Exercise 2 Mary Jo Frazer, a 52-year-old postal clerk, is having her yearly physical examination. She tells the nurse that during her last menstrual period, she noted that she had 2 days of in- creased blood flow and 2 to 3 days of increased spotting before her period ended. She also complained about having increased anxiety and night sweats. 1. How should the nurse respond to Ms. Frazer's concerns? 2. What screening test is mandatory for this patient? 3. What patient teaching is indicated at this time?
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- Discuss the general recommendations for training during menstruation.A client with an internal fetal monitor catheter in place has just received IV butorphanol (Stadol) for pain relief. Which of the following monitor tracing changes should the nurse anticipate? 1. Early decelerations. 2. Late decelerations. 3. Diminished short- and long-term variability. 4. Accelerations after contractions.A 24-year-old gravida 2, para 0 checks into the L&D triage area because she thinks that she is in labor. She states that she has felt the baby “drop” and has been having contractions for the last 2 hours every 15 minutes apart lasting 30 seconds, even with rest. How should the nurse answer the woman’s question about whether or not she is in labor?
- SITUATION: Bella Bernardo 24 year old gravida 4 para 2 visits the prenatal clinic for her check-up. Her last LMP was August 21, 2020. Determine the age of gestation (AOGof the client on December 25, 2020. When will you advise the client to come back for her next visit a. After 2 weeks b. Anytime when she's Available c. Next month d. Next weekQuestion 3 Which of these orders would the nurse question? A Haldol 2mg IM STAT B Carbidopa/Levadopa 25/100 orally tid (C) ASA EC 81 mg daily by mouth D Morphine 10mg sublingually now, May repeat x 1 if neededPlease I need two nursing care plan with two nursing diagnosis for this case scenario Sharry is a primigravida at 43 weeks of gestation. Her labor is being stimulated with oxytocin administered IV. Her contractions have been increasing in intensity with a frequency of every 2 to 2 ½ minutes and a duration of 80 to 85 seconds. She is currently in supine position with a 30-degree elevation of her head. On observation of the monitor tracing, you note that during the last 2 contractions the FHR decreased after the contraction peaked and did not return to baseline until about 10 seconds into the rest period. A slight decrease in variability and baseline rate was observed. Identify the pattern described and the possible factors responsible for it. Describe the actions you would take. State the rationale for each action. Make a nursing care plan. (Identify at least 2 nursing diagnoses)
- Vanessa Narciso, a 30 year old G1P0.was admitted due to labor pains : Cervix 4 cm dilated50% elfaced, cephalic station Intact bag of waters. Nurse Marinas the husband how to time the frequency of wife’s contractions who is in Which of the following statements would the nurse use in her teaching? a. Duration is the beginning of one contraction to the beginning of the next contraction b. Duration can be determined with an internal pressure Catheter, which will inserted after the membranes are ruptured c. Duration is measured by timing the interval between the end of one contraction and the beginning of next contraction d. Duration is timed from the beginning of contraction to the end of same contractionA nurse for a client who is 32 weeks of gestation and has gestational diabetes mellitus. Which of the following findings should the nurse report to the provider?A. The client has a fasting blood glucose of 90 mg/dlB. The client has nonpitting pedal edemaC. The client reports 12 fetal movements in 1hrD. The client has a fundal height of 38cmMrs. Vanessa Narciso, in active labor has an external fetal monitor in place. Using the monitor strip, identify the correct assessment. Select all that apply. FHR variability is minimal Contractions are not sustained Contractions lasting 130 seconds FHR baseline at 150 beats/min
- Make a comprehensive Nursing Care Plan basing from the situation below. Contents of the Plan are the following. Make a tabular NCP. Again, check the rubrics at the end of the module as your guide. CUES NSG OBJECTIVES NSG RATIONALE EVALUATION DX. INTERVENTIONS SITUATION: A 39-year-old Cebuana woman who is in her second pregnancy and has had one live birth and no abortion is seen for prenatal care at 10 weeks' gestation. Her weight is 220 lb, and her blood pressure is 130/80 mmHg. Uterine size is appropriate Tot gestational age. The patient's past obstetric history includes the spontaneous vaginal delivery of a 9 lb, 8 oz. male infant at 40 weeks' gestation, 8 years ago at Baguio General Hospital, The patient reports that the child is doing well. Her family history reveals that her mother has type 2 diabetes mellitus. A urine dipstick shows 3+ glycosuria and negative ketones. She complaints of nausea and vomiting every morning. Foods cannot alleviate the morning sickness thus; she does…A nurse is preparing a family for a terminal weaning of a loved one. Which nursing actions would facilitate this pro-cess? Select all that apply. a. Participate in the decision-making process by offering the family information about the advantages and disadvan-tages of continued ventilatory support. b. Explain to the family what will happen at each phase ofthe weaning and offer support.c. Check the orders for sedation and analgesia, making surethat the anticipated death is comfortable and dignified. d. Tell the family that death will occur almost immediatelyafter the patient is removed from the ventilator.e. Tell the family that the decision for terminal weaning of apatient must be made by the primary care provider.f. Set up mandatory counseling sessions for the patient andfamily to assist them in making this end-of-life decision.NEED ASAP THANKS A 25-year-old G1P0 seeks consult at a Maternity Clinic. A non-stress test was requested by the attending physician. During the procedure, the tracing displays a relatively flat line for fetal movement, making it difficult to evaluate the fetal heart rate (FHR). To mark the strip, the nurse in charge should instruct the client to push the control button at which time? a. At the end of fetal movement b. At the beginning of each contraction c. At the beginning of each fetal movement d. After every three fetal movements