A Nurse Is Caring For A Client Who Is At 36 Weeks Of Gestation And Has A Positive Contraction Test

At 12 weeks gestation, the uterus rises out of the pelvis and is palpable above the symphysis pubis. On Thursday, the “complicated” clinic day for the doctor, we see no new patients but see a revisit patient every half hour from 8 to 10: 30 am. The nurse should pan to prepare the client. Controversy exists about the timing of this assessment. The test is named “non-stress” because no stress is placed on the fetus during the test. Gravida 3 para 2. The client asks for pain medication. The client has accepted electroconvulsive therapy (ECT) as a treatment for resistant depression. After providing the patient with some suggestions for relief measures, the nurse determines that the patient needs further instructions when the patient says: a. The nurse plans to respond to the client, knowing that the placenta: 1. After the client vomits. Make sure that the client is at least 3 days postdelivery. The Psychiatric Technician will instruct the client in which of the following before the procedure? remain on bedrest until the procedure is completed. The patient will be checked for clotting problems. Heart rate of 92 beats per minute. The nurse realizes that some nursing actions are contraindicated with IICP. The nurse receives a clinic delivery list daily and visits hospitalized patients in the afternoon. Alaska AS § 18. Uterine growth should be consistent for both primigravidas and. B) 3+ protein in the urine. After providing the client with some suggestions for relief measures, the nurse determines that the client needs further instructions when she says: A. inspect client perineum B. At 20 weeks, the uterine fundus should be palpated approximately at the umbilicus. See full list on mayoclinic. A client at 16 weeks’ gestation undergoes an amniocentesis. About 15 million were born before 37 weeks of gestation, while between 3 and 12 percent were born after 42 weeks. She has experienced no weight loss and has a fundal height larger than expected. A non-stress test (NST) in the obstetrician's office revealed a nonreactive tracing. A nurse is caring for a client who is at 36 weeks gestation and has a positive contraction stress test. On Thursday, the “complicated” clinic day for the doctor, we see no new patients but see a revisit patient every half hour from 8 to 10: 30 am. a nurse is caring for a client who is experiencing preterm labor at 29 weeks of gestation and has a prescription for betamethasone. Nursing assessment reveals a temperature of 102° F (38. In most states, midwives and nurse practitioners must practice under the supervision of a physician. The nurse can expect to find the presence of: Mongolian spots. 2 lb) immediately after birth. A primigravida at 36 weeks' gestation tells the nurse that she has moderate breast tenderness. The nurse determines that the client has the best understanding of the dietary measures to follow if the client states an intention to increase the intake of: 1. 98 The lack of similar data from higher-order gestations undergoing surveillance makes it difficult to determine accurate sensitivity, specificity, and negative and positive predictive values in the detection of higher-order gestation fetal. 17) A primigravida at 36 weeks gestation tells the nurse that she has moderate breast tenderness. No further testing will be done because the patient is Rh negative, instead of Rh positive. Allow the client to have full liquids. The bleeding started spontaneously in the morning and is not accompanied by contractions. The nurse determines this sign indicates: A softening of the cervix; A soft blowing sound that corresponds to the maternal pulse during auscultation of the uterus. The uterus undergoes a rapid reduction in size and weight. A nurse is reviewing the fetal monitoring strip of a 27 year old client at 37 weeks gestation. 36 weeks' gestation According to the CDC guidelines, all pregnant women should be screened for group B streptococcus infection at 35 to 37 weeks' gestation. What should this client drink to increase the absorption of iron? a) A glass of milk b) A cup of hot tea c) A liquid antacid d) A glass of orange juice. The nurse is caring for a client admitted with multiple trauma. A gynecologist d. The number of times you need the test depends on your situation. Alexiewicz JM, Kumar D, Smogorzewski M, Klin M, Massry SG. A client who has preeclampsia and a creatinine level of 1. The bleeding started spontaneously in the morning and is not accompanied by contractions. For which of the following diagnostic tests should the nurse prepare the client? B) Amnioinfusion C)Chorionic villus sampling D) Percutaneous umbilical cord sampling. The nurse is caring for a client with a venous stasis ulcer. Third child (2 weeks old) had cerclage put in at 13 weeks, bedrest at 25 weeks for possible amniotic fluid leaking, although test was inconclusive but to be safe went on bedrest, tried to remove cerclage at 38 and delivered her right then, although tore cervix b/c I was contracting before the dr. During a prenatal visit at 36 weeks of gestation, the nurse tested a woman’s urine for glucose and protein. 