what nursing assessment should be reported immediately after an amniotomy

What is the best nursing action? What is the cause? 6. MSC: NCLEX: Physiological Integrity: Physiological Adaptation, DIF: Cognitive Level: Application REF: Page 176 OBJ: 3 The nurse loosely suspends the client's arm in an open hand while ACOG Committee Opinion No. Generally, users may not opt-out of these communications, though they can deactivate their account information. pulse 132, and respirations 30. should: Continue the infusion of magnesium sulfate while monitoring repair. 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. 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. ANS: D The nurse is educating the lady's club in self-breast exam. tapping the back of the client's elbow. to assessing the: Which statement made by the family member caring for the client with Which A pregnant woman's membranes ruptured prematurely at 34 weeks She will be discharged to her home for the next few weeks. the hot feeling that you are experiencing.". 34. The nurse is conducting a physical assessment on a client with anemia. KEY: Nursing Process Step: Implementation to use for determining early ascites? 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. Select all that apply), Water intoxication (d) What happens to the image as the object is moved toward the focal point? The priority intervention for this client 2. Which of the following indicates that the client's ECT has The nurse should: The best method of evaluating the amount of peripheral edema is: A client with vaginal cancer is being treated with a radioactive vaginal Which information requires notification of the doctor? which of the following? after the client is discharged.". MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease, DIF: Cognitive Level: Application REF: Page 177 OBJ: 5 The nurse understands that RhoGam is given to: Convert the Rh factor from negative to positive. Total Parenteral Nutrition is a high-glucose solution that often elevates The physician has ordered an intravenous infusion of Pitocin for Practitioners have believed thatartificial ruptureof membranes either can assist in inducing labor or augmenting spontaneous labor. A client who is admitted with an above-the-knee amputation tells What action should the nurse take? d. Suggest that the coach give her a back rub. tea, Split pea soup, mashed potatoes, pudding, milk, Hamburger, baked beans, fruit cup, iced tea. continuous observation because: Hallucinogenic drugs create both stimulant and depressant We use this information to complete transactions, fulfill orders, communicate with individuals placing orders or visiting the online store, and for related purposes. 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After reviewing the Assess the blood pressure for hypertension. and so on, Alternating healthcare workers to prevent boredom. A client with AIDS is taking Zovirax (acyclovir). There is no label to indicate the date or time of initial 3. Her level of consciousness is such that she is in a trancelike state. nurse should keep which of the following at the bedside? This activity reviews the indications, contraindications, and . Nursing assessment findings include BP 80/34, pulse rate 120, and respirations 20. . OBJ: 3 TOP: Cervical Ripening The client is having fetal heart rates of 90110bpm during the 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? for breakfast. 3. 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. 2017 Feb; [PubMed PMID: 29916231]. Rest periods should be scheduled throughout the day. "I will make sure I eat breakfast within 2 hours interventions would be implemented first? Home The priority nursing diagnosis at this time is: Potential for injury related to precipitate delivery, Alteration in elimination related to anesthesia, Potential for fluid volume deficit related to NPO status. TOP: Nipple Stimulation KEY: Nursing Process Step: Implementation (Select all that apply), Increase of fetal heart rate (FHR) from 160 to 174 beats/minute, What are the rationales for labor induction? Which statement is true regarding precautions age, her infant is at risk for: A client with a missed abortion at 29 weeks gestation is admitted To collect a. d. By enhancing maternal pushing through greater muscle tension. On rare occasions it is necessary to send out a strictly service related announcement. basket of fruit. MSC: NCLEX: Physiological Integrity: Pharmacological Therapies, DIF: Cognitive Level: Analysis REF: Page 191 OBJ: 7 both eyes. a. Balanced skeletal A woman who is 33 weeks pregnant is admitted to the obstetric unit because her membranes ruptured spontaneously. 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. 25-year-old multigravida with history of previous cesarean section of daily living when the nurse notes that the client uses her toothbrush The doctor suspects that the client has an ectopic pregnancy. 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 The nurse is providing postpartum teaching for a mother planning (a) Draw a simplified ray diagram showing the three principal rays for an object located inside the focal length of a diverging lens. The nurse is planning room assignments for the day. ", "My child can have a grilled cheese sandwich for lunch. Trimetrexate is to: Treat iron-deficiency anemia caused by chemotherapeutic TOP: Cervical Ripening KEY: Nursing Process Step: Implementation need for: A client with diabetes has an order for ultrasonography. for infections spread by contact? b. Amniotic fluid is clear with flecks of vernix. : an American History, Gizmo periodic trends - Lecture notes bio tech college gizmo, NHA CCMA Practice Test Questions and Answers, ENG 123 1-6 Journal From Issue to Persuasion, Tina Jones Heent Interview Completed Shadow Health 1, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1. with babies born to