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Nageles Rule - Go back three months then add 7 days
Precipitous Delivery (Uterine atony) - Uterus overstretched & over stressed
Macrosomic delivery (Uterine atony) - Overstretched Uterine
Postpartum mom has Lg amount of lochia rubra with clots 1st nursing action to
take - Check fundus (Uterine atony)
Boggy Uterus
The Urinary frequency ______________ by end of the 1st trimester -
Lessons
PIH most concern? - Nonreactive stress test with no acceleration
* A good test for FHR will increase 15/min & lasts 15 secs *
12 hour age infant resp rate is 44/min respers are shallow with periods of apnea
lasting up to 5 secs. Nursing actions should be - Continue monitoring the
assessment indicates normal adaptation of the resp system
Nurse observes in a 30 wk gestation premature infant - Lanugo
(fine hair covering)
, An antepartum client diagnosied with positive for HIV. What would the nurse
include in the clients plan of care? - Retrovir
*this med reduces the risk of transmission*
How much weight should a pt gain during the pregnancy? - 12 - 14.5 lbs
Which situation would the nurse anticipate to give an Rho (D) immune globulin
Rhogam injection to be givin to an Rh-negitive client? - Following a
voluntary termination of a pregnancy
*therapeutic, spontaneous, or elective abortion*
Neonate born 40 wks gestation, what characteristic should the nurse expect -
Creases covering the entire bottom of both feet
Medication that a nurse has to give within an hour of birth - Erythromycin
ophthalmic
What reported Hx places the client at risk for ectopic pregnacy - PID
Client that has had a c-section and is reporting abd distention , nursing action
should be - Ambulate in the hallway
Testing a neonates reflexes to determine neurological maturity by quickly and
gently turning the head to one side - Tonic neck