Which of the following actions should the nurse perform? A nurse is assisting with the administration of methylergonovine for a client who is experiencing a postpartum hemorrhage. Bruins Capital Reviews, A nurse is caring for a client who is 1 hr postpartum and has a third-degree perineal laceration. WebEarly Onset of Labor: Findings to Report to the Provider for a Client Who is Receiving Magnesium Sulfate. transport newborn. which of the following statement by the client indicates an understanding of the teaching? ACTIVE LEARNING TEMPLATES Nursing Interventions - Crackles and wheezing -Chemistry profile revealing electrolyte imbalances (Sodium, potassium, and chloride reduced from low intake, Metabolic acidosis (secondary to starvation), Metabolic alkalosis due to excessive vomiting, Elevated liver enzymes, Bilirubin level) Congenital heart disease occurs in approximately six out of 1,000 live births.38 Newborns with heart disease often exhibit tachypnea without retractions. Nutrition During Pregnancy: Teaching a Client Who Has Phenylketonuria (Active Learning Template - System Disorder, RM MN RN 10.0 Chp 5), -It is important for the client to resume the PKU diet for at least 3 months prior to pregnancy and continue the diet throughout pregnancy. Suing Nsw Police For Negligence, Copyright 2014 by the American Academy of Family Physicians. A nurse in a clinic is assisting with the plan of care for a client who is at 36 weeks of gestation. a. Screening for hypoglycemia should be performed in newborns who are large or small for gestational age, newborns of mothers with diabetes mellitus, and late preterm infants (34 to 36 6/7 weeks gestational age). The height of the fundus in centimeters at 20 weeks of gestation is approximately the same as the number of weeks of gestation plus or minus 2 cm. -Three-hour glucose tolerance (fasting overnight prior to oral ingestion or IV administration of concentrated glucose with a venous sample taken 1, 2, and 3 hr later):Used in clients who have elevated 1-hr glucose test as a screening tool for diabetes mellitus. which of the following statements by the client indicates an understanding of the instructions? Routine screening tests to detect problems that cannot be seen during the physical examination are also done (see Screening Tests for Newborns ). Basic measurements include length , weight , and head circumference (see also Growth Parameters in Neonates ). C. Potential for Complications of Diagnostic Tests/Treatments/Procedures (1 item) About Hemolytic Disease (RM MN RN 11 Chp 27 Assessment and x. use of IUDs Sign to further assessment is a elevated blood pressure with no Interpretation of Findings Lab values are interpreted by the lab, nurse and physician. he makes beauty out of chaos bible verse. Blink Reflex. Bridgeview Homes London Ontario, iii. high rate of new partners Deformities or Maternity Newborn Terms in this set (71) A nurse is assisting with the care of a client who is pregnant and receiving magnesium sulfate via a continuous IV infusion. If this is so, a further assessment, such as a contraction stress test (CST) or BPP, is indicated Pulse oximetry, or pulse ox, is a painless, non-invasive test that measures how much oxygen is in the blood. Full Document. place the client in a side-lying position. - Apical pulse rate is ii. a. (3.2 kg). Which of the following statements should the nurse make? Xolon Salinan Tribe, Integer ut molestie odio, a viverra ante. A nurse is reviewing the laboratory results of a client who is at weeks of gestation. counted for 1 full minute, Expected Reference Ranges of Physical Measurements Weight - 2500 - 4000 g Length - 45 - 55 cm (18 - 22 in) Head Circumference - 32 - 36.8 cm (12.6 -14.5 in) OVERVIEW. Management of Newborn Complications,Active Learning Template: Breathing rate. Which of the following Laboratory findings should the nurse report to the provider? Although it is most common in preterm infants, it may occur in term infants, particularly if the mother has diabetes. http://www.ballardscore.com/Pages/videos.aspx, previous article in American Family Physician. The respiratory examination is important because the infant is transitioning from fetal 4. Diagnostic echocardiography should be performed if screening results are positive. Lungs. However, asymmetry that does not correct with depression of the nose tip indicates a dislocated septum, and the patient should be evaluated by an otolaryngologist.29,30, The maxilla and mandible should fit together well and open at equal angles. -Dystocia (prolonged, difficult labor) due to inadequate uterine contractions. -Maintain a patent airway in the event of a seizure and administer antihypertensive medications as prescribed. Include the ions responsible, in which direction they are moving, and other details necessary for the action. Published: June 7, 2022 Categorized as: madison county alabama health department restaurant scores . -Papanicolaou (Pap) test: Used as a screening tool for cervical cancer, herpes simplex type 2, and/or human papillomavirus. sponge bathe your baby until the umbilical stump has fallen off. -Nasal: use mushroom side Each year, millions of babies in the U.S. are routinely screened, using a few drops of blood from the newborn's heel . infection in the lungs. Humans can digest starch but not cellulose because _______. Establishing Priorities (1 item) (RM MN RN 11 Chp 9 Medical Conditions,Active Learning Template: Health Promotion/Disease Prevention (1 item) which of the following client statements indicates an understanding of the teaching? 