40 reviews of UCLA Nurse Midwives "I had my first baby through the midwivery program at UCLA and now I'm about to have my second. Right upper quadrant of the abdomen d. At 14-weeks gestation, a client arrives at the Emergency Center complaining of a dull pain in the right lower quadrant of her abdomen. What is the most important assessment at this time?. using a mask and face shield to avoid airborne VRE contamination. The client’s initial blood pressure is 158/98, and she reports scant urination over the past 24 hours. The nurse observes the fetal heart rate baseline at 135 beats per minute (bpm) and four nonepisodic patterns of the fetal heart rate reaching 160 bpm for periods of 20 to 25 seconds each. The nurse should plan the client for which of the following next diagnostic test? Biophysical profile - a positive contraction stress test means more further evaluation of the fetus is necessary, and a biophysical profile will provide further. The first test is a one hour test. Induction of labor is begun at 34 weeks’ gestation. Cheyne-Stokes breathing and orthostatic hypotension. 2 Sit upright for 30 minutes after meals. The client tells the nurse that she is afraid that she is going into premature labor because she is beginning to have regular contractions. Chromosomal. A nurse is caring for a pt. Which of the following actions should the nurse take at the time? (Select all that apply). A full bladder 2. A: A contraction stress test (CST) is basically a way of making sure your baby's healthy enough to withstand the stresses of labor and delivery, since contractions during labor reduce blood flow. What should the nurse tell the client that the test results indicate? a. Antibody screen for Rh-negative mothers, at 28 weeks gestation. Nonstress testing is performed weekly until 32 weeks’ gestation; 22. Taking of blood sample. A nonstress test is a noninvasive test that doesn't pose any physical risks to you or your baby. The client is not in distress and she states that she can "feel the. are required for a police report B. A client is in the 8th month of pregnancy. The physician has ordered a nonstress test (NST) to be done on a 41-week-gestation client. A nurse is caring for a 65-year-old woman who has undergone a hernia operation. The most appropriate term for this is: a. So it is easy to read. “The results will inform us of the gestational age. A pregnant woman was admitted for induction of labor at 43 weeks of gestation with sure dates. In planning for admission of this infant, the nurse’s highest priority should be to: Connect the resuscitation bag to the oxygen outlet. and Zimbabwe 35, 36 with similar results and is being examined as a tool for monitoring in labor by researchers in China. The nurse determines this sign indicates: The presence of fetal movement; A soft blowing sound that corresponds to the maternal pulse during auscultation of the uterus. Choose from 500 different sets of quiz 1 ati maternal flashcards on Quizlet Ati maternal newborn practice test a quizlet. This is because pregnancy is counted from the first day of the woman’s last period, not the date of conception which generally occurs two weeks later, followed by five to seven days before it settles in the uterus. It has been shown that only 1% of women in questionable cases of preterm labor delivered within the next week when the test was negative. A nurse is caring for a 65-year-old woman who has undergone a hernia operation. Approximately 13 million of the more than 130 million babies born annually worldwide are born preterm, a global incidence of nearly 10%. which of the following actions should the nurse take? Initiate continuous external fetal monitoring The nurse should identify that a client who has a placenta previa and is actively bleeding is at an increased risk for preterm labor and hemorrhage. Her first infant weighed 4422 g (9 lb 12 oz) at birth. The nurse should pan to prepare the client for which of the following. 8 mEq/L; and Client D, scheduled for an appendectomy who has a white blood cell count of 15,000 mm3. ) A nurse is caring for a client after thyroidectomy and notes that calcium gluconate is prescribed for the client. Jennie Smith is a 15-year-old female client who is a gravida 1, para 0 at 36 weeks gestation by both estimate date of birth and ultrasound. What would this test be considered? 