The nurse is asked to consult on a 26-year-old woman (gravida 2. para 1) with a prior cesarean section because of breech positioning. She is at term. The nurse is examining (u term patient in the labor and delivery (L&D) suite. Which of the following signs and symptoms is most likely to indicate ruptured membranes
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The nurse is asked to consult on a 26-year-old woman (gravida 2. para 1) with a prior cesarean section because of breech positioning. She is at term. The nurse is examining (u term patient in the labor and delivery (L&D) suite. Which of the following signs and symptoms is most likely to indicate ruptured membranes?
- Yellow-green color on nitrazine test
- Ferning on a specimen from the vaginal pool
- Vaginal pool pH of 6.5
- Copious leakage on pants or underwear
- Superficial squamous cells in the vaginal pool
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- Nurse Zasha is reviewing the Obstetrician-Gynecologists orders for Mrs. Zexy Lucero. 25 years old, G1P0, 37 weeks AOG admitted for watery vaginal discharge before the onset of regular uterine contractions. Internal examination revealed: cervix 3-4 cms dilated, 50% effaced, cephalic, station -1, with pooling of fluid in the vaginal canal on speculum examination. Which of the following activities are expected to be written in the doctor's orders and to be performed by Nurse Zasha? (Select all that apply) Administer an antibiotic per order and hospital protocol Monitor maternal vital signs frequently Monitor fetal heart rate continuously Perform vaginal examination every shift Perform cesarean section immediatelyThelisha , a first time 23 year old mother had a spontaneous vaginal delivery (SVD), and Medio lateral episiotomy has been done, was roomed-in together with her full term baby girl thinly meconium stain, 1 and 1/2 hour after birth. Upon physical assessment, the nurse-on-duty noticed that the mother’s episiotomy wound was intact, noheavy vaginal blood flow; fundus is firm upon palpation, and with healthy breasts forbreastfeeding. After providing some comfort measures, like positioning and attachment of herbaby for adequate breastfeeding, she asked the mother how she feels at the moment. The mother claimed to have a moderate perineal pain and pain over her hypogastric area that made her movedthe mother’s vital signs hourly until stable, with initial taking of Temp =36.8 C, BP =90/70, PR =70 bpm, RR =18 bpm; and note for signs of maternal vaginal bleeding. The NOD gave the ordered oral medications such as Doxycycline in 100 mg 1 capsule 2 times a day to complete for 1 week ,Metronidazole…Thelisha , a first time 23 year old mother had a spontaneous vaginal delivery (SVD), and Medio lateral episiotomy has been done, was roomed-in together with her full term baby girl thinly meconium stain, 1 and 1/2 hour after birth. Upon physical assessment, the nurse-on-duty noticed that the mother’s episiotomy wound was intact, noheavy vaginal blood flow; fundus is firm upon palpation, and with healthy breasts forbreastfeeding. After providing some comfort measures, like positioning and attachment of herbaby for adequate breastfeeding, she asked the mother how she feels at the moment. The mother claimed to have a moderate perineal pain and pain over her hypogastric area that made her movedthe mother’s vital signs hourly until stable, with initial taking of Temp =36.8 C, BP =90/70, PR =70 bpm, RR =18 bpm; and note for signs of maternal vaginal bleeding. The NOD gave the ordered oral medications such as Doxycycline in 100 mg 1 capsule 2 times a day to complete for 1 week ,Metronidazole…
- Thelisha , a first time 23 year old mother had a spontaneous vaginal delivery (SVD), and Medio lateral episiotomy has been done, was roomed-in together with her full term baby girl thinly meconium stain, 1 and 1/2 hour after birth. Upon physical assessment, the nurse-on-duty noticed that the mother’s episiotomy wound was intact, noheavy vaginal blood flow; fundus is firm upon palpation, and with healthy breasts forbreastfeeding. After providing some comfort measures, like positioning and attachment of herbaby for adequate breastfeeding, she asked the mother how she feels at the moment. The mother claimed to have a moderate perineal pain and pain over her hypogastric area that made her movedthe mother’s vital signs hourly until stable, with initial taking of Temp =36.8 C, BP =90/70, PR =70 bpm, RR =18 bpm; and note for signs of maternal vaginal bleeding. The NOD gave the ordered oral medications such as Doxycycline in 100 mg 1 capsule 2 times a day to complete for 1 week ,Metronidazole…Thelisha , a first time 23 year old mother had a spontaneous vaginal delivery (SVD), and Medio lateral episiotomy has been done, was roomed-in together with her full term baby girl thinly meconium stain, 1 and 1/2 hour after birth. Upon physical assessment, the nurse-on-duty noticed that the mother’s episiotomy wound was intact, noheavy vaginal blood flow; fundus is firm upon palpation, and with healthy breasts