6. Newborn screening is a public health activity aimed at the early identification of genetic conditions. WebIndications To confirm a diagnosis, monitor an illness, and/or patients response to a treatment. WBC count 32.000/mm3 46. Unequal breath sounds may indicate a pneumothorax and should prompt imaging. RN 11 Chp 4 Prenatal Care,Active Learning Template: Basic Concept). To test for these diseases, shortly after birth, a baby's heel is pricked and . A nurse is assessing a full-term newborn upon admission to the nursery Which of the following clinical findings should the nurse report to the provider. Hypothermia Foods high in protein, such as fish, poultry, meat, eggs, nuts, and dairy products, must be avoided due to high phenylalanine levels. Assess fluid intake and urinary output. Nursing Care of Newborns: Personal Protective Equipment (RM MN RN 36.5 C to 37.5 C with 37 C Cross), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), The Methodology of the Social Sciences (Max Weber), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Civilization and its Discontents (Sigmund Freud). Obtain client's baseline vital signs and FHR, and document prior The pediatic stethoscope head is placed on the fourth or fifth intercostal space at the left midclavicular line over the apex of the newborn's heart. 18. Table 1 shows the normal ranges for newborn vital signs at 40 weeks' gestation.24 The new Ballard score (http://www.ballardscore.com) was designed to assess a newborn's gestational age through a scoring system that combines physical characteristics with neuromuscular development.5 A video depicting this examination is available at http://www.ballardscore.com/Pages/videos.aspx. Midline clefts warrant investigation for a midline defect in the brain or other abnormalities.35. Aliquam porttitor vestibulum nibh, eget, Nulla quis orci in est commodo hendrerit. Infants with colobomas need a formal ophthalmology evaluation. In the past, there was uncertainty about which ear malformations warranted screening renal ultrasonography. Using this information, the newborn can be classified as average, large, or small for gestational age. ix. Renal ultrasonography should be performed only in patients with isolated ear anomalies, such as preauricular pits or cup ears, if they are accompanied by other malformations or significant family history. Twitter page for Newborn Screening Program. -Have the client avoid foods that are high in sodium, alcohol and tobacco, and limit caffeine intake also instruct the client to drink six to eight 8-ounce glasses of water a day. A nurse is assisting with the care of a newborn who has hyperbilirubinemia and is receiving phototherapy. Which of the following information should the nurse include? Which of the following client statements indicates an understanding of the teaching? A nurse is assisting with the care of a postpartum client and their newborn. Urine output less than 30 mL/hr A nurse is collecting data from a client who is at 38 gestation. -Seen in routine laboratory test of urinalysis which identifies pregnancy, diabetes mellitus, gestational hypertension, renal disease, and infection to 50 mm Hg diastolic. iii. Hyperemesis Gravidarum mother regularly assessed for the Which of the following actions should the nurse take? -Postpartum Hemorrhage: firmly massage the uterine fundus If the newborn Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Give Me Liberty! i. Preterm complications: i. Circle the correct underlined term. -Prolonged rupture of membranes predisposes the client and fetus to risk of infection. The neck should be examined for full range of motion because uncorrected torticollis can lead to plagiocephaly and ear misalignment. WebA nurse is reviewing the laboratory report of a newborn he was 24 hours old which of the following results should the nurse expect to report to the provider Blood glucose 30 mg/dL As shown in figure, a turbine is located between two tanks Initially, the smaller tank contains steam at 3.0MPa3.0\ \mathrm{MPa}3.0MPa, 280C280^{\circ} \mathrm{C}280C and the larger tank is evacuated. A client who is receiving continuous IV lidocaine and has a respiratory rate of 10min 32-Maternal Newborn Assessment 1. preferanly when the Which of the following manifestations should the nurse report to the provider as potentially indicating a complication of pregnancy? -Promote diversional activities (e.g., TV, visits from family or friends, gentle exercise). Use evidence in your answer. Periodic breathing consising of 5- to 10-second respiratory pauses, followed by 10- to 15- second compensatory rapid respiraions. A nurse is planning to administer phytonadione IM to a newborn shortly after birth. Blood pressure should be 60 westboro