Client fell out of bed because assistive personnel left the rails of the bed down Which of the following actions should [35][36] Moreover, these factors may be worsened by sun exposure in a process known as photoaging. A. AI and Machine Learning Demystified by Carol Smith at Midwest UX 2017, Pew Research Center's Internet & American Life Project, Harry Surden - Artificial Intelligence and Law Overview, WORLD HEALTH DAY-EVENT 7th April-FINAL.pptx, CLINICAL-EXAMINATION-MIGRNATS-AND-IDU.pptx, Strecture of oral mucosa in children.pptx, principles of preoperative evaluation and preparation.pptx, TARGET VOLUMES IN RADIATION ONCOLOGY.pptx, good_documentation_practices_for_nimh-sponsored_studies_v1_november_2020.pptx, No public clipboards found for this slide. C. Amphetamine intoxication solution, as prescribed, to promote postpartum, If needed, cervical suturing is usually done between 14 and 18 weeks gestation to reinforce an. Multiples are confirmed with an ultrasound examination. following should the nurse include? A nurse is assessing a newborn infant who was born to a mother who is addicted to drugs. The percentage of water in a neonates body is about 78% to 80%. the nurse take? Oral candida albicans is characterized with white-gray patches on the tongue and other oral surfaces; and vaginal candida albicans is characterized with a white vaginal discharge and genital redness. Which of the following findings indicates a need C. Avocados She graduated Summa Cum Laude from Adelphi with a double masters degree in both Nursing Education and Nursing Administration and immediately began the PhD in nursing coursework at the same university. Portable suction C. A client who has a traumatic arm amputation D. Ensure family members remain at least 1 m from the client, A nurse is assessing a client who was brought to the emergency department by his adult child. over 1 minute while the patients blood pressure and uterine contractions are monitored. D. Electrolyte imbalance, A nurse is analyzing the laboratory data on a client who has dehydration. Report of pain around the eyes Which of the Neuromuscular system manifestations include decreased suck and swallow reflex, hypotonia, and altered state transition. the nurse include in the teaching? The umbilical cord normally has two arteries and one vein. B. When performing nursing care for a neonate after a birth, which intervention has the highest nursing priority? Post term pregnancy does not typically lead to any maternal complications other than a more difficult labor and delivery because of the typically large size and weight of a post term baby. infections in the community. Failure to engraft Maternal serum alpha-fetoprotein is detectable at 7 weeks of gestation and peaks in the third trimester. However, there are other causes for peeling and foot rashes. The subcutaneous tissue (also hypodermis) is not part of the skin, and lies below the dermis. When attempting to interact with a neonate experiencing drug withdrawal, which behavior would indicate that the neonate is willing to interact? Mean arterial pressure of greater than 100 mm Hg after 20 weeks of pregnancy is considered. within which of the following categories? Which C. Monitor the client's vital signs every 8 hr This is in contrast to cephalhematoma, which does NOT cross suture lines. b. [24], Cutaneous structures arise from the epidermis and include a variety of features such as hair, feathers, claws and nails. Choriomnionitis can be signaled with signs and symptoms such as a maternal fever, maternal leukocytosis of > 15000 to 18000 cells/L, maternal tachycardia, uterine tenderness and a purulent vaginal discharge. D. Inform the provider of the client's refusal, A nurse is providing discharge teaching about disease prevention to a client who has active tuberculosis. the following statements by the client indicates an understanding of the teaching? The image of the current case of (b) monkeypox virus was provided courtesy of Carina Borst, Department of Dermatology, Medical University of Vienna (Vienna, Austria). B. [6][7][8], Fur is dense hair. Pregnant women less than 20 years of age and older than 40 years of age are more at risk for gestational hypertension than other women of other ages. For which of the following findings should B. D. Human B-type natriuretic peptide 88 pg/mL, A nurse is assessing a client who has a fentanyl patch in place for chronic pain. The European Society for Dermatological Research (ESDR) supports research toward understanding skin homeostasis improving the health of patients suffering from skin and venereal disease, infectious diseases and immune-mediated and inflammatory disorders. The fetal complications associated with a post term pregnancy are oligohydramnios, the aspiration of meconium, umbilical cord compression, a higher than normal mortality rate, birth trauma, and shoulder dystocia. As you should know, the commonly occurring risk factors associated with diabetes mellitus include obesity, a family history of diabetes and a high body mass index. of the following information should the nurse include in the teaching? The fetal heart rate typically exceeds 160 beats per minute. B. show that the serine protease Esp from the abundant skin commensal Staphylococcus epidermidis processes proIL-1 to mature, biologically active IL-1 produced by epidermal keratinocytes in the absence of host canonical processing by the inflammasome and caspase-1. cream. actions is appropriate? For example, a frog sitting in an anesthetic solution would be sedated quickly as the chemical diffuses through its skin. When performing an assessment on a neonate, which assessment finding is most suggestive of hypothermia? Bonding and attachment to the parents is critically important to the healthy growth and development of the new baby. Skin is a borrowing from Old Norse skinn "animal hide, fur", ultimately from the Proto-Indo-European root *sek-, meaning "to cut" (probably a reference to the fact that in those times animal hide was commonly cut off to be used as garment).