A nurse is being concerned for a patron who is in lively hard work and just had an
amniotomy done by way of the company. Which of the following findings shows a want for in
addition assessment?
Select all that practice.
Amniotic fluid is stained with meconium
Minimal FHR variability
A exchange in the fetal station from zero to +2
An abrupt lower within the FHR below the baseline
Stronger and greater common uterine contractions
Amniotic fluid is stained with meconium is correct. This is an surprising locating that calls for
in addition evaluation. Meconium-stained amniotic fluid can imply fetal distress.
Minimal FHR variability is accurate. This is an sudden locating that calls for further
evaluation. Minimal or absent variability can imply fetal metabolic acidemia or hypoxemia on
the time it's miles determined.
An abrupt decrease inside the FHR beneath the baseline is accurate. This is an sudden
finding that requires in addition evaluation. This locating shows a variable deceleration, that's
a manifestation of cord compression.
A nurse inside the newborn nursery is worrying for a newborn who has jaundice. Which of
the following movements must the nurse take to decide if the jaundice is pathologic?
Determine the new child's age in hours.
Perform a New Ballard Score evaluation.
Blanch the skin to assess for a yellow hue.
Request a prescription to reap a blood specimen for a bilirubin level.
Determine the new child's age in hours.
The nurse must first verify the new child's age in hours to decide if the jaundice is pathologic
or physiologic. Jaundice that appears within the first 24 hr of delivery is pathologic and
jaundice that takes place after 24 hr is physiologic.
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A nurse in a prenatal sanatorium is caring for a customer who's at 24 weeks of gestation.
Which of the following findings calls for instantaneous attention?
Abdominal bloating and constipation for 2 days
Presence of a 3rd heart sound upon auscultation
Shortness of breath and wheezing at rest
Client report of improved, odorless vaginal discharge
Shortness of breath and wheezing at relaxation
Shortness of breath at relaxation along with other pulmonary signs and symptoms including
cough, crackles, and wheezing are surprising. This locating calls for immediate attention due
to the patron's and fetus's hazard for hypoxia associated with impaired maternal airlines.
A nurse is being concerned for a purchaser who's at 32 weeks of gestation for the duration
of a recurring prenatal go to. Which of the subsequent customer statements suggests a want
for in addition assessment?
Select all that apply.
"I felt my infant flow six times inside the beyond 2 hours."
"I observe my ft are a little swollen at the cease of the day."
"I have been having lower back ache these days, particularly after prolonged status."
"I feel strangely susceptible and fatigued in view that we lower back from our cruise last
week."
"I actually have this ache
"I felt my infant flow six instances inside the beyond 2 hours" is accurate. This locating
shows a want for further evaluation. Expected fetal movement is as a minimum 10
movements within a 2-hr period. A set off assessment is needed if fetal movement is much
less than 10 actions inside 2 hr.
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