9. The nurse is reviewing the progress of labor of a pregnant woman. The nurse notes that the physician documented that the woman has circular shaped, moderate depth, wide pubic arch, moderately curved sacrum on internal examination. An internal examination was done and the nurse was instructed to chart his findings of the patient's diagonal conjugate 12.5 cms and the height of the symphysis pubis is normal. The nurse estimates the obstetric conjugate as approximately a. 10.5 b. 13.5 c. 12.5 d. 11.5
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Lo9. The nurse is reviewing the progress of labor of a pregnant woman. The nurse notes that the physician documented that the woman has circular shaped, moderate depth, wide pubic arch, moderately curved sacrum on internal examination. An internal examination was done and the nurse was instructed to chart his findings of the patient's diagonal conjugate 12.5 cms and the height of the symphysis pubis is normal. The nurse estimates the obstetric conjugate as approximately
a. 10.5
b. 13.5
c. 12.5
d. 11.5
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- 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?1. A pregnant client, gravida 1 para 0, comes to the labor and delivery area stating that she thinks she is in labor. She reports short, somewhat irregular contractions occurring in the lower portion of the abdomen that seem to lessen when she walks. Her estimated date of delivery is tomorrow. a. Is the client experiencing true labor? Why or why not? b. What information would be most important for the nurse to explain to the client about labor? 2, 3, 4 2. A postpartum client who is breastfeeding calls the clinic because her breasts have become quite tender. She is 4 days postpartum and is told to come to the clinic for evaluation. At the clinic, assessment reveals that her breasts are shiny and red, hard, and very warm to the touch. Her nipples are intact and her temperature is slightly elevated. The newborn has been feeding well and appears satisfied after breastfeeding. a. What would the nurse explain as the underlying condition occurring? b. What measures would be important for the…Lily accompanied by her husband come for her 6-week postpartal check-up. Lily, who has just become parent of an 7 lbs baby girl via normal spontaneous delivery in the nearby lying-in clinic. She reports that “Everything is good so far .” My husband, Mike is very supportive to me and my new baby. 1. What would you include in an assessment plant to ensure that the client has physically and emotionally adjusted well to childbirth? 2. How would you evaluate the family based on your observation? 3. Encouraged to share and discuss their answers to one another.
- The nurse is reviewing the progress of labor of a pregnant woman. The nurse notes that the physician documented that the woman has circular shaped, moderate depth, wide pubic arch, moderately curved sacrum on internal examination. An internal examination was done and the nurse was instructed to chart his findings of the patient's diagonal conjugate 12.5 cms and the height of the symphysis pubis is normal. The nurse estimates the obstetric conjugate as 13.5 11.5 10.5 12.5Situation: sixteen-year-old Maria has come to the Barangay Coconut Community Health Clinic for a pelvic examination and Pap smear. During the assessment interview, Maria states that she is sexually active. She and her boyfriend sometimes use condom. She doesn’t want to take any pill or medicine because she can’t afford it and she’s afraid her parents will find out that she’s having sex. Cervical caps like diaphragms must be fitted individually by a health care provider but you must consider contraindications. Caps are contraindicated in which of the ff; SELECT ALL THAT APPLY With allergy to latex With history of gonorrhea With allergies to spermicide and oil sprays History of cervical cancerA female patient age approximately 23-25 years and her body weight is quite normal, BMI is also normal. She don't have any major health related problems. Recently she diagnosed with Poly cystic ovary syndrome (PCOS) and healthcare professionals prescribe her with this medication named Rosen 28 plus, i attached the image below. My question is, if she continue this medication for longer periods of time does any complications occurs? Or is there any problems or health related complications occurs if she continues with this medication for longer time? I will rate you positive if you accurately answer my question. Thank you.
- L.H. is a 26-year-old woman is in the clinic today for evaluation of weight gain and fatigue. She is 5 feet 6 inches and weighs 175 pounds. Prior to her pregnancy, she weighed 130 pounds and her maximum weight during pregnancy was 155 pounds. She is now 18 months postpartum and continuing to gain weight despite no change in diet or activity. She reports that the fatigue is getting worse even though her daughter is sleeping reliably through the night and the patient feels she is getting plenty of rest. She takes no other medications and has no significant medical history. Her vital signs today are HR 68, BP 108/60, RR 10, temperature 97° F Select a potential diagnosis for L.H. and describe the pathophysiology of that diagnosis. How does the pathophysiology explain L.H.’s symptoms?The nurse is monitoring the client in labor . The nurse performed abdominal palpation to assess the frequencyduration, and strength of the contractions of the client in laborClient's data include "8 am.: contraction , moderate lasts 45 sec; 8:05 am.contraction moderate , lasts for 45 sec.: 8:10 amcontraction moderate, lasts for 45 seconds. Based on these data the nurse would correctly interpret the client's INTERVAL of uterine contractions as :a. 4 minutes and 15 secondsb. 45 secondsc. Every 5 minutesd. 30 secondsStatement Nursing.. You have to Discuss Why are vacginal suppositories like Neo-Penotran Forte / L are not allowed for young adults who are not sexually active?
- 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.Heather Shane, a 26 y.o. G1P0, presents to the labor unit for elective induction of labor at 39 weeks gestation. She has with her the following admission orders: Admit to labor unit for elective IOL LR at 125 mL/hr after initial bolus of 500 mL SVE q 2 hrs O2 via facemask at nurse discretion Cytotec 25.0 mcg buccal q 4 hrs Pitocin 2 mg/min after 4cm dilated max 30 mu/min Regular diet until active labor PCN 5 million units initial dose and 2.5 million units q 4 hrs until delivery IV Cont. EFM IUPC/FSE as needed per RN Call with VS out of range Methergine 0.2 mg IM PRN bleeding Carboprost 250 mcg IV PRN bleeding Pitocin 20 units IV bolus at delivery of placenta Upon placing Mrs. Shane on the monitor you note FHR in the 130’s with good variability and occasional variable decels. She reports a history that includes gestational hypertension that she takes medication for. She denies being able to recall name of medication, but knows that it is 200 mg by mouth once in the morning and…Here 1.Case Study: Getting Enough Milk? History/Description: Jackie calls you at Public Health requesting your assistance with breastfeeding.She tells you she is worried about her milk supply and is not sure if she has enough.Mary was born vaginally 3 weeks ago at 40 weeks gestation after a long labour requiring instrumental delivery using vacuum. She weighed 3,317g (7lbs 5ozs) at birth, at discharge she weighed 2,976g (6lbs 9ozs) and at her doctor's appointment this week she weighed 3,232g (7lbs 2ozs).Jackie tells you Mary was sleepy in hospital and had some jaundice. She got off to a "slow start" but is now nursing better and is feeding every 2 hours around the clock.Despite great family support mom is exhausted and worried about her baby. Discussion Points: 1. What should you do first and why?.