forbreastfeeding. After providing some comfort measures, like positioning and attachment of herbaby for adequate breastfeeding, she asked the mother how she feels at the moment. The mother claimed to have a moderate perineal pain and pain over her hypogastric area that made her movedthe mother’s vital signs hourly until stable, with initial taking of Temp =36.8 C, BP =90/70, PR =70 bpm, RR =18 bpm; and note for signs of maternal vaginal bleeding. The NOD gave the ordered oral medications such as Doxycycline in 100 mg 1 capsule 2 times a day to complete for 1 week ,Metronidazole…Thelisha , a first time 23 year old mother had a spontaneous vaginal delivery (SVD), and Medio lateral episiotomy has been done, was roomed-in together with her full term baby girl thinly meconium stain, 1 and 1/2 hour after birth. Upon physical assessment, the nurse-on-duty noticed that the mother’s episiotomy wound was intact, noheavy vaginal blood flow; fundus is firm upon palpation, and with healthy breasts forbreastfeeding. After providing some comfort measures, like positioning and attachment of herbaby for adequate breastfeeding, she asked the mother how she feels at the moment. The mother claimed to have a moderate perineal pain and pain over her hypogastric area that made her movedthe mother’s vital signs hourly until stable, with initial taking of Temp =36.8 C, BP =90/70, PR =70 bpm, RR =18 bpm; and note for signs of maternal vaginal bleeding. The NOD gave the ordered oral medications such as Doxycycline in 100 mg 1 capsule 2 times a day to complete for 1 week ,Metronidazole…
- Thelisha , a first time 23 year old mother had a spontaneous vaginal delivery (SVD), and Medio lateral episiotomy has been done, was roomed-in together with her full term baby girl thinly meconium stain, 1 and 1/2 hour after birth. Upon physical assessment, the nurse-on-duty noticed that the mother’s episiotomy wound was intact, noheavy vaginal blood flow; fundus is firm upon palpation, and with healthy breasts forbreastfeeding. After providing some comfort measures, like positioning and attachment of herbaby for adequate breastfeeding, she asked the mother how she feels at the moment. The mother claimed to have a moderate perineal pain and pain over her hypogastric area that made her movedthe mother’s vital signs hourly until stable, with initial taking of Temp =36.8 C, BP =90/70, PR =70 bpm, RR =18 bpm; and note for signs of maternal vaginal bleeding. The NOD gave the ordered oral medications such as Doxycycline in 100 mg 1 capsule 2 times a day to complete for 1 week ,Metronidazole…Erika, a first time 23 year old mother had a spontaneous vaginal delivery (SVD), and Medio lateral episiotomy has been done, was roomed-in together with her full term baby girl thinly meconium stain, 1 and 1/2 hour after birth. Upon physical assessment, the nurse-on-duty noticed that the mother’s episiotomy wound was intact, noheavy vaginal blood flow; fundus is firm upon palpation, and with healthy breasts forbreastfeeding. After providing some comfort measures, like positioning and attachment of herbaby for adequate breastfeeding, she asked the mother how she feels at the moment. The mother claimed to have a moderate perineal pain and pain over her hypogastric area that made her movedthe mother’s vital signs hourly until stable, with initial taking of Temp =36.8 C, BP =90/70, PR =70 bpm, RR =18 bpm; and note for signs of maternal vaginal bleeding. The NOD gave the ordered oral medications such as Doxycycline in 100 mg 1 capsule 2 times a day to complete for 1 week ,Metronidazole 500…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
- A patient in labor at 37 weeks’ gestation presents to the labor and delivery unit with a documented breech presentation. The patient’s water broke while getting out of the car. The nurse assists the patient into bed and immediately assesses the FHR, which is 60 bpm. Next, the nurse should assess the patient for which condition? A) Prolapsed umbilical cord B) Vaginal bleeding C) Fetal station via sterile vaginal examination D) Meconium-stained amniotic fluidOn performing Leopold’s maneuver on a multiparous client in early labor, the nurse finds no fetal parts in the fundus or above the symphysis. The fetal head is palpated in the right mid quadrant. The nurse notifies the obstetrician. Which of the following is safe to assume? - Footling breech - Occiput presentation- Transverse lie- Compound presentationMrs. Vanessa Narciso, a 30 year old G1P0, was admitted due to labor pains. IE: Cervix 2 cm dilated, 50% effaced, cephalic, station -1, intact bag of waters. Clinical Pelvimetry: Diagonal conjugate=13.5 cm, Bispinous diameter = approximately 10 cm, Bituberous diameter <10cm. Mrs, Vanessa asks the nurse what station - 1 means, Which of the following statement of the nurse is correct? a. The head of the baby of near the outlet b. The buttock of the baby is at the level of the ischial spines c. The presentation part of the fetus is 1 cm below the spines d. The presentation part of the fetus is 1 above the ischial spines