1. I should cleanse my nipples with soap c. After providing the client with some suggestions for relief measures, the nurse determines that the client needs further instructions when she says: A. The client has accepted electroconvulsive therapy (ECT) as a treatment for resistant depression. A 36 weeks gestation pregnant woman is complaining of urinary urgency and frequency. The contribution of prior preterm birth to preterm birth in general. The nurse is caring for a client with a venous stasis ulcer. For communities and populations in which the prevalence of syphilis is high and for women at high risk for infection, serologic testing should also be performed twice during the third trimester: once at 28–32 weeks’ gestation and again at delivery. Babies who are small for their gestational age (or “small-for-dates”), particularly if their growth was poor in the last few weeks of pregnancy. ATI Maternal Newborn 2. The largest clot is 4 cm. A nurse is caring for a client who is at 36 weeks of gestation and has a positive contraction stress test. The client offers a nurse aide a twenty dollar bill as a thank you for all that the nurse aide has done. , which followed up 45 acromegalic patients, no improvement in glucose intolerance or DM prevalence was seen [37. The nurse caring for Amanda is called away from the bedside to admit a new client who has come in with complaints of painless vaginal bleeding at 29 weeks gestation. At 12 weeks’ gestation, the fundus should be felt at the level of the symphysis pubis. The nurse will recommend: A) Aspirin B) Advil C) Tylenol D) Motrin 2. which of the following actions should the nurse take? Initiate continuous external fetal monitoring The nurse should identify that a client who has a placenta previa and is actively bleeding is at an increased risk for preterm labor and hemorrhage. A patient at 36 weeks gestation is undergoing a nonstress (NST) test. Right upper quadrant of the abdomen d. Presence of a neural tube defect A. She has cardiac disease, class III, as a result of having had childhood rheumatic fever. "I should clean my nipples with soap. Fetal lung maturity C. The Psychiatric Technician will instruct the client in which of the following before the procedure? remain on bedrest until the procedure is completed. The nurse obtains a blood sample and initiates an IV. Check that the fetus was at least 28 weeks’ gestation. She has one living child, born at 36 weeks’ gestation and weighing 11 pounds. She has experienced no weight loss and has a fundal height larger than expected. performing all tasks before washing their hands. A gynecologist d. At some institutions, the fetal survival rate approaches 90 percent at 24 to 27 weeks of gestation and 98 percent at 28 to 31 weeks of gestation in patients in preterm labor who are treated with. A nonstress test may be done after 26 to 28 weeks of pregnancy. Inform the client photographs of injuries C. A primigravida at 36 weeks' gestation tells the nurse that she has moderate breast tenderness. Naegele’s rul, a primigravida client is at 26 weeks gestation. When the nurse palpates tetanic contractions. The client asks for pain medication. The baseline fetal heart rate (FHR) is 144 beats/minute. A nurse is preparing a prenatal client with a breech presentation for an external cephalic version (ECV). The nurse is performing an initial assessment of a newborn Caucasian male delivered at 32 weeks gestation. Fundal height should be measured from the symphysis pubis to the top of the uterus (McDonald's method). The client has accepted electroconvulsive therapy (ECT) as a treatment for resistant depression. Which response by the nurse is best? 1. The nurse has an order for silver sulfadiazine (Silvadene. The nurse is caring for a client who has been placed in Buck’s extension traction. nurse at an antepartum clinic is caring for a client who is at 4 months of gestation. The nonstress test should be repeated. 48, 53 Should the slope of cephalic growth be in excess of the 75th percentile, the original fetal BPD is assumed to have been large for gestation; in such a case, the gestational age assigned at the time of the. The most appropriate term for this is: a. Midway between the symphysis pubis and the umbilicus b. To prepare the client for this diagnostic test, the nurse should instruct the client to: a. During the 'h hour test, the nurse observed three periods of fetal heart accelerations that were 15 beats per minute above the baseline and that lasted 15 seconds each. Her 17-year-old boyfriend has been involved throughout the pregnancy. Dry the newborn-- cold stress on the newborn 2) A nurse is caring for a client who is at 36 weeks of gestation and has a positive contraction stress test. The nurse asks the client. Check that the fetus was at least 28 weeks’ gestation. Gender of the fetus B. has applied a small transparent dressing