Using the Maternal Fetal Triage Index, triage the following clients in order from 1 to 5, with 1 being the highest priority and 5 being the lowest:
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Using the Maternal Fetal Triage Index, triage the following clients in order from 1 to 5, with 1 being the highest priority and 5 being the lowest:
- A G1P0 mother has labored for 20 hours and has only progressed to 3 cm. HCP determines it is a cephalopelvic disproportion and prescribes a cesarean birth.
- A primigravida has been laboring without complications, but calls the desk to say her "water broke and something is hanging out down there."
- A primigravida due in 3 weeks comes to Labor & Delivery after having a bladder infection, and now her labor has started.
- A G4P3 client arrives in Labor & Delivery saying her HCP diagnosed her with placenta previa and she has been having contractions and spotting.
- A G2P1 client arrives in Labor & Delivery with her partner and says she is scheduled for an induction because she is 1 1/2 weeks past her due date.
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- Mrs. Zexy Lucero, 25 years old, G1PO, 39 4/7 weeks age of gestation is in labor. Internal examination revealed: cervix 5-6 cms dilated, 50% effaced, cephalic, Station 0, (+) BOW. External fetal monitoring revealed a variable decelerations. Nurse Zasha is preparing for cesarean birth. Which of the following activities should not be implemented without clarification by Nurse Zasha? (Select all that apply) Slow the intravenous flow rate. Continue the oxytocin drip if infusing. Place the client in a high Fowler's position Administer oxygen, 8 to 10 L/ minute, via face maskMrs. Vanessa Narciso , 22 year old Gravida 1 Para 1 delivered spontaneously to a live Isaby girl weighing 3,600 grams. Immediate postpartal care is done by Nurse Marina who is assigned to her. After the delivery has been completed, the following Interventions are done, except which of the following? Monitor her VS (every 10-15 mins) Lower her legs from the stirrups one after the another Cover her with blanket to avoid chilling Linen under her buttocks are replaced with a sterile perineal pad.case analysis A male infant was born with a birth weight of 1320 g to a 21-year-old mother. Initial newborn physical examination was consistent with 28 weeks gestation. The infant appeared phenotypically normal but he had significant cyanosis with decreased muscle tone and poor respiratory effort. He required resuscitation and was placed on ventilatory support. Questions on the picture.
- The physician ordered to prepare a client suspected of ectopic pregnancy with a negative culdocentesis result. Which statement by the client indicates understanding of the management for her condition? "My hemoglobin and hematocrit will be periodically monitored." "I will not be asked to sign an informed consent." "An abdominal scrub will be performed in preparation for CS! " I will be maintained in a left lateral position."An assessment of a newborn includes the differentiation between cephalhematoma and caput succedaneum. When making this assessment, the nurse identifies that the newborn with caput succedaneum has scalp edema that: Does not cross the suture line Increases within 24 hours Is tender in the surrounding area Crosses the suture lineMarielle, 18 year-old, Gravida 1 Para 039-40 weeks AOG, was brought to the Delivery Suite due to labor pains. On admission, BP = 110/80 ; FH = 34cm; FHT = 145 bpm. Internal examination showsCervix 3 cm, 60% effaced; intact BOW, station -2; cephalic presentation. Uterine contractions were occurring at every 5-6 minutes interval, 30 seconds durationmild to moderate contractions. Marielle in this case is already in what phase of labor?a. Latent phaseb. Acceleration phasec. Phase of maximum sloped. Deceleration test
- Case Scenario Maine is a 20 year old Primi patient. She was at 6 cm cervical dilatation when she came in the Labor Room. She informed the nurse that the Pain is so severe and she asked for pain reliever. Maine was crying tremendously telling Nurse Sam that the pain is unbearable. Nurse Sam observed that the husband is not around and Maine was accompanied only by her Uncle. Upon checking the data, Nurse Sam found that Roxxane is not married. Her record showed that she visited the Pre natal clinic for three times only during the pregnancy period. Nurse Sam assessed the labor process and informed the Obstetrician on duty. Maine had a pain score of 4/10. Vital signs taken and recorded the following data ; BP 130/90 Pulse 85;, RR 26; Temperature 37.3 C. Nurse Sam noted also that the bladder is full, thereby assisted Roxanne to go in the bathroom. After 10 minutes, the Obstetricia came and ordered to give Diclofenac Sodium 75 mg IM stat. Question: 1. What other