. Lexy Lucero, 18 years old, an FEU nursing student as a competent maternity care provider should be able to identify early signs of abortion in order to be able to save a product of conception. Which of the following represents an incomplete abortion? (Select all that apply
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Ms. Lexy Lucero, 18 years old, an FEU nursing student as a competent maternity care provider should be able to identify early signs of abortion in order to be able to save a product of conception. Which of the following represents an incomplete abortion? (Select all that apply)
- Mild abdominal pain
- Passage of fetus, placenta, embryonic sac
- Severe uterine cramps
- Profuse vaginal bleeding
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- Mrs. Vanessa Narciso, a 30 year old G1PO, was admitted due to labor pains, IE: Cervix 8 cm dilated. 80% effaced, cephalic, station +1, intact bag of waters. Clinical Pelvimetry: Diagonal conjugate- 13.5cm, Bispinous diameter approximately 10 cm, Bituberous diameter <10 cm. She is in the transition phase of labor. Which of the following comments should the Nurse Marina expect to hear "I have to push the baby out right now. I am so excited to be in labor OT need ice chips because I'm so hot I can't stand this pain any longerMrs. Vanessa Narciso, a 30 year old G1P0, was admitted due to labor pains. IE: Cervix 8 cm dilated. 80% effaced, cephalic, station +1. intact bag of waters. Clinical Pelvimetry: Diagonal conjugate- 13.5cm, Bispinous diameter approximately 10 cm, Bituberous diameter <10 cm. She is in the transition phase of labor. Which of the following comments should the Nurse Marina expect to hear? "I have to push the baby out right now. I am so excited to be in labor I need ice chips because I'm so hot." I can't stand this pain any longer"A 22-year-old multigravida at 22 weeks of gestation complains during a routine prenatal visit of 5-lb weight gain and vaginal discharge. Her assessment included a normal speculum examination. The physician examines the patient’s abdomen and finds that the tip of the uterus is 20 cm above the symphysis pubis. Which option refers to the upper rounded portion of the uterus? Isthmus Fundus Bladder Corpus
- Susanna, an unmarried but sexually active nursing student tells the nurse that she missed one menstrual cycle and her next cycle resulted in a slight amount of blood flow. Considering the history of her menstrual cycle, the nurse suspects she may have a tubal pregnancy. What is the most appropriate initial intervention of the nurse? Position her on the examination table and palpate her abdomen for the presence of a unilateral pelvic pain over a mass Make her the priority patient to be seen by the physician Take her vital signs to determine abnormal findings Ask her if she has history of tubal pregnancyMeredith, a 35 years old patient who is pregnant for the second time continue to experience slight vaginal bleeding, sharp and colicky pain associated with dizziness or lightheadedness for 2 weeks. Upon check up she was diagnosed with an ectopic pregnancy where fertilized egg implants outside of the uterus or not within the uterine cavity. Discuss why a fertilized egg cannot survive in the fallopian tube and why ectopic pregnancy is a life-threatening condition.Mrs. Vanessa Narciso, 19y/o, Gravida 1, had a normal spontaneous delivery. Seven minutes after the delivery under pudendal anesthesia, Mrs. Vanessa has not completed the third stage of labor. The uterus is discoid and firm, no bleeding is evident. Nurse Marina, nurse midwife should: Manually remove the placenta Remove placenta from inverted uterus Gently massage the uterus and wait Pull the cord vigorously Invert the uterus
- Beatrice Dela Villar is a primigravida admitted to the labor unit at 40 weeks gestation. Vaginal exams revealed that her cervix is 8 cm dilated, 80% effaced, and the presenting part is at zero station, membranes intact. During a vaginal examination of Beatrice, the nurse palpates the fetal head and a large diamond-shaped fontanel. The nurse correctly interprets this which type of fetal presentation ? a. Brow presentation b. Face presentation c. Vertex presentation d. Transverse lie NEED ASAP PLEASEWhich of the following statements, if identified by the nursing student, would specify that teaching about cervical mucus changes as an sign for ovulation has been understood? If my cervical mucus is thick and white, I will need to avoid intercourse or use back-up method of contraception. If my cervical mucus is thin and watery, Fam probably fertile 'If my cervical mucus is yellowish and thick, I am probably fertile The thin, dear mucus will block the sperm from getting into my cervixNurse Zasha in the Obstetrical Unit is monitoring Mrs. Zexy Lucero, 25 years old. G1P0. Internal examination revealed 5cm cervical dilatation, 50% effaced, +(BOW). Station 0, cephalic with a prolongation disorder for signs of fetal or maternal compromise. Which of the following assessment findings should not alert Nurse Zasha to a compromise? (Select all that apply) Coordinated uterine contractions Persistent nonreassuring fetal heart rate Maternal fatigue Uncoordinated uterine contractions Progressive changes in the cervix
- Mrs. Vanessa Narcisoa 22 year old Gravida 1 who vaginally delivered her first infant The vaginal delivery was uncomplicatedhour after delivery, which of the following findings would the Nurse Marina expect in a patient who didn't have complications? Firm uterus; scant amount of lochia serosa Boggy uterus; heavy amount of lochia rubra with small clots Firm uterus; heavy amount of lochia rubra with small clots Boggy uterus; moderate amount of lochia serosaJanine is 41 weeks pregnant with her first child when she arrives at the birthing unit reporting that she believes she has been in labor “for days” but that “it’s just not going anywhere.” During the clinical exam, she experiences afew mild contractions, each lasting about 15–20 seconds; however, her cervix is found to be only 2 cm dilated, and the amniotic sac is intact. Janine is admitted to the birthing unit and an IV infusion of pitocin is started. Why?A full-term female newborn has an abnormality of the abdomen. Physical examination shows a large 6-cm mass protruding from the abdomen at the base of the umbilical cord. The mass is covered by a membrane composed of peritoneum and amnion. Which of the following is the most likely cause or this anormalyA) Enlargement of the fetal organs in the first trimesterB) Failure of the intestines to return to the abdominal cavity at 10 weeks' gestationC) Herniation of the intestines Imrough an imperfectly closed umbilicus after 10 weeks' gestationD) Incomplete closure of the lateral folds at 4 weeks' gestationE) Rupture of the abdominal wall at 4 weeks' gestation