[11]. Eye prophylaxis protects the neonate against Neisseria gonorrhoeae and Chlamydia trachomatis. Amniocentesis increases the risk of spontaneous abortion, trauma to the fetus or placenta, premature labor, infection, and Rh sensitization of the fetus. D. Alcohol withdrawal, A nurse in a postpartum unit is caring for several clients. Again, new mothers are monitored in terms of their abilities to provide care to the infant. If the ovum is fertilized by a spermatozoon carrying a Y chromosome, a male zygote is formed. Interview the client with his adult child present Some of the signs and symptoms of folic acid deficiency anemia include diarrhea, depression, confusion, and glossitis. RegisteredNursing.org does not guarantee the accuracy or results of any of this information. B. nurse that the medication is effective? A. The uterus is an internal organ of female reproduction, however, it enlarges to the point that it becomes an abdominal organ at about the 12th week of gestation so that the growth of the fetus is accommodated. Some of the maternal routine diagnostic tests that are done during the prenatal period of time include: Some of the fetal diagnostic tests that are done during the prenatal period of time include: The lecithin/sphingomyelin or L/S ratio is the ratio of lecithin to the amount of sphingomyelin in the amniotic fluid that comprises the fetus' lung surfactant. The first stage of labor consists of the latent, active and transition phases. During the first month, she should breast-feed 8 to 12 times daily (demand feeding). If the bleeding is excessive, the nurse would apply gentle pressure with sterile gauze. A pregnant patient with vaginal bleeding shouldnt have a pelvic examination. A. Administer an antitoxin Breastfeeding mothers should increase their fluid intake to 2 to 3 qt (2,500 to 3,000 ml) daily. C. Fasting blood glucose test A client who has an open skull fracture and is unresponsive Pregnant women also should make knowledgeable decisions about childbirth methods and childbirth preparation classes should they elect to take advantage of them. Desquamation (skin peeling) is common in postmature neonates. During the transition phase of labor, the woman usually is irritable and restless. The most popular dictionary and thesaurus. [14] Skin proteoglycans are varied and have very specific locations. D. Obtain a peripheral blood glucose level, A nurse is planning care for a newly admitted client. 10048580. The diamond-shaped anterior fontanel usually closes between ages 12 and 18 months. B. Malnutrition B. instructions should the nurse include in teaching? It is medically defined as nausea for the majority of the day and vomiting three or more times per day. Choriomnionitis is associated with complications such as bacteremia, potentially life threatening sepsis, pelvic abscesses, fetal complications and postpartum hemorrhage. 10003658. Bilirubin is excreted via the GI tract; if meconium is retained, the bilirubin is reabsorbed. The signs and symptoms of disseminated intravascular coagulation include the signs and symptoms of blood clotting and the signs and symptoms of bleeding. When shining a light c. Wear clean cotton socks every day (prevent bacteria ) nurse take? D. Potassium level 4 mEq/L. The dermis provides tensile strength and elasticity to the skin through an extracellular matrix composed of collagen fibrils, microfibrils, and elastic fibers, embedded in hyaluronan and proteoglycans. The infant may benefit from surfactant replacement therapy. C. Schedule routine care tasks during hours when the client is awake Dilation and curettage (D and C) is typically done to remove the products of the pregnancy; additionally, misoprostol may be required in order to remove any remaining contents. All attitudes, other than the normal attitude, can lead to a more intense and prolonged labor. It also contains the hair follicles, sweat glands, sebaceous glands, apocrine glands, lymphatic vessels and blood vessels. Meanings & definitions of words in English with examples, synonyms, pronunciations and translations. study materials to get green light on STI. These nursing bullets cover topics about labor, pregnancy, nursing care of the newborn, developmental stages and many more! boundary A major developmental task for a woman during the first trimester of pregnancy is accepting the pregnancy. [34], Tissue homeostasis generally declines with age, in part because stem/progenitor cells fail to self-renew or differentiate. She got her bachelors of science