A G1P0 24 week gestation client is on the labor unit in preterm labor. The assessment findings include regular contractions occurring every 4 min, cervix is dilated to 2 cm, and amniotic sac is intact. Fetal heart rate is 150 bpm with 2 accelerations in 20 minutes. Maternal HR 98, RR 20, BP 110/72, Temp 98.8 F and pain 4/10 with contractions. What medical interventions does the nurse anticipate the provider will order? SELECT ALL THAT APPLY
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Your patient is on BIPAP 12/5,40%. The EPAP has been increas…
Your patient is on BIPAP 12/5,40%. The EPAP has been increased to 7 which of the following will change? I. tidal volume will decrease II. CO2 will increase III. pH will decrease IV none of the above
The nurse is caring for a client who complains of feeling ve…
The nurse is caring for a client who complains of feeling very anxious. What should the nurse be aware of in relation to a laboring woman’s anxiety and pain experience?
The nurse is caring for a term G1, P0 client in the triage a…
The nurse is caring for a term G1, P0 client in the triage area. What observable findings most indicate to the nurse that true labor may be in progress?
The nurse is caring for a neonate born with a clear sac arou…
The nurse is caring for a neonate born with a clear sac around the umbilicus with abdominal contents protruding through, what condition does the nurse suspect?
Which complication does the nurse suspect in the 1 day postp…
Which complication does the nurse suspect in the 1 day postpartum client who has a continuous flow of blood from the vagina; and palpation of the uterus reveals a firm uterus, midline, and 1 cm below the umbilicus?
The nurse is caring for an infant born at 29 weeks gestation…
The nurse is caring for an infant born at 29 weeks gestation. At 4 days of life the infant started continuous enteral feedings. The nurse completes her initial assessment and find’s the infants temperature to be 99.5 axillary, heart rate 166 bpm, respiratory rate 55, blood in the stool and a round firm abdomen. She reviews the previous assessment done 2 hours prior and sees temperature 97.5 ax, heart rate 135, respiratory rate 40 and reducible bowel loop on left lower quadrant of the abdomen. Which complication of prematurity does the nurse suspect?
Which medications does the nurse have available to manage po…
Which medications does the nurse have available to manage postpartum hemorrhage in a high-risk client? (Select all that apply.)
A nurse is coaching the client and her partner about breathi…
A nurse is coaching the client and her partner about breathing during labor and delivery. Breathing techniques in labor can provide which of the following benefits? Select all that apply.
Misoprostol (Cytotec) has been ordered for a pregnant woman…
Misoprostol (Cytotec) has been ordered for a pregnant woman at 42 weeks of gestation. What does the nurse recognize this medication will be administered for?