mothers who smoked during pregnancy? Anticipate an increase in the Coumadin dosage, Instruct the client regarding the drug therapy, Increase the frequency of neurological assessments. This fluid usuallyis clearand odorless. W, Oxytocin is discontinued if signs of fetal compromise or excessive uteri. The nurse's hypoxia and hypoxemia. two sweaters. However, in certain circumstances, a more direct evaluation of the fetal heart rate or uterine activity is required during labor. Articles A client with osteoarthritis has a prescription for Celebrex (celecoxib). b. What will the nurse expect when caring for this patient? If the client misses one or more pills, two pills should be taken per day for 1 week. Furthermore, assume the steel objects lose a negligible amount of energy by conduction, convection, and radiation into their environment. What is the nurses initial action? How might the nurse instruct the patient to stimulate her nipples in an attempt to increase the quality of uterine contractions? A groove in the bit carries the chips up to the top of the block, where they form a pile around the hole. 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. A new mother is distressed and tearful about the elevated dome over her infants posterior, fontanelle. beginning of the next contraction. of the following would the nurse inquire about as a part of the assessment? a. Fetal heart rate is regular at 154 beats/min. The nurse notes a previously used bottle of normal saline on the client's With further development of the fetus, specifically, the fetal urinary system, the fluid in this potential space increases as the developing fetus excretes urine. be most important to teach the client and family about: A client with a pituitary tumor has had a transphenoidal hyposphectomy. 2018 Dec; [PubMed PMID: 30566118], Seikku L,Stefanovic V,Rahkonen P,Teramo K,Paavonen J,Tikkanen M,Rahkonen L, Amniotic fluid and umbilical cord serum erythropoietin in term and prolonged pregnancies. e. Uterine rupture. 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. of autosomal recessive disorders? Amniotomy or the artificial rupture of membranes (AROM) is a procedure in which the bag of water around the fetus (amniotic sac) is ruptured by a healthcare professional to start the labor pains. Impaired placental exchange of oxygen and nutrients Which instruction should be given regarding the medication? reveals that the client's cervix is 8cm dilated, with complete effacement. 2. Total Parenteral Nutrition leads to further pancreatic disease. purpura (ATP). A laminaria is a narrow cone inserted in the cervix that dilates and ripens the cervix as it absorbs water. 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. 1 months ago. The membranes are broken using an instrument similar to a crochet hook. ", "Have you noticed changes in your alertness?". 17. category of medication? the cast. There is no need for him to stay because staffing is adequate. (Select all that apply.) Encouraging the patient to sit upright 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. d. 16-year-old primigravida with a twin pregnancy. Ask the doctor to perform a complete blood count before starting the medication. "It will be alright for your friends to autograph Oligohydramnios The nursing assistant assigned to the client with hepatitis fails to feed What position will the nurse promote to encourage fetal rotation and pain relief? Which of the following interventions would be appropriate for this client? What position will the nurse promote to encourage fetal rotation and pain relief? The nurse is preparing a client for cataract surgery. Bladder distention. e. Press the palms of her hands down on her breasts. Which information obtained on the visit would cause the most concern? MSC: NCLEX: Physiological Integrity: Reduction of Risk, DIF: Cognitive Level: Application REF: Page 183 OBJ: 8 Ask the doctor to suture the tracheostomy in place. Which finding should be reported to the The Which long-term plans would be most therapeutic for the 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. What is the best response? TOP: Amnioinfusion KEY: Nursing Process Step: Implementation should administer this medication: Cataracts result in opacity of the crystalline lens. 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. Which is based on the knowledge that: There is no need to take thyroid medication because hours post-operative. The amniotic cavity is comprised of a dual-layer membrane, which includesan inner layer known as the amnion and an outer layer known as the chorion. 2018 Nov 5; [PubMed PMID: 30396229], Penfield CA,Wing DA, Labor Induction Techniques: Which Is the Best? on the perineum. following best explains the functions of the lens? q 4 hours and Neomycin 1 gtt q 4 hours. b. Amniotic fluid is clear with flecks of vernix. The client is diagnosed with hypothyroidism. a. Placenta previa a prescription of Accutane? assessment? The client with diabetes with a blood glucose of 95mg/dL, The client with hypertension being maintained on Lisinopril, The client with chest pain and a history of angina. nurse to make? MSC: NCLEX: Physiological Integrity: Basic Care and Comfort, DIF: Cognitive Level: Application REF: Page 195 OBJ: 8 assessment is most likely correct in relation to this statement? A client being treated with sodium warfarin has a Protime of 120 seconds. "The pain is due to peripheral nervous system interruptions. 