A client, G8 P3406, 14 weeks’ gestation, is being seen in the prenatal clinic. During the nurse’s prenatal teaching session, the nurse will emphasize that the woman should notify the obstetric office immediately if she notes which of the following? 1. Change in fetal movement. 2. Signs and symptoms of labor. 3. Swelling of feet and ankles. 4. Appearance of spider veins.
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A client, G8 P3406, 14 weeks’ gestation, is being seen in the prenatal clinic. During the nurse’s prenatal teaching session, the nurse will emphasize that the woman should notify the obstetric office immediately if she notes which of the following?
1. Change in fetal movement.
2. Signs and symptoms of labor.
3. Swelling of feet and ankles.
4. Appearance of spider veins.
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- 1. What is the Ballard scoring system? 2. Describe the physical characteristics of a preterm infant. 3. Explain the manifestations of respiratory distress of the preterm infant. 4. How is sepsis treated in the preterm infant? 5. List the signs and symptoms of cold stress. 6. When an infant is given intravenous calcium gluconate, what should the nurse closely monitor? 7. Summarize the nursing goals in caring for the preterm newborn.SubjectiveChief Complaint: “Why can’t I just take prednisone every day? It always works when I get admitted to the hospital.” HPI: Thomas Jones is a 66-year-old man with COPD presenting to the family medicine clinic today for a 1-month followup appointment from his last hospital admission for an acute exacerbation of COPD. This last COPD exacerbation is the second hospital admission in the last 6 months related to TJ’s COPD instability. After TJ’s hospitalization, his discharge COPD regimen was changed to include tiotropium, 1 inhalation daily in addition to salmeterol 50 mcg, 1 inhalation Q 12h, and an albuterol MDI as needed. TJ had pulmonary function tests (PFTs) while he was in the hospital 1 month ago but has yet to have them reassessed after the change in his COPD regimen. He wants to start taking prednisone every day because he believes this would prevent him from being readmitted to the hospital. The patient states that his respiratory symptoms are better than when he was…S B is a 54-year-old Latina female who went to her healthcare provider with complaints of heartburn, dysphagia, nausea, and chest pain. She feels bloated and obtains little or no relief from over-the-counter antacids. Her past medical history includes 2-pack-a-day cigarette smoking, stressful job, and chronic use of NSAIDs for chronic back pain. 4. What are some of the cultural considerations the nurse should be are of?
- S B is a 54-year-old Latina female who went to her healthcare provider with complaints of heartburn, dysphagia, nausea, and chest pain. She feels bloated and obtains little or no relief from over-the-counter antacids. Her past medical history includes 2-pack-a-day cigarette smoking, stressful job, and chronic use of NSAIDs for chronic back pain. 4. What are some of the cultural considerations the nurse should be are of. 5. Apply 2 QSEN competency concepts to this case study.Answer the following questions according to DH Pacific clinic guidelines. Consider the following scenario as you answer the following questions: Tucker Johnson is a 49-year-old male who recently moved to the area to search for a new job. He says he has not had dental care for several years because nothing hurts. His chief complaint is stained teeth and bad breath. His medical history is positive for smoking. He takes acetaminophen for stress-induced headaches most days of the week. Vital signs are: blood pressure 155/92, respiration 20, and weight 215 pounds. Intraoral findings include the presence of periodontal infection and six teeth in need of restorations. 1. The term ________ refers to all equipment, materials, and devices used during the delivery of local anesthetic agents. 2. Considering the factors presented, what is Mr. Johnson's ASA physical classification? 3. Are any precautions necessary given Mr. Johnson's blood pressure of 155/92? 4. What local anesthetics should…A. Please give me a possible nursing diagnosis of the following? 1. Small for gestational age 2. Long for gestational age 3. Pre Term Birth 4. Post Term Birth B. Please give nursing interventions each of the following above.
- The nurse is evaluating the client who delivered vaginally 2 hours ago and is experiencing postpartum pain rated 8 on scale of 1 to 10. The client isaG 4, P 4, breast-feeding mother who would like medication to decrease the pain in her uterus Which of the medications listed on the orders sheet would be the most appropriate for this client? =1 Aspirin 1000 mg PO. g 4to 6 hour prn 2 Ibuprofen 800 mg PO. g 6 to 8 hour prn =3 Colace 100 mg PO bid 4 Vicodin 1to 2 tabs PO. q 4o 6 hour prn.A client delivered 4 hours ago. The nurse assesses the client and finds the following: fundus firm at the level of the umbilicus, moderate amount of lochia rubra and midline episiotomy well approximated . The nurse understands that fourth stage nursing care for the client includes which of the following ? a. Inspection every 15 minutes during the first hours after childbirth b. Ice pack to the perineum for up to 60 minutes per application c. Instructions to avoid intercourse for at least 12 weeks d. Application of ice beginning 4 hours after delivery. A 32 year old G2P1 (1001) seeks consult at 6 weeks AOG for initial obstetric visit. Her previous child had a spina bifida. How much folate should be given to prevent NTD’s in her current pregnancy? 40 micrograms’day There is insufficient evidence that follate can prevent NTDs 40 milligrams/day 4 milligrams/day 400 micrograms/day
- S B is a 54-year-old Latina female who went to her healthcare provider with complaints of heartburn, dysphagia, nausea, and chest pain. She feels bloated and obtains little or no relief from over-the-counter antacids. Her past medical history includes 2-pack-a-day cigarette smoking, stressful job, and chronic use of NSAIDs for chronic back pain. 2. What teaching would the nurse provide the client who is scheduled for an EGD? 3. What are nursing considerations that should be addressed to the client with a diagnosis of GERD?What would be an assessment in this case study? What would be an objective in this case study A 52-year-old white female has been experiencing bone pain over the past several years after menopause. She states, “The pain is becoming worse, and it is keeping me from doing my daily activities.” She currently complains that any weight-bearing activity causes her severe discomfort. She now reports having “hot spells” at different times throughout the day with some trouble sleeping for the past 3 months. She also complains of some vaginal dryness that she admits is bothersome. She is not taking any medication. She has been using a soy herbal supplement and vitamin E 400 IU daily. She is up to date on all her gynecological exams, and past mammograms have been normal as have her health maintenance exams. She does not smoke or use alcohol. Her system reviews are unremarkable excluding today’s complaint. She lives alone in a one-story house and works at a car plant. She has three children and…Instructions: 1. Read and Analyze the Pregnancy Case Scenario2. Develop a basic nursing care management for a healthy pregnancy based on the case scenario.3. Develop a 2-day meal plan for the client. Pregnancy Case Scenario A 35-year-old woman Gravida 1, Para 0, comes in for her 16-week prenatal visit for the first time. She has been suffering from nausea and vomiting since her sixth week, and while it has begun to get better, she still vomits two to three times a day. Her nausea is alleviated somewhat by sipping on hot coffee and sucking on candies. She has not been to the dentist in the past year, and she has not been able to regularly brush her teeth since the onset of vomiting, because the toothbrush in her mouth triggers her condition. She reports pain (toothache) when drinking hot tea or having an ice cream.