Mrs. Zexy Lucero, 25 years old, G1PO, 39 4/7 weeks age of gestation is in labor. Internal examination revealed: cervix 5-6 cms dilated, 50% effaced, cephalic, Station 0, (+) BOW. External fetal monitoring revealed a variable decelerations. Nurse Zasha is preparing for cesarean birth. Which of the following activities should not be implemented without clarification by Nurse Zasha? (Select all that apply) Slow the intravenous flow rate. Continue the oxytocin drip if infusing. Place the client in a high Fowler's position Administer oxygen, 8 to 10 L/ minute, via face mask

Mrs. Zexy Lucero, 25 years old, G1PO, 39 4/7 weeks age of gestation is in labor. Internal examination revealed: cervix 5-6 cms dilated, 50% effaced, cephalic, Station 0, (+) BOW. External fetal monitoring revealed a variable decelerations. Nurse Zasha is preparing for cesarean birth. Which of the following activities should not be implemented without clarification by Nurse Zasha? (Select all that apply) Slow the intravenous flow rate. Continue the oxytocin drip if infusing. Place the client in a high Fowler's position Administer oxygen, 8 to 10 L/ minute, via face mask

Case Studies In Health Information Management

3rd Edition

ISBN:9781337676908

Author:SCHNERING

Publisher:SCHNERING

Chapter7: Healthcare Statistics And Research Methods

Section: Chapter Questions

Problem 7.18.1C

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P09. Answer -------Marielle, 18 year-old, Gravida 1 Para 039-40 weeks AOG, was brought to the Delivery Suite due to labor pains. On admission, BP = 110/80 ; FH = 34cm; FHT = 145 bpm. Internal examination showsCervix 3 cm, 60% effaced; intact BOW, station -2; cephalic presentation. Uterine contractions were occurring at every 5-6 minutes interval, 30 seconds durationmild to moderate contractions. Marielle in this case is already in what phase of labor?a. Latent phaseb. Acceleration phasec. Phase of maximum sloped. Deceleration test.
Marielle, 18 year-old, Gravida 1 Para 039-40 weeks AOG, was brought to the Delivery Suite due to labor pains. On admission, BP = 110/80 ; FH = 34cm; FHT = 145 bpm. Internal examination showsCervix 3 cm, 60% effaced; intact BOW, station -2; cephalic presentation. Uterine contractions were occurring at every 5-6 minutes interval, 30 seconds durationmild to moderate contractions. Marielle in this case is already in what phase of labor?a. Latent phaseb. Acceleration phasec. Phase of maximum sloped. Deceleration test
Mrs. Xexy Lucero, G1PO, 40 weeks AOG was ordered by the health care provider a Contraction stress test (CST) whose nonstress test (NST) was nonreactive. Which maternal complications should alert Nurse Zasha to question the order? Select all that apply. a. Incompetent cervix b. Premature rupture of membrane c. Preterm labor d. Hypertension e. Drug addiction
A 39-yr-old woman, gravida 2; para, 1 with a history of Cesarean section delivery 10 years ago presented at 35 weeks gestational age with complete placenta previa. She presented painless, vaginal bleeding in moderate amount. Physical examination revealed an arterial blood pressure of 110/70 mmHg, a heart rate of 107 beats/min, and a respiratory rate of 22 breaths/min. There were heart murmurs and the patient's lungs were clear to auscultation bilaterally, and she had mild peripheral edema. Question: Explain the perioperative management and nursing considerations for the client intra operative management.
A 39-yr-old woman, gravida 2; para, 1 with a history of Cesarean section delivery 10 years ago presented at 35 weeks gestational age with complete placenta previa. She presented painless, vaginal bleeding in moderate amount. Physical examination revealed an arterial blood pressure of 110/70 mmHg, a heart rate of 107 beats/min, and a respiratory rate of 22 breaths/min. There were heart murmurs and the patient's lungs were clear to auscultation bilaterally, and she had mild peripheral edema. Question: Explain the perioperative management and nursing considerations for the client post-operative management.
A 39-yr-old woman, gravida 2; para, 1 with a history of Cesarean section delivery 10 years ago presented at 35 weeks gestational age with complete placenta previa. She presented painless, vaginal bleeding in moderate amount. Physical examination revealed an arterial blood pressure of 110/70 mmHg, a heart rate of 107 beats/min, and a respiratory rate of 22 breaths/min. There were heart murmurs and the patient's lungs were clear to auscultation bilaterally, and she had mild peripheral edema. Answer the following questions based from the data given. What are the possible complications of placenta previa? And how are you going to prevent/manage the complications?
