The nurse is preparing to assist in performing Leopold Maneuvers on a pregnant clientWhat are two ) actions that must be performed prior to this procedure
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- A nurse is performing Leopold maneuvers on a pregnant client presenting to the labor and delivery unit in active labor. The nurse notes the following findings: PMI rightA is admitted to the birthing unit. She is bearing down uncontrollably with contractions and saysThe baby is coming!" Which of the following is the priority action of the nurse? a. Assess maternal vital signs and fetal heart rate b. Obtain an obstetric history c. Inform the health care provider d. Put on gloves and prepare for immediate birthA group of student-nurses are about to conduct a community diagnosis. Which of the following activity is necessary during the first stage? Refer Julia immediately to an OBGyn doctor and have her checked in a hospital since she has high risk pregnancy Assist the family in providing adequate care to Julia by doing a daily home visit and Leopold’s Maneuver Discuss to Julia’s family the importance of regular prenatal check-ups Emphasize to Julia that health center services are free
- Case Scenario As the nurse working on a postpartum unit, you are caring for Mark and Mara, who have just become parents of n 7 lb and 2 oz baby boy. As you prepare them for discharge, you notice that they seem overwhelmed with much of information being provided. Mara says, “ Maybe my breast are too small and the baby can’t get enough milk.” She added, “I am hoping that if I breastfeed, I won’t have to worry about birth control for a while.” GUIDE QUESTIONS: The couple needs health teaching in a number of areas. Which subject would you begin with? Why?Explain how can breastfeeding prevent pregnancy? How can you best explain this to the couple?On performing Leopold's maneuver to Mrs. Vanessa Narciso, a multiparous client in early laborNurse Marina finds no fetal parts in the fundus or above the symphysis The fetal head is palpated in the right mid quadrant Nurse Marina notifies the obstetrician the following is safe to assume? Footling breech Occiput presentation Compound presentation Transverse lieThe finding which would probably necessitate intense follow-up care of a newborn would be: The aspiration of 20 mL of milky-colored fluid from newborn's stomach An umbilical cord that contains only 2 vessels
- Considering the situation of these child bearers from Yellowknife who were told would travel to Alberta to give birth as a result of Yellownife hospital being short staffed , what should the nurse in Alberta consider the most important care after delivery if no complication for these patients?Baby Sarah, 7 Ib 8 oz, was born today. She is in the newborn nursery, and you are caring for her cord. Which of the following nursing interventions is appropriate when caring for the umbilical cord? apply topical triple dye or bacitracin ointment initially clean the site vigorously with soap and water every dayA client is scheduled for a contraction stress test on the labor and delivery unit following a nonreactive result on a nonstress test at the OB/GYN office. Nipple stimulation will be used to stimulate contractions. What should the nurse tell the client about the purpose of the test and what will be learned about fetal well-being? How can the nurse prepare the client for the test?
- 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.On performing Leopold's maneuver to Mrs. Vanessa Narciso a multiparous client in labor. Nurse Marina finds no fetal parts in the fundus or above the symphysis. The fetal head is palpated in the right mid quadrant. Nurse Marina notifies the obstetrician. Which of the following is safe to assume? Footling breech Occiput presentation Compound presentation Transverse lieBefore performing Leopold's maneuvers, the nurse explains to the pregnant patient, what she will be doing. The nurse states the primary purpose of this assessment is to: a. Determined the length of the fetus b. Locate the head of the fetus c. Determine the station of the fetus d. Estimate the length of labor