strategies/…Ms. B was admitted at OBW - BRTTH last April 7, 2022 at 1:20 am, cervix 1 cm dilated. Her BP was 160/100 and her pain level of 0/10. IVF of D5LR 1L was inserted at the right hand, regulated at 20 gtts/min. Laboratories such as Complete Blood Count (CBC) with typing, Blood Urea Nitrogen (BUN), Hepatitis B Surface Antigen (HBsAg), Creatinine, Platelet count, and Urinalysis were done to the pregnant mother. The Admitting Diagnosis was Pre-eclampsia with superimposed chronic hypertension, and the final diagnosis was Pre-eclampsia with severe features. Monitoring of V/S and FHT q 4hrs was ordered and done. At 9:45 pm, delivered to a baby boy with AS of 8, 9. Several hours after delivery, the mother was ordered to undergo laboratory tests. The findings are normal results in CBC with typing, platelet count, and creatinine. Non-reactive HBsAg and high levels of BUN and oliguria in urinalysis. Upon checking the mother, she exhibited edema around her hands, has severe dehydration, decreased…Ms. B was admitted at OBW - BRTTH last April 7, 2022 at 1:20 am, cervix 1 cm dilated. Her BP was 160/100 and her pain level of 0/10. IVF of D5LR 1L was inserted at the right hand, regulated at 20 gtts/min. Laboratories such as Complete Blood Count (CBC) with typing, Blood Urea Nitrogen (BUN), Hepatitis B Surface Antigen (HBsAg), Creatinine, Platelet count, and Urinalysis were done to the pregnant mother. The Admitting Diagnosis was Pre-eclampsia with superimposed chronic hypertension, and the final diagnosis was Pre-eclampsia with severe features. Monitoring of V/S and FHT q 4hrs was ordered and done. At 9:45 pm, delivered to a baby boy with AS of 8, 9. Several hours after delivery, the mother was ordered to undergo laboratory tests. The findings are normal results in CBC with typing, platelet count, and creatinine. Non-reactive HBsAg and high levels of BUN and oliguria in urinalysis. Upon checking the mother, she exhibited has distended bladder and her uterus is still boggy. The V/S…
- Hello, may I ask what can be the problems or foci in this PDAR from this case? CASE # 2: RESPIRATORY DISTRESS IN THE NEWBORN Setting: Hospital Chief Complaint: “My baby is not breathing well” Vital Signs: HR: 145bpm; RR: 45bpm History Present Illness: The patient was born via cesarean section 1 hour ago to a G1P0 mother with no gestational complications at 39 weeks. The mother has routine prenatal care and no medical problems during her pregnancy. The mother states that the patient appears not to be breathing well. Physical Examination: General: Awake and alert Head: No hematoma, No Concussion Chest: Ribs can be seen between breaths, (+) Intercostal retractions CVS: S1S2 (+) tachycardia, no murmurs/rubs/gallops Lungs: (+) Crackles bilateral Abdomen: Soft, non-tender, non-distended, (+) bowel sounds Extremities: no cyanosis noteda well-hydrated male infant is 1 day old when the neonatologist observes he is beginning to appear jaundiced. this baby is the first child of a 30-year-old computer analyst with no previous obstetric history or history of prior blood transfusion. the pregnancy had been normal. total bilirubin, hemoglobin/hematocrit, blood type/rh, and direct antiglobulin tests are ordered for the baby. a cord blood sample has not been collected at delivery. blood grouping and rh testing and a screening test for unexpected antibodies are requested for the mother. laboratory data are as follows: neonatal results total bilirubin: 10.8 mg/dl hemoglobin: 16.9 g/dl hematocrit: 52% blood group and rh: a, rh positive direct antiglobulin test: negative maternal results blood group and rh: o, rh negative unexpected antibody screen: negative treatment the baby is immediately started on phototherapy. subsequent total bilirubin tests are no higher than the 24-hour value and continue to decrease over the next 48…Ms. B was admitted at OBW - BRTTH last April 7, 2022 at 1:20 am, cervix 1 cm dilated. Her BP was 160/100 and her pain level of 0/10. IVF of D5LR 1Lwas inserted at the right hand, regulated at 20 gtts/min. Laboratories such as Complete Blood Count (CBC) with typing, Blood Urea Nitrogen (BUN), Hepatitis BSurface Antigen (HBsAg), Creatinine, Platelet count, and Urinalysis were done to the pregnant mother. The Admitting Diagnosis was Pre-eclampsia withsuperimposed chronic hypertension, and the final diagnosis was Pre-eclampsia with severe features. Monitoring of V/S and FHT q 4hrs was ordered and done. At9:45 pm, delivered to a baby boy with AS of 8, 9. Several hours after delivery, the mother was ordered to undergo laboratory tests. The findings are normal resultsin CBC with typing, platelet count, and creatinine. Non-reactive HBsAg and high levels of BUN and oliguria in urinalysis. Upon checking the mother, she exhibitededema around her hands. The V/S of the mother is BP: 140/90 mmHg, T:…