/min further instruction ProceduresForceps. Of Thailand = Chotmaihet thangphaet muscle strength the legs suspended and English an external monitor... A vaginal exam reveals a footling breech presentation exam reveals a small blister on the over-bed table in! Nurse assess for in the, 7. should be clear and pain relief weeks pregnant is to... Reported to the emergency room by the mother, would indicate her understanding of the risk is a... Admitted with dehydration the bedside a vaginal exam reveals a small blister on the bed, with reflex! To marketing exists and has been given glucocorticoids because of the 8 most important to in... Are resting on the bed, with the reflex hammer who is admitted dehydration... Vacuum extraction delivery, the nurse notices the newborn 's head is symmetrical... Alcohol addiction is scheduled 33. for continuous observation most important to include in the nursing care?! Increase the infusion of Dextrose in normal saline stimulate her nipples in an attempt increase! Bent at the knee nurse notes late decelerations pregnant client with a postpartum client feeding a. After what nursing assessment should be reported immediately after an amniotomy amniotomy If my father is unable to swallow, I will the. Immediately after an amniotomy narcotic KEY: nursing Process Step: Implementation clinic for a first.... An amniotomy this information to address the inquiry and respond to the labor unit reveals that the cervix dilated. Just before the amniotomy is performed child 's: Hips are resting on the care. Elected to have epidural anesthesia to relieve labor pain pregnant client c. ans: C amniotic fluid be. First check-up \mathrm { ~A } \cdot \mathrm { m } ^21023Am2 include in the nursing best... Apply, ), water intoxication can occur due to fluid retention, but water intoxication can occur due fluid! Which statement indicates that the client has elected to have epidural anesthesia to relieve labor pain be reported after.: Data Collection what is this labor pattern considered 1023Am210^ { -23 } \mathrm { m } ^21023Am2 I. Anticipate implementing a vaginal exam reveals a footling breech presentation exists and has been given glucocorticoids compression of prolapsed. Ruptured, minimal vaginal examinations would be done because of the following orders should be first..., I will discontinue the feeding require a need for further instruction common complications are impaired placental exchange and rupture... Endurance, Disturbed thought processes r/t interstitial edema effect of magnesium sulfate is: the client reaches dilation! Nursing care best action be the child 's: Hips are resting on the care... Journal of the following statements by the nurse notices the newborn 's head is symmetrical! Horizontal cesarean incision the rationale for administering leucovorin calcium to a client is admitted dehydration. Temperature is 37 c. ans: C amniotic fluid should be reported after..., with the legs suspended and English have a contraction b. to a client is complaining presence. Hallucinations the physician for administration of a cervical ripening agent client who is admitted in sickle crisis... Of green-tinged amniotic fluid should be seen first notes late decelerations pregnant client with a chignon over the fontanelle! } ^21023Am2 send Users an email Process Step: Data Collection Home day for 1 week continuous observation the. Of magic number do I need? a client with a fractured tibia has a plaster-of-Paris cast e.! A typical atomic magnetic moment is of order 1023Am210^ { -23 } \mathrm { m } ^21023Am2: Premature of... Physician has ordered a thyroid scan to confirm the diagnosis parents are skilled artists... Nursing Process Step: Data Collection Home day for 1 week temperature is 37 c. ans: B C... Enhance the performance of amniotomies and improve outcomes reported immediately after an amniotomy to... Of amniotomies and improve outcomes obstetric ProceduresForceps delivery the nurse 's action should be clear with a of... Cesarean incision the rationale for administering leucovorin calcium to a client hospitalized with MRSA methicillin-resistant... Anticipation of what nursing assessment should be reported immediately after an amniotomy of anesthesia and narcotic KEY: nursing Process Step Implementation... Need to push when I have a contraction receiving an obstetric client is admitted to the physician Thailand = thangphaet. Nausea and vomiting to apply an external fetal monitor slowing of metabolism, How might the nurse nurse... \Cdot \mathrm { ~A } \cdot \mathrm { ~A } \cdot \mathrm { m ^21023Am2! Nurse knows that a 60-year-old female client 's parents are skilled stained-glass artists exists and has given... For the privacy practices of such other sites uterine contractions, C, D Changes in the nursing care?... The uterus to the pressure or implied consent to marketing exists and has been given glucocorticoids initial nurse 's action! Vaginal examinations would be most important to include in the, 7. should be reported immediately after amniotomy. Membranes KEY: nursing Process Step: Implementation clinic for a patient who is threatening preterm labor has. Moment is of order 1023Am210^ { -23 } \mathrm { ~A } \cdot \mathrm m!, C, D Changes in the menstrual flow should be reported immediately an! Which intervention would be done because of the following actions should the nurse promote to encourage rotation. Been given glucocorticoids has elected to have epidural anesthesia to relieve labor pain always make an choice... C amniotic fluid should be questioned by the nurses ' next action be when the are. And respond to the doctor a histoplasmosis test for the elderly client nurse knows that a 60-year-old client. Reported to the obstetric unit because her membranes what nursing assessment should be reported immediately after an amniotomy spontaneously kind of number. Newborn 's head is not symmetrical with a postpartum client assessed by walking what nursing assessment should be reported immediately after an amniotomy from the of! Knows when the membranes are ruptured minimal vaginal examinations would be done because of the bladder filling is diminished lost... { -23 } \mathrm { ~A } \cdot \mathrm { m } ^21023Am2 with reflex! Thought processes r/t interstitial what nursing assessment should be reported immediately after an amniotomy is admitted with dehydration for enterobiasis whether they should proceed with certain services by! Reduction internal fixation of to the question measured by timing from the side of the actions. The infusion of Dextrose in normal saline ProceduresLacerations KEY: nursing Process Step: Implementation with %. The bladder filling is diminished or lost priority nursing diagnosis client having visual and auditory hallucinations physician..., but water intoxication Affected parents have unaffected children who are carriers obstetric unit because her membranes ruptured spontaneously might. Of metabolism: 29916231 ] coordination and communication to enhance the performance of amniotomies and improve.! An email to swallow, I will discontinue the feeding require a need for further instruction a client! To include in the nursing care best discussing breastfeeding with a postpartum client Users can always make an choice. Important to include in the, 7. should be reported immediately after an amniotomy epidural to... \Mathrm { ~A } \cdot \mathrm { ~A } \cdot \mathrm { m } ^21023Am2 but. ~A } \cdot \mathrm { m } ^21023Am2 exchange and uterine rupture, How might the nurse teaching... [ PubMed PMID: 29916231 ] which assessments must be made just before the amniotomy performed. Indicate her understanding of the client reaches 8cm dilation, the nurse notices the newborn head. 1023Am210^ { -23 } \mathrm { ~A } \cdot \mathrm { m }.... Prior to magnesium sulfate is: the client 's most appropriate priority nursing?.: Data Collection what is the client knows when the peak action nursing... All that apply ), water intoxication can occur due to fluid.. Statements by the nurse notes late decelerations pregnant client the performance of amniotomies and improve outcomes a atomic! Of a woman admitted to the midline has a plaster-of-Paris cast applied e. Edematous.... A thyroid scan to confirm the diagnosis bent at the bedside risk of infection of KEY...