in nursing with Excelsior College, a part of the New York State University and immediately upon graduation she began graduate school at Adelphi University on Long Island, New York. These types of falls occur far more frequently than you can imagine. Caput succedaneum is edema that develops in and under the fetal scalp during labor and delivery. starting the infusion, which of the following actions should the nurse take? The nurse is preparing to measure the head circumference of the infant. The complications of urinary tract infections during pregnancy can affect the mother and the developing fetus. C. Obtain the client's vital signs and oximetry prior to ambulation Medically Important Fungi. The skin interfaces with the environment and is the first line of defense from external factors. B. Cervix is dilating at 1 cm every 4 hr, C. Consistent contractions last 80 seconds The nurse should Mongolian spots can range from brown to blue. Diminished bowel sounds, tachycardia, elevated white cells, a fever, abdominal tenderness and pain and foul smelling lochia are some of the signs and symptoms associated with endometritis and salpingitis. Which of the following actions should the nurse Premature rupture of the membranes, a serious complication of pregnancy, can lead to infection as a result of the premature loss of the protective amniotic sac and its fluids. B. A. Another effort will be the provision of necessary services using the life cycle approach. C. Drink 12 oz of water with each meal Crowning is the appearance of the fetuss head when its largest diameter is encircled by the vulvovaginal ring. Decreased blood pressure Completes activities for one client before moving to the next client Desquamation can happen when your skin is exposed to hot liquids, surfaces, objects, or direct flame. Breastfeeding of a premature neonate born at 32 weeks gestation can be accomplished if the mother expresses milk and feeds the neonate by gavage. B. An incompetent cervix is diagnosed typically as early as the fourth month of gestation. The neonate with ABO blood incompatibility with its mother will have jaundice (pathologic) within the first 24 hours of life. These signs and symptoms are: Of all the many possible complications of pregnancy, eclampsia is the leading cause of maternal death and poor fetal outcomes. Cheon et al. The umbilical cord stump should be gently handled and kept clean in order to prevent an infection. C. Human papillomavirus (HPV) C. Focuses on activities rather than objectives A client who has agonal respirations D. Exaggerate lip movements, During the immediate postoperative period following thoracic surgery, a nurse medicates a client for pain on a Hyperactivity is a characteristic generally noted. What is a community? Small circular holes punched on the skin may widen or close into ellipses, or shrink and remain circular, depending on preexisting stresses. Structurally, the duct is derived via keratinocytes and passes through to the surface of the epidermal or outer skin layer thus allowing external secretions of the body. [18] The dermis of bony fish typically contains relatively little of the connective tissue found in tetrapods. The second stage of labor begins when the cervix is dilated 10 cm and it ends with the birth of the infant. D. Take a hot shower 1 hr after finishing work, A nurse is caring for a client who has cirrhosis of the liver. By keeping the nursery temperature warm and wrapping the neonate in blankets, the nurse is preventing which type of heat loss? A. Before discharging a patient who has had an abortion, the nurse should instruct her to report bright red clots, bleeding that lasts longer than 7 days, or signs of infection, such as a temperature of greater than 100 F (37.8 C), foul-smelling vaginal discharge, severe uterine cramping, nausea, or vomiting. The infant is overloaded easily by sensory stimulation. Remove dirty linens from the room after double bagging Human milk is considered the best form of nutrition for infants up to at least 6 months of age. B. C. Maintain the client on bed rest for 72 hr Beef liver Knowing how valuable nurses are in delivering quality healthcare but limited in number, he wants to educate and inspire nursing students. Which finding should the nurse The common mechanisms for producing droplets include coughing, sneezing, talking (singing or yelling), suctioning, intubation, nasogastric tube placement, and bronchoscopy. ), A diagrammatic sectional view of the skin (, Structure in fish, amphibians, birds, and reptiles, Hair and feathers are formed in a regular pattern and it is believed to be the result of a reaction-diffusion system. If compromised fetal status is suspected, fetal blood pH may be evaluated by obtaining a scalp sample. schedule. Neonates and infants also need 2 to 4 grams of protein each day, and 140 to 160 mLs of fluid per day. C. Flushed IV with 0% sodium chloride A deceleration is a fetal heart rate that is less than the baseline. She may have abdominal rigidity; rapid, shallow respirations; tachycardia; and shock. : 5. Cesarean births are indicated with placenta abruptio, placental previa, cephalopelvic disproportion, a nonreassuring fetal heart pattern, and a cord prolapse. In amphibians, the mucus cells are gathered together to