A nurse is worrying for a purchaser who is in energetic exertions and just had an amniotomy
achieved through the issuer. Which of the subsequent findings indicates a need for similarly
evaluation?
Select all that observe.
Amniotic fluid is stained with meconium
Minimal FHR variability
A alternate in the fetal station from zero to +2
An abrupt decrease in the FHR below the baseline
Stronger and greater frequent uterine contractions
Amniotic fluid is stained with meconium is correct. This is an surprising finding that calls for
in addition assessment. Meconium-stained amniotic fluid can indicate fetal distress.
Minimal FHR variability is correct. This is an sudden locating that calls for similarly
assessment. Minimal or absent variability can indicate fetal metabolic acidemia or
hypoxemia at the time it's far found.
An abrupt lower within the FHR underneath the baseline is correct. This is an unexpected
locating that requires in addition assessment. This locating shows a variable deceleration,
that is a manifestation of cord compression.
A nurse inside the newborn nursery is worrying for a newborn who has jaundice. Which of
the following actions ought to the nurse take to determine if the jaundice is pathologic?
Determine the new child's age in hours.
Perform a New Ballard Score evaluation.
Blanch the pores and skin to assess for a yellow hue.
Request a prescription to acquire a blood specimen for a bilirubin stage.
Determine the new child's age in hours.
The nurse have to first affirm the newborn's age in hours to determine if the jaundice is
pathologic or physiologic. Jaundice that appears in the first 24 hr of delivery is pathologic
and jaundice that takes place after 24 hr is physiologic.
, A nurse in a prenatal hospital is being concerned for a customer who is at 24 weeks of
gestation. Which of the following findings requires instantaneous attention?
Abdominal bloating and constipation for 2 days
Presence of a 3rd coronary heart sound upon auscultation
Shortness of breath and wheezing at relaxation
Client document of accelerated, odorless vaginal discharge
Shortness of breath and wheezing at rest
Shortness of breath at relaxation along with other pulmonary symptoms inclusive of cough,
crackles, and wheezing are sudden. This finding requires instant attention because of the
customer's and fetus's danger for hypoxia related to impaired maternal airlines.
A nurse is caring for a customer who is at 32 weeks of gestation for the duration of a habitual
prenatal go to. Which of the following customer statements suggests a want for in addition
assessment?
Select all that observe.
"I felt my infant flow six instances within the beyond 2 hours."
"I observe my ft are a little swollen on the quit of the day."
"I have been having lower lower back pain currently, particularly after prolonged standing."
"I sense surprisingly susceptible and fatigued because we returned from our cruise
remaining week."
"I even have this ache
"I felt my child pass six times in the past 2 hours" is accurate. This locating indicates a need
for similarly evaluation. Expected fetal motion is at the least 10 moves inside a 2-hr duration.
A activate assessment is needed if fetal movement is much less than 10 actions inside 2 hr.
"I feel unusually vulnerable and fatigued considering that we back from our cruise closing
week" is correct. Although fatigue is predicted for the duration of pregnancy, this
announcement shows a need for further evaluation due to the fact touring outdoor the
country will increase this consumer's hazard of publicity to infections.
"I even have this ache beneath my proper rib, especially after ingesting" is correct. Right
higher quadrant ache, especially after ingestion of excessive-fats foods, can suggest
cholelithiasis. This is an sudden locating that indicates a want for similarly assessment.
A patron offers for initial prenatal care at 10 weeks of gestation. Which of the subsequent
findings need to the nurse expect?
Select all that follow.