30-year-old methamphetamine user presents to L&D in active labor. She has had no prenatal care, but says she is 9-12 months. The nurse check fetal position and feel face and nose. The nurse are concerned, because the most common associated condition with a face presentation is which of the following? Prematurity Placenta previa Oligohydramnios Hydrocephalus Anencephaly
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A 30-year-old methamphetamine user presents to L&D in active labor. She has had no prenatal care, but says she is 9-12 months. The nurse check fetal position and feel face and nose. The nurse are concerned, because the most common associated condition with a face presentation is which of the following?
- Prematurity
- Placenta previa
- Oligohydramnios
- Hydrocephalus
- Anencephaly
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- One of the problems that Nurse Rain was able to identify is pre-eclampsia of Mrs., Cantos, 36 years old mother of 5 children. She is at 22 weeks A0G, with BP of 140/90. There is pedal edema and weighs 120 lbs. One of the family nursing problems that was identified was the inability to recognize the presence of possible complication in pregnancy due to lack of knowledge. One of the interventions was geared towards broadening the knowledge of the family on possible complications of pregnancy. What will be the more specific actions of the nurse for this? Choose all that apply. Discuss the implications of the signs and symptoms presented by Mrs. Cantos. Discuss with the family the causes of pre-eclampsia and risk factors of pre-eclampsia. Explore with the family the available courses of action open to them. Discuss the consequences of a possible consequence of pre-eclampsiapost cesarean client receiving intrathecal narcotic for delivery has a respiratory rate of breaths per minuteIdentify the medication that the nurse should have on hand for opioid toxicityA 29 y/o, G3P2, 35 weeks gestation presents for prenatal care. She complains of on and off scanty vaginal bleeding not associated with other signs and symptom. Your impression is placenta previa. The simplest, most precise and safest method to confirm your diagnosis is which of the following? Sonography Magnetic resonance imaging Computed tomography Double set-up examination
- A 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 freeA baby girl is admitted to the Neonatal Intensive Care Unit shortly after birth. It was noted at delivery that the child had widely spaced nipples and webbing of the neck. Furtherevaluation noteda heart murmur, edematous feet, and difficulty palpating or locating the pulse in the groin. An echocardiogram is ordered, and the child is diagnosed with coarctation of the aorta (a narrowing of the aorta that causes the left ventricle of the heart to pump against higher resistance, which can lead to heart failure). As a result of the nature of the symptoms, a geneticist is consulted and the newborn is diagnosed with Turnersyndrome. The family meets with the physicians to discuss the ramifications of this diagnosis. The physicians explain that the child has an abnormal numberof chromosomes. This particular syndrome is designated asA 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?
- note that matches each definition below Chart Note PATIENT NAME: Thomas, Richard MR NUMBER: 551682 EXAMINATION DATE: August 29, 20xx SUBJECTIVE Patient complains of scrotal and genital pain. There is also dysuria often associated with purulent discharge. OBJECTIVE Richard is a sexually active 20-year-old male, who by his own admission, does not routinely use a condom. Physical exam reveals small, palpable lump on the lateral aspect of his left testis. ASSESSMENT Evaluate for gonorrhea. PLAN Culture test for gonorrhea.Mrs. 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.Betty presents at the ED with chest pain, accompanied by Alan and her daughter Cheryl. On triage, Betty reports that the pain started overnight. Betty is diaphoretic, pale and is complaining of pain - 7/10. She is alert and oriented but needs help to get into the ED from the car via a wheelchair. Once she is moved to a treatment cubicle, a cannula is inserted for IV access and she is given 5mg Morphine IV as a stat does. Her observations are as follows: T: 36.7 , HR:110bpm, BP: 150/90 Sats: 95%RA The admitting ED doctor orders and ECG and Bloods. ECG shows some <ST elevation> suggesting a myocardial infarction (MI). Her bloods show raised troponin – also suggestive of a MI. Provisional diagnosis –a second MI and she is admitted to a cardiology ward for a GTN infusion and ongoing monitoring History: Chronic Kidney Disease (CKD) Type 2 diabetes Coronary Artery Disease (CAD), Peripheral Vascular Disease (PVD) Hypertension Myocardial infarction (MI) Height: 168 cm; Weight: 50kg Betty…
- Betty presents at the ED with chest pain, accompanied by Alan and her daughter Cheryl. On triage, Betty reports that the pain started overnight. Betty is diaphoretic, pale and is complaining of pain - 7/10. She is alert and oriented but needs help to get into the ED from the car via a wheelchair. Once she is moved to a treatment cubicle, a cannula is inserted for IV access and she is given 5mg Morphine IV as a stat does. Her observations are as follows: T: 36.7 , HR:110bpm, BP: 150/90 Sats: 95%RA The admitting ED doctor orders and ECG and Bloods. ECG shows some <ST elevation> suggesting a myocardial infarction (MI). Her bloods show raised troponin – also suggestive of a MI. Provisional diagnosis –a second MI and she is admitted to a cardiology ward for a GTN infusion and ongoing monitoring History: Chronic Kidney Disease (CKD) Type 2 diabetes Coronary Artery Disease (CAD), Peripheral Vascular Disease (PVD) Hypertension Myocardial infarction (MI) Height: 168 cm; Weight: 50kg Betty…Tracy is a 25-year-old woman, Roman Catholic, from a semi-remote First Nation Community, L.A., Laguna. She is 37weeks pregnant, 65 kgs and attending a prenatal visit with her community nursetoday. This is her third pregnancy and she has attended all previous visits with her mother and/or Frank, the father of her baby. She stated that she experience minimal vaginal discharge, with mild contraction.Tracy is very quiet and makes limited eye contact during visit. Tracy’s pregnancy has been fairly uneventful. Laboratory values (Complete blood count (CBC), hepatitis B Screening (HBSag) ,Urinalysis(UA), ABO typing) and vital signs have been within normal limits. A 20-week ultrasound found no abnormalities of fetal anatomy. During her visit the nurse told her the labor signs and symptoms and when to go for hospitalization.