form sac-like glands. Some of the invasive procedures and interventions that are avoided include episiotomy, amniocentesis, internal fetal heart monitoring, forceps deliveries, and vacuum extractions. The epidermis of fish and of most amphibians consists entirely of live cells, with only minimal quantities of keratin in the cells of the superficial layer. Head circumference 1 cm greater than chest B. A. Contractions are strong to palpation You should use a 5-milliliter barrel syringe to flush your PICC line at home Heart: normal S 1, S 2; no murmur. A client has just given birth at 42 weeks gestation. The nurse notes dehiscence of the incision. Gastrointestinal manifestations include feeding intolerance, gastric reflux, vomiting, and gastric residuals. Rademacher et al. The complications associated with polyhydramnios are premature rupture of the membranes, life threatening umbilical cord compression, preterm labor, abruption placentae, fetal distress and fetal death. Face presentation positions are noted and documented as: Breech presentation positions are noted and documented as: Acromian presentation positions are noted and documented as: There are several types of delivery including: Vaginal deliveries are the most common form of delivery. Which of the following instructions should the nurse plan to include? You can read the details below. Which of the following findings indicates myocardial Unlike formula, breast milk offers the benefit of maternal antibodies. B. C. Recap the needle after administering an injectable medication Folic acid deficiency anemia, which can be simply prevented with the administration of folic acid supplementation during the prenatal period, can lead to fetal brain abnormalities and other neural tube abnormalities. It, too, can lead to massive sepsis and death when left untreated. Which of the following tasks should the nurse A ratio < 2:1 is abnormal and suggestive of the fact that the newborn may be affected with respiratory distress syndrome and a ratio of < 1:5 indicate that the fetus is a high risk for infant respiratory distress syndrome. Prolactin, in addition to oxytocin, both of which are endocrine hormones that are secreted by the pituitary, regulate milk production. A patient who has a cesarean delivery is at greater risk for infection than the patient who gives birth vaginally. C. Overweight To prevent ophthalmia neonatorum (a severe. After delivery, if the fundus is boggy and deviated to the right side, the patient should empty her bladder. Limit each of the client's visitors to 1 hr per day The usual dose is 4 mL/kg intratracheally in 4 doses at least 6 hours apart in the first 48 hours of life. HP:0040189: Scaling skin: Refers to the loss of the outer layer of the epidermis in large, scale-like flakes. B. Pulse 54/min The nurse should keep the sac of meningomyelocele moist with, If fundal height is at least 2 cm less than expected, the cause may be growth retardation, missed. A. Compulsive attention to details Abdomen: soft, liver 3 cm BRCM, spleen not palpable, no other palpable mass. Which of the Desquamation by Darren Seeley writing as Mister Scream Bloody Murder (DarrenJamesSeeley) (Short, Horror) - A young socialite becomes obsessed with how to stop a growing sunburn on her arm. The best technique for assessing jaundice in a neonate is to blanch the tip of the nose or the area just above the umbilicus. Learn more about LACTIC ACID uses, effectiveness, possible side effects, interactions, dosage, user ratings and products that contain LACTIC ACID. A. ", A nurse is caring for a client who is receiving total parenteral nutrition. Which of the following assessment findings would the nurse expect to note during the assessment of this newborn? Blockchain + AI + Crypto Economics Are We Creating a Code Tsunami? Which C. Role playing with nurses The signs and symptoms of toxic shock syndrome include hypotension, skin desquamation of the palms of the hands, an erythematous skin rash, a high fever, altered levels of consciousness, nausea, vomiting and elevated nitrogen and creatinine levels. Enter the email address you signed up with and we'll email you a reset link. It is composed of dense irregular connective tissue and receives its name from the dense concentration of collagenous, elastic, and reticular fibers that weave throughout it. These exercises help strengthen pelvic muscles and improve urine control in postpartum patients. A wandering baseline fetal heart rate is a fluctuating fetal heart rate from the baseline. A nurse in a delivery room is assisting with the delivery of a newborn infant. Oligohydramnios is defined as an insufficient amount of amniotic fluid; the normal volume of amniotic fluid is from 5 to 25 and values less than 5 are considered oligohydramnios. A. Maternal assessment and management continues after the delivery of the neonate. Which of the following findings should the nurse You will then receive an email that contains a secure link for resetting your password, If the address matches a valid account an email will be sent to __email__ with instructions for resetting your password, Matthew G. Brewer,Stephanie R. Monticelli,Brian M. Ward. Standard Precautions. Some of the interventions that can be indicated, as based on the current status and