to cover the crack for the duration of this shift. A nurse who works at an OB/GYN office. A pregnant client is scheduled to have an ultrasound to determine the growth of the fetus. The contribution of prior preterm birth to preterm birth in general. The nurse is performing a measurement of fundal height in a client whose pregnancy has reached 36 weeks of gestation. The nurse should pan to prepare the client. Gravida 3 para 1 D. The uterus undergoes a rapid reduction in size and weight. Coordinated Care & Management of Care questions make up 19% of the questions on the NCLEX-PN and 20% on the NCLEX-RN. A primigravid client comes to the clinic for her initial prenatal visit. So it is easy to read. Midway between the symphysis pubis and the umbilicus b. Jennie Smith is a 15-year-old female client who is a gravida 1, para 0 at 36 weeks gestation by both estimate date of birth and ultrasound. No further testing will be done because the patient is Rh negative, instead of Rh positive. A 1994 study by the National Institutes of Health found that giving ZDV to an HIV-positive pregnant woman during her pregnancy and to her baby (within 8-12 hours of birth) decreased the risk of passing the infection on to the baby by 66%. 36 weeks *The pregnant women with her L. ANS: b Feedback a. A pregnant client, age 32, asks the nurse why her doctor has recommended a serum alpha fetoprotein. Small for gestational age infant d. 2) A nurse is caring for a client who is at 36 weeks of gestation and has a positive contraction stress test. The nurse understands that this client has a problem with: The nurse is caring for a patient with increased intracranial pressure (IICP). Question : The nurse is teaching a 17-year-old, sexually active female client about the importance of regular Papanicolaou (Pap) smears. A client at 16 weeks’ gestation undergoes an amniocentesis. The nurse should plan to prepare the client for which of the following diagnostic tests? ~biophysical profile ~amniocentesis ~cordocentesis ~Klelhauer-Betke test. A pregnant patient asks the nurse what she can take for recurring headaches. 5 every 2 weeks from 28 to 36 weeks of gestation. 8° C); heart rate, 140 beats/minute; and blood pressure, 88/42 mm Hg. A vaginal exam reveals that the client's cervix is 3 cm dilated, 80% effaced and -1 station. Splitting of S1 and S2 is more audible. A nurse in a newborn nursery receives a telephone call to prepare for the admission of a 43 weeks gestation newborn infant with Apgar scores of 1 and 4. The nurse should plan to prepare the client for which of …. This amniocentesis is being performed to obtain which information? A. 8 mEq/L; and Client D, scheduled for an appendectomy who has a white blood cell count of 15,000 mm3. The nurse should plan to prepare the client for which of the following diagnostic tests? 3) A nurse in a prenatal clinic is assessing a group of clients. 1%, the PPV would fall to 0. The most favorable for labor and birth, The client asks the nurse about the purpose of the placenta. Providing an overhead trapeze C. Thus, the PPV (the proportion of persons with positive test results who actually had cancer) would be 900/10,800, or 8. Antibody screen for Rh-negative mothers, at 28 weeks gestation. A client with gestational diabetes is undergoing a non-stress test (NST) at 34-weeks gestation. The nurse should instruct the client that:. She has determined that the fetal back is located toward the client's left. Which of the following actions should the nurse take first? 2) A nurse is caring for a client who is at 36 weeks of gestation and has a positive contraction stress test. Rebecca’s quadruple marker screen result is positive at 17 weeks’ gestation. The nurse prepares immediately to: Assess for hypovolemia and notify the health care provider; Begin hourly pad counts and reassure the client; Begin fundal massage and start oxygen by mask. At 36 weeks she will receive Rh immune globulin. She has experienced no weight loss and has a fundal height larger than expected. Thirty minutes after admission, the client reports feeling a sharp abdominal pain and a shoulder pain. A client who has preeclampsia and a creatinine level of 1. Verify that the direct Coombs test results are positive. Prevent cardiac irritability. In most states, midwives and nurse practitioners must practice under the supervision of a physician. Which of the following actions should the nurse take first? 2 A nurse is caring for a client who is at 36 weeks of gestation and has a positive contraction stress test. The test is typically termed "reactive" (also "reassuring") or "nonreactive" (also "nonreassuring"). A nurse is reviewing the record of a client who has just been told that a pregnancy test is positive. The nurse should teach the client that fasting is not required for a 1-hr. A nurse is caring for a client who is at 36 weeks of gestation and has a positive contraction stress test. the infant’s skin tastes salty. 