Mrs . Vanessa Narciso, 29 year old G5P4 (4004) client who has had an uneventful healthy pregnancy is admitted to the hospital. The admitting doctor informs her that she is in the active phase of labor. The record also shows that the full-term baby is in the left occiput posterior position. Nurse Marina correctly says that the following are signs indicating that the labor is progressing, EXCEPT one: The intensity of uterine contraction becomes strong and board like inconsistency The duration becomes longer-lasting for 10 to 20 minutes The frequency is every 2 to 3 minutes The interval becomes shorter

Mrs . Vanessa Narciso, 29 year old G5P4 (4004) client who has had an uneventful healthy pregnancy is admitted to the hospital. The admitting doctor informs her that she is in the active phase of labor. The record also shows that the full-term baby is in the left occiput posterior position. Nurse Marina correctly says that the following are signs indicating that the labor is progressing, EXCEPT one: The intensity of uterine contraction becomes strong and board like inconsistency The duration becomes longer-lasting for 10 to 20 minutes The frequency is every 2 to 3 minutes The interval becomes shorter

Anatomy & Physiology

1st Edition

ISBN:9781938168130

Author:Kelly A. Young, James A. Wise, Peter DeSaix, Dean H. Kruse, Brandon Poe, Eddie Johnson, Jody E. Johnson, Oksana Korol, J. Gordon Betts, Mark Womble

Publisher:Kelly A. Young, James A. Wise, Peter DeSaix, Dean H. Kruse, Brandon Poe, Eddie Johnson, Jody E. Johnson, Oksana Korol, J. Gordon Betts, Mark Womble

Chapter28: Development And Inheritance

Section: Chapter Questions

Problem 38CTQ: Janine is 41 weeks pregnant with her first child when she arrives at the birthing unit reporting...

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Devin is 35 weeks pregnant with her first child when she arrives at the birthing unit reporting that she believes she is in labor. She states that she lias been experiencing diffuse, mild contractions for the past few hours. Examination reveals, however, that the plug of mucus blocking her cervix is intact and her cervix has not yet begun to dilate. She is advised to return home. Why?
A 24-year-old gravida 2, para 0 checks into the L&D triage area because she thinks that she is in labor. She states that she has felt the baby “drop” and has been having contractions for the last 2 hours every 15 minutes apart lasting 30 seconds, even with rest. How can the nurse determine whether or not this is true labor? What signs of true labor does this woman have? How should the nurse answer the woman’s question about whether or not she is in labor?
A 25 year old primigravida client in her last trimester of pregnancy calls the physician's office and tells the nurse that she thinks she is in labor. She has several concerns regarding her upcoming labor. What would be the first sign of impending or approaching labor? Your correct response should be: she will have to experience EXCEPT: a. Weight gain and edema b. Decreased dyspnea, increased leg varicosities, frequency of voiding c. Lightening around two weeks before labor d. Increased maternal activity and abdominal muscle tightening
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
A 29 year old female patient who is 8 months pregnant is having an emergency appendectomy. She will have to receive general anesthesia for the procedure. What postoperative symptoms should be closely monitored that might indicate preterm labor?
a) A gravid woman is carrying monochorionic twins. For which of the following complications should this pregnancy be monitored? i. Oligohydramnios. ii. Placenta previa. iii. Cephalopelvic disproportion. iv. Twin-to-twin transfusion. b).On ultrasound, it is noted that the pregnancy of a hospitalized woman who is carrying monochorionic twins is complicated by twin-to-twin transfusion. The nurse should carefully monitor this client for which of the following? i. Rapid fundal growth. ii. Vaginal bleeding. iii. Projectile vomiting. iv. Congestive heart failure. c) Which of the following nonpharmacological interventions recommended by nurse midwives may help…
Meredith, 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.
The characteristics of uterine contraction can help determine the client is experiencing preliminary signs of labor or she is already experiencing true labor. Mrs. Vanessa Narciso inquires about the difference of true from false laborand your response is “True contractions are relieved by ambulation while false contractions continue despite the level of activity” “False contractions are felt first abdominally while true contractions are felt in the first lowerback” “Fales contractions are regular and do not achieve cervical dilatation while true contractions begin irregularly but become regular and they achieve cervical dilatation” “True contractions sweep to the abdomen and groin while false contractions radiate to the lower back”
Narciso presents requesting hormonal contraception. She researching her options on the Web and become confused by the large variety of OC pills available, including monophasic, multitask, and progesterone only. She added how the pill prevents pregnancy and why the variety of preparations Which of the following the primary mechanism by which prevent pregnancy? Including lymphocytic endometritis Including endometrial atrophy Increasing cervical mucus viscosity Inhibiting serum luteinizing hormone (LH) levels Inhibiting serum follicle-stimulating hormone (FSH) levels
hCG, estrogen and progesterone are hormones that are secreted throughout pregnancy. Answer the following questions about these hormones.1) Identify the structure that initially secretes hCG 2) Describe the function of hCG and identify the trimester where the hCG level is the highest 3) What are the roles of estrogen & progesterone in pregnancy 4) What structure initially secretes estrogen & progesterone? 5) What structure takes over the role of secreting hCG, estrogen & progesterone in the second and third trimesters?
The following clinical scenario contains (4) choose-between-two options: A 28-year-old mother arrives to your OB/GYN clinic to follow-up on her early trimester pregnancy. She has a history of one full term pregnancy, which resulted in the delivery of a boy born with a neural tube defect known as meningocele. Prior to her first pregnancy, the patient had a personal history of anorexia. Given this clinical picture, the patient’s first son likely had a condition known as (SCID / spina bifida). This condition likely resulted from a (folate / purine) deficiency in the patient’s diet. One clinical finding that can confirm your diagnosis is if the patient displays (megaloblastic anemia / Heinz bodies). To decrease the likelihood that her second child develops a similar condition, you should prescribe this patient a (pyrimidine replacement therapy / folate supplement).
Miss Vanessa, 18 year old, Gravida 1 Para 0 at 40 weeks, AOG, is in labor. On examination, the cervix is 5cm dilated, 50% effaced, and the vertex is at 0 station. The position of fetal presentation has a large impact on the success of the second stage of labor. The diagram depicts which position of the fetus in the female pelvis? Mrs. Vanessa Narciso, a 27y/o, Gravida 2 Para 1, 41 weeks AOG was admitted in labor. Fundic height was measured at 30cms with good fetal heart tone. Cervix is 4cm dilated, not effaced, station -1. About 1 hour after admission, IE findings remained the same. What would the most appropriate thing to do? Ask patient to walk around the hasten the labor Observe and evaluate Do amniotomy Delivery baby by CS Give oxytocin drip to augment labor