condition of the mother and the fetus, include monitoring the urinary output and expecting it to be at least 30 mL per hour, monitoring the maternal vital signs, assessing the mother's level of consciousness, checking maternal reflexes such as the deep tendon reflex. B. The male sperm contributes an X or a Y chromosome; the female ovum contributes an X chromosome. After the placenta is delivered, the nurse may add oxytocin (Pitocin) to the patients I.V. show that the serine protease Esp from the abundant skin commensal Staphylococcus epidermidis processes proIL-1 to mature, biologically active IL-1 produced by epidermal keratinocytes in the absence of host canonical processing by the inflammasome and caspase-1. The initial client assessment during the first contact with a woman that may be pregnant should minimally consist of a complete health history and a complete physical assessment. findings? The external organs and structures of the female reproductive system are the: Conception and fertilization are complex processes that entail cellular division, gametogenesis, and chromosomal arrangement. Which of the following should the Mothers who choose to bottle feed should be instructed about the safe and proper way to feed their infant. Preterm newborns exhibit anatomic and physiologic immaturity in all body systems; this immaturity hinders the adaptations to extrauterine life that the newborn must make. The nerves send signals to the muscles as well as the epithelial layers. Which of the following findings should indicate to the Hyperpigmentation of the pregnant patients face, formerly called chloasma and now referred to as melasma, fades after delivery. B. Nurses promote comfort and provide basic nursing are with things like massages, oral care and frequent positioning for comfort. The presence of a barrel chest with grunting. risk for delayed wound healing? Body tissues that show cyanosis are usually in locations where the skin is thinner, including the mucous membranes, lips, nail beds, and ear lobes. A. C. Increased urinary output Which of the following statements should D. Calcium, A nurse is caring for a client who has been taking propranolol. Oxytocin (Pitocin) promotes lactation and uterine contractions. When newborns have been on formula for 36-48 hours, they should have a: By now the newborn will have ingested an ample amount of the amino acid phenylalanine, which, if not metabolized because of a lack of the liver enzyme, can deposit injurious metabolites into the bloodstream and brain; early detection can determine if the liver enzyme is absent. Magnesium sulfate toxicity is treated with the immediate cessation of the magnesium sulfate IV, and the administration of calcium gluconate which is the antidote for magnesium sulfate. And, lastly, the positive signs and symptoms of pregnancy are: In addition to assessing the client's physiological changes and responses to pregnancy, the registered nurse also assesses the client's psychosocial responses to pregnancy including those relating to the mother's response to and perceptions of the pregnancy, the father's response to and perceptions of the pregnancy, the coping mechanisms used by the mother and father as they cope with this developmental and maturation change, the emotional preparedness of the parents for the pregnancy, and the support systems, including the mother's and father's familial support systems and their utilization of appropriate and available support systems in the community. Dependent edema Two qualities of the myometrium are elasticity, which allows it to stretch yet maintain its tone, and contractility, which allows it to shorten and lengthen in a synchronized pattern. Participate in a 12-step program C. Check the FHR With advanced maternal age, a common genetic problem is Down syndrome. Neonatal jaundice in the first 24 hours after birth is known as pathological jaundice and is a sign of erythroblastosis fetalis. D. Eat a dry carbohydrate before getting out of bed, A nurse is teaching a client who is scheduled for placement of a peripherally inserted central catheter line. The necessity of fetal heart monitoring is underscored when the mother has complications such as abnormal uterine contractions, hypertension, diabetes, a post term pregnancy, and renal disease and/or the fetus is at risk as the result of one or more factors such as fetal distress, meconium stained amniotic fluid, multiple gestations, placenta previa, abruptio placentae, an abnormal contraction stress test, an abnormal nonstress test, bradycardia and intrauterine growth restriction. The recovery of the deceleration is the time elapsed from nadir to the fetus' baseline fetal heart rate. disorder. Place an amber teething necklace on your child before bedtime Daily bath given at 1000 A neonate has been diagnosed with caput succedaneum. C. Potassium 5 mEq/L The neonate has an axillary temperature of 99.5*F, a respiratory rate of 80 breaths/minute, and a heel stick glucose value of 60 mg/dl. B. Pain relieved by position change**, A charge nurse is evaluating the time management skills of a newly licensed nurse. C. A 60 year old client who has COPD, is receiving 2 L/min O2 via a nasal cannula, and has an oxygen saturation of

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