Microbiology for Surgical Technologists (MindTap Course List)
2nd Edition
ISBN: 9781111306663
Author: Margaret Rodriguez, Paul Price
Publisher: Cengage Learning
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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)
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Severe uterine cramps
Profuse vaginal bleeding
Uncomplicated labor with vaginal delivery at 38 weeks gestation. Liveborn single infant weighing 7 pounds, 8 ounces at birth. The delivering obstetrician has followed the patient throughout her pregnancy and will also be providing the post partum care for this patient.
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ICD-10-CM Code(s):
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Ms. Mellon is a 43year old woman who has lived in a Residential Habilitation Center from age 11 to 40. For the last three years she has been in a Tenant Support Program. This past year staff noticed that she had begun to lose weight. This became a concern because she had always been rather slender. Staff had encouraged her to eat more and had routinely prepared the foods she liked the most. Still, she was losing weight and was about 15 pounds below her ideal weight.
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- A dilatation and curettage (DC) for missed AB (missed abortion is the technical term for miscarriage) is on the OR schedule. Danny, a CST, finished setting up and went to the preoperative care unit (PCU) to help the circulating nurse bring the patient back to the OR. The young woman was tearful and said she had been told the 16-week fetus had been infected with a parasite she may have gotten from her cat. Her husband was deployed overseas and she had no one to help with cleaning the house. To which parasite was she likely exposed?arrow_forwardNurse 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 immediatelyarrow_forwardThe physician ordered to prepare a client suspected of ectopic pregnancy with a negative culdocentesis result. Which statement by the client indicates understanding of the management for her condition? "My hemoglobin and hematocrit will be periodically monitored." "I will not be asked to sign an informed consent." "An abdominal scrub will be performed in preparation for CS! " I will be maintained in a left lateral position."arrow_forward
- The nurse is assessing a patient who is to receive dinoprostone (Prostin E2). Which condition would be a contraindication to the use of this drug? a )Pregnancy at 15 weeks’ gestationb) GI upset or ulcer diseasec) Ectopic pregnancyd )Incomplete abortionarrow_forwardCASE: During your internship duty you received a call from Pediatric ward relaying an extraction of a 1-year-old baby boy for work up. As a Med Lab Science Intern, you were asked by your MT Supervisor to accompany her to the Pediatric ward to facilitate the procedure. Upon arrival to Pediatric ward, you saw the Pediatric Resident on duty and asked about the case. You are presented a case of a 1-year-old baby boy who was brought by her mother due to scrotal deformity. The mother noticed that her baby boy’s scrotum was unequal in size since birth noting that she was not able to palpate the other testes. There was no consult done believing that it could probably be normal since the child was new born prematurely. Months have passed the mother was getting anxious still with no consult until after the child celebrated his 1st year birthday. The mother now sought consult to an Out Patient Department and was seen by a Pediatrician and was advised Elective admission for work up. Diagnosis:…arrow_forwardA group of student-nurses are about to conduct a community diagnosis. Which of the following activity is necessary during the first stage? Refer Julia immediately to an OBGyn doctor and have her checked in a hospital since she has high risk pregnancy Assist the family in providing adequate care to Julia by doing a daily home visit and Leopold’s Maneuver Discuss to Julia’s family the importance of regular prenatal check-ups Emphasize to Julia that health center services are freearrow_forward
- 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 fluidarrow_forwardCASE 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?arrow_forwardCASE 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…arrow_forward
- 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)arrow_forwardCASE 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?arrow_forwardHello, may I ask what can be the problems or foci in this PDAR from this case? CASE # 2: RESPIRATORY DISTRESS IN THE NEWBORN Setting: Hospital Chief Complaint: “My baby is not breathing well” Vital Signs: HR: 145bpm; RR: 45bpm History Present Illness: The patient was born via cesarean section 1 hour ago to a G1P0 mother with no gestational complications at 39 weeks. The mother has routine prenatal care and no medical problems during her pregnancy. The mother states that the patient appears not to be breathing well. Physical Examination: General: Awake and alert Head: No hematoma, No Concussion Chest: Ribs can be seen between breaths, (+) Intercostal retractions CVS: S1S2 (+) tachycardia, no murmurs/rubs/gallops Lungs: (+) Crackles bilateral Abdomen: Soft, non-tender, non-distended, (+) bowel sounds Extremities: no cyanosis notedarrow_forward
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