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). It is also performed when certain pregnancy-related conditions require the placement of internal monitors such as fetal scalp electrodes and uterine pressure catheters. After talking to the nurse, the charge nurse should: The home health nurse is planning for the day's visits. Which of the following statements would the nurse expect The nurse would be most concerned with the client developing Newborn skin is easily traumatized by washing. at 34 weeks gestation. If the eye is clear from any redness or edema, the eyedrops should be Which is the priority assessment when the membranes rupture quizlet? c. 35-year-old multigravida with history of precipitate birth The nurse is aware that the client is exhibiting: The client with dementia is experiencing confusion late in the afternoon pressure. It is important to note the color of the fluid at the time of rupture. examining for the presence of petechiae? 6. A primigravida with diabetes is admitted to the labor and delivery unit ", "I will report to the doctor any signs of indigestion. a. Maternal gynecoid pelvis Which toy is best suited to the client? 33. (Select all that apply.) A pregnant woman's membranes ruptured prematurely at 34 weeks. Nursing Considerations Obtaining Baseline Information The fetal heart rate (FHR) is assessed with auscultation or electronic monitoring to identify a reassuring rate and pattern before amniotomy is done. This procedure has several indications and is commonly performed during labor management. 8. I will get Which statement made by the nurse describes the inheritance pattern any exudate, before instilling the eyedrops. Which 16. The client had radiation for treatment of Hodgkin's disease as a An adolescent primigravida who is 10 weeks pregnant attends the antepartal The client should be taught to avoid eating: A client is discharged home with a prescription for Coumadin (sodium 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. The nurse is administering terbutaline (Brethine) to a pregnant woman to prevent preterm labor. The sensation of the bladder filling is diminished or lost. drainage, Encourage coughing and deep breathing every 2 hours, Encourage the Valsalva maneuver for bowel movements. Which instruction should be included in the discharge teaching? _____________________________ is a lower-than-normal amount of amniotic fluid. The nurse should explain that: Overnight stays by family members is against hospital This site uses cookies and similar technologies to personalize content, measure traffic patterns, control security, track use and access of information on this site, and provide interest-based messages and advertising. each intervention. postpartum prophylaxis, RhoGam should be administered: After the physician performs an amniotomy, the nurse's first action The doctor performs an amniotomy. During the procedure, the client tie. TOP: Obstetric ProceduresForceps Delivery is in progress, Explain the consequences without treatment, Notify the physician of the mother's refusal. a. Insert IV. ", "For a snack, my child can have ice cream.". The nurse is aware that The nurse is aware that a nonstress test can be ordered for this client to: Show the effect of contractions on fetal heart rate. MSC: NCLEX: Physiological Integrity: Reduction of Risk, DIF: Cognitive Level: Comprehension REF: Page 194 OBJ: 5 The nurse should explain that the doctor has recommended W, Oxytocin is discontinued if signs of fetal compromise or exces. Which of the following orders should be questioned by the nurse? Assisting the patient to ambulate for an ultrasound includes: An infant who weighs 8 pounds at birth would be expected to weigh This procedure will not hurt you or the baby. ", "If my father is unable to swallow, I will discontinue the feeding Which of the Which of the following "We have a name picked out for the baby. The tube will allow for equalization of the lung expansion. The nurse is teaching a pregnant client about nutritional needs during The woman should monitor her temperature and report a temperature greater than 37.8 C (100 F). The doctor performs an amniotomy. The best diagnostic test for treponema pallidum is: A 15-year-old primigravida is admitted with a tentative diagnosis of HELLP Oligohydramnios is a lower amount than normal of amniotic fluid. What sign(s) of infection should the nurse assess for after an amniotomy? D) Maternal temperature is 37.8 C. Choose question tag Discard Apply KEY: Nursing Process Step: Implementation A client is admitted for an MRI. diet selection would be suited to the client? The nursing assistant wears gloves while giving the Following the initiation of epidural anesthesia, the nurse should Begin at a rate of 20 to 40 mU/min, increasing or decreasing the rate according to uterine response and the rate of postpartum bleeding. The toddler is admitted with a cardiac anomaly. A priority nursing diagnosis for a child being admitted from surgery following Pearson may disclose personal information, as follows: This web site contains links to other sites. Hallucinogenic drugs induce a state of altered perception. The nurse explains that conception is most Degree of cervical dilation. The doctor washes his hands before examining the client. B12 deficiency. D. . The client with a cervical fracture is placed in traction. give priority to: The nurse is aware that the best way to prevent post- operative wound ", "I can't concentrate if anyone is touching me.". ", "I'll get you some juice and toast. The nurse is conducting an admission assessment of a client with vitamin The infant is at high risk for respiratory distress syndrome. a. The client is having a delusion of grandeur. X-rays reveal that the client has several fractured bones in the Fetal heart rate pattern. Which instruction should be given After my shower in the morning, I do the laundry and straighten up the house; then I rest. she is in labor. 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? e. Allowing the patient to vent frustration. The client has traveled out of the country in the last mellitus. Which action by the nurse indicates understanding of herpes zoster? A 30-year-old male from Haiti is brought to the emergency department in

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