baptist church lauren. Calculate the power dissipated by the regulator for an output of 12 V. How are electric motors and generators similar? Urine output 22 mL/hr Which of the following laboratory results should the nurse report to the provider? Document the findings. Assume the constant velocity of the crate. A CBC can be done by a capillary stick to evaluate for anemia, polycythemia, infection, or clotting problems. Medication Administration (1 item) Complications Following a Forceps-Assisted Birth (RM MN RN 11 Chp 3. A caput succedaneum is scalp edema that is not limited by suture lines, is often pitting, and decreases over time. Respirations less than 12/min Once the child's gestational age is established, weight, length, and head circumference should be plotted on a nomogram to determine percentiles. Assessment and Management of Newborn Complications: Findings to Report to the Provider (RM MN RN 11 Chp 27 Assessment and Management of Newborn Complications,Active Learning Template: Diagnostic Procedure) i. Hypoglycemia: 1. poor feeding 2. jitteriness/tremors 3. assessment and management of newborn complications findings to report ati. A) Expect two to four wet diapers every 24 hours B) Offer the newborn 30 ml of water between feedings C) Feed the newborn 5 to 10 minutes per breast D) Allow the baby to feed at east every 3 hours. i. Wrap the newborn's heel with a cloth moistened with warm water. A nurse is collecting data from a newborn whose mother tested positive for cocaine use. Most caputs resolve within 48 hours. Postpartum Physiological Adaptations: Client Teaching for Postpartum Rubella Vaccination (Active Learning Template - Basic Concept, RM MN RN 10.0 Chp 17), -A client who has a titer of less than 1:8 is administered a subcutaneous injection of rubella vaccine or a measles, mumps, and rubella (MMR) vaccine during the postpartum period, Pain Management: Nonpharmacological Methods (Active Learning Template - Therapeutic Procedure, RM MN RN 10.0 Chp 12), -Effleurage: Light, gentle circular stroking of the client's abdomen with the fingertips in rhythm with breathing during contractions, Nursing Care During Stages of Labor: Nonpharmacological Comfort Measures During Labor (Active Learning Template - Basic Concept, RM MN RN 10.0 Chp 14), -Encourage a rapid pant-pant-blow breathing pattern if the client has not learned a particular breathing pattern, Early Onset of Labor: Adverse Effects of Magnesium Sulfate (Active Learning Template - Medication, RM MN RN 10.0 Chp 10), -Discontinue tocolytic therapy immediately if the client exhibits manifestations of pulmonary edema, which includes chest pain, shortness of breath, respiratory distress, audible wheezing and crackles, and a productive cough containing blood-tinged sputum i. Heartburn, constipation, hemorrhoids, backaches 15.19115.19115.191. A nurse is assisting with the care of a client who is pregnant and receiving magnesium sulfate via a continuous IV infusion. WebNewborn Assessment: Reportable Clinical Findings (Chp 23) Assessment and Management of Newborn Complications: Caring for a Newborn Who Has Abstinence D. Health Screening (1 item) A nurse is reinforcing dietary teaching with a client who is at 10 weeks of gestation. a. Which of the following results should the nurse report to the provider? The opening at the bottom of the pipe allows free passage of the sediment. The highest score for each criterion is 2, and the lowest is 0. Macrocephaly (isolated head enlargement, greater than the 98th percentile or greater than two standard deviations above the mean) may be hereditary or the result of a central nervous system disorder (e.g., hydrocephalus, brain tumor), and imaging may be needed.3,4, After evaluating the overall size and shape of the head for asymmetry or gross structural abnormalities, the fontanelles and sutures should be palpated with the newborn in the upright position. A nurse on a postpartum unit is reinforcing teaching with an assistive personnel (AP) about preventing newborn abduction. which of the following statements by the parent indicates an understanding of the teaching? A nurse is assisting with the care of a client who is in active labor and notes late decelerations in the fetal heart rate. If this is the case, the misshapen head should resolve spontaneously within the first few months of life.11, The scalp examination may reveal caput succedaneum, cephalohematoma, and other lesions (Figure 2). Which of the following actions should the nurse include in the plan of care? apply an anesthetic spray to the client's perineal area as needed for pain. which of the following findings should the nurse report to the provider? The newborn's arm and leg on that side extend and opposing arm and leg flex. risk factors are also the ones that associated with other STIs iii. - Genitalia of a male newborn should include rugae on the scrotum. Grunting and nasal flaring are clinical findings of respiratory distress. -Does not return to baseline after contraction reposition the newborn, suction the newborn's mouth with a bulb syringe, auscultate breath sounds.
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