A 39-yr-old woman, gravida 2; para, 1 with a history of Cesarean section delivery 10 years ago presented at 35 weeks gestational age with complete placenta previa. She presented painless, vaginal bleeding in moderate amount. Physical examination revealed an arterial blood pressure of 110/70 mmHg, a heart rate of 107 beats/min, and a respiratory rate of 22 breaths/min. There were heart murmurs and the patient's lungs were clear to auscultation bilaterally, and she had mild peripheral edema. Question: Explain the perioperative management and nursing considerations for the client pre operative management.
A 39-yr-old woman, gravida 2; para, 1 with a history of Cesarean section delivery 10 years ago presented at 35 weeks gestational age with complete placenta previa. She presented painless, vaginal bleeding in moderate amount. Physical examination revealed an arterial blood pressure of 110/70 mmHg, a heart rate of 107 beats/min, and a respiratory rate of 22 breaths/min. There were heart murmurs and the patient's lungs were clear to auscultation bilaterally, and she had mild peripheral edema. Question: Explain the perioperative management and nursing considerations for the client (pre, intra and post-operative management).
CASE SCENARIO -DELIVERY ROOM Patient Susan is a 47 years old, G2P1 female who is living with her family at Silay City. She is a high school graduate, non-smoker, non-alcoholic and no allergies reported. Patient Susan was admitted to the labor room with the chief complaints of bright red profuse vaginal bleeding. She is in her third trimester of pregnancy, vaginal examination done by Dr .Torres revealed 5cm cervical dilatation with no labor pain .Dr. Torres ordered as follows; to start IVF of D5LR 1liter x 30gtts./min., O2inhalation @ 2 l/min via nasal cannula, Vital signs and FHB monitoring q 30mins. Put on bedrest. Patient Susan's vital signs upon admission: BP-90/60 mm/Hg Temperature-37 degree Celsius PR-90 bpm RR-30 cpm FHB-130 bpm@ left lower quadrant. As a student nurse, based on the case scenario above: 1.What will be your impression about the condition of your patient?
CASE SCENARIO -DELIVERY ROOM Patient Susan is a 47 years old, G2P1 female who is living with her family at Silay City. She is a high school graduate, non-smoker, non-alcoholic and no allergies reported. Patient Susan was admitted to the labor room with the chief complaints of bright red profuse vaginal bleeding. She is in her third trimester of pregnancy, vaginal examination done by Dr .Torres revealed 5cm cervical dilatation with no labor pain .Dr. Torres ordered as follows; to start IVF of D5LR 1liter x 30gtts./min., O2inhalation @ 2 l/min via nasal cannula, Vital signs and FHB monitoring q 30mins. Put on bedrest. Patient Susan's vital signs upon admission: BP-90/60 mm/Hg    Temperature-37 degree Celsius PR-90 bpm     RR-30 cpm      FHB-130 bpm@ left lower quadrant. As a student nurse, based on the case scenario above: 1.What will be your impression about the condition of your patient? 2.What are the clinical…
CASE SCENARIO -DELIVERY ROOM Patient Susan is a 47 years old, G2P1 female who is living with her family at Silay City. She is a high school graduate, non-smoker, non-alcoholic and no allergies reported. Patient Susan was admitted to the labor room with the chief complaints of bright red profuse vaginal bleeding. She is in her third trimester of pregnancy, vaginal examination done by Dr .Torres revealed 5cm cervical dilatation with no labor pain .Dr. Torres ordered as follows; to start IVF of D5LR 1liter x 30gtts./min., O2inhalation @ 2 l/min via nasal cannula, Vital signs and FHB monitoring q 30mins. Put on bedrest. Patient Susan's vital signs upon admission: BP-90/60 mm/Hg    Temperature-37 degree Celsius PR-90 bpm     RR-30 cpm      FHB-130 bpm@ left lower quadrant. As a student nurse, based on the case scenario above: 1. Formulate 1 possible nursing diagnosis in the case scenario given( 1Actual/1Risk)
CASE SCENARIO -DELIVERY ROOM Patient Susan is a 47 years old, G2P1 female who is living with her family at Silay City. She is a high school graduate, non-smoker, non-alcoholic and no allergies reported. Patient Susan was admitted to the labor room with the chief complaints of bright red profuse vaginal bleeding. She is in her third trimester of pregnancy, vaginal examination done by Dr .Torres revealed 5cm cervical dilatation with no labor pain .Dr. Torres ordered as follows; to start IVF of D5LR 1liter x 30gtts./min., O2inhalation @ 2 l/min via nasal cannula, Vital signs and FHB monitoring q 30mins. Put on bedrest. Patient Susan's vital signs upon admission: BP-90/60 mm/Hg    Temperature-37 degree Celsius PR-90 bpm     RR-30 cpm      FHB-130 bpm@ left lower quadrant. As a student nurse, based on the case scenario above: 1.What are the clinical manifestations present in your patient?