1 mg/ dL; A client who has hyperemesis gravidarum and a sodium level of 110 mEq/L; A client who has placenta previa and a hematocrit of 36%; 24. Women may get a contraction stress test at 32 weeks or later. A nurse who works at an OB/GYN office is caring for a client who is 32 weeks pregnant during a prenatal visit. The nurse determines that the client has the best understanding of the dietary measures to follow if the client states an intention to increase the intake of: 1. A: A contraction stress test (CST) is basically a way of making sure your baby's healthy enough to withstand the stresses of labor and delivery, since contractions during labor reduce blood flow. Slightly elevating the head of the bed CORRECT ANSWER: C. A spontaneous abortion occurred at 8 weeks (A). A client is color blind. the infant’s skin tastes salty. From the 33rd week of gestation till full term, a healthy mother should have prenatal check up every: A. The direct Coombs test is irrelevant, and because the baby has died, the Coombs will likely not be. Babies who are small for their gestational age (or “small-for-dates”), particularly if their growth was poor in the last few weeks of pregnancy. Keep in mind that milk can come in anywhere from 36 to 72 hours after birth, and for some, it could take four to five days. Which of the following actions should the nurse take first? 2 A nurse is caring for a client who is at 36 weeks of gestation and has a positive contraction stress test. It occurs in 3 percent of pregnancies and is the cause of approximately one third of. The client says that she has had periodic headaches during her pregnancy, and that she is continually bumping into things. The nurse enters the room and observes the pt having a. When the nurse palpates tetanic contractions. She asks the nurse if the insulin will be harmful to her baby. The nurse should plan the client for which of the following next diagnostic test? Biophysical profile - a positive contraction stress test means more further evaluation of the fetus is necessary, and a biophysical profile will provide further. Which of the following actions should the nurse take first? Dry the newborn-- cold stress on the newborn 2) A nurse is caring for a client who is at 36 weeks of gestation and has a positive contraction stress test. See full list on mayoclinic. Type and cross-match her blood. The examination is separated into two parts: neuromuscular. Providing an overhead trapeze C. The number of times you need the test depends on your situation. The test is named "non-stress" because no stress is placed on the fetus during the test. Sweat-chloride test. Which nursing action should be avoided? 1. A nurse is reviewing the record of a client who has just been told that a pregnancy test is positive. Treat hypocalcemic tetany. 28) A 21-year-old woman is at 12 weeks gestation with her first baby. Her 17-year-old boyfriend has been involved throughout the pregnancy. Heart rate of 92 beats per minute. Assessment of newborns younger than 26 weeks’ gestation is best conducted within the first 12 hours (Gagliardi, Brambilla, Bruno, Martinelli, & Console, 1993). 1%, the PPV would fall to 0. In most states, midwives and nurse practitioners must practice under the supervision of a physician. How is an NST Performed? The test involves attaching one belt to the mother's abdomen to measure fetal heart rate and another belt to measure contractions. The bleeding started spontaneously in the morning and is not accompanied by contractions. An internal fetal heart rate monitor is in place. A pregnant woman was admitted for induction of labor at 43 weeks of gestation with sure dates. The nurse should plan to prepare the client for which of …. In the first trimester blood pressure usually remains the same as the prepregnancy level, but it gradually decreases up to about 20 weeks of gestation. She has also had one miscarriage, at 18 weeks, and an elective abortion. In those clients declining RhoGAM prophylaxis repeat antibody screen at 36 weeks. 98 The lack of similar data from higher-order gestations undergoing surveillance makes it difficult to determine accurate sensitivity, specificity, and negative and positive predictive values in the detection of higher-order gestation fetal. Assess her complete blood count. The most favorable for labor and birth, The client asks the nurse about the purpose of the placenta. Jayne Kennedy, a 35-year-old, gravida 2, para 2, is admitted to the emergency department with heavy vaginal bleeding. ) A nurse is caring for a client after thyroidectomy and notes that calcium gluconate is prescribed for the client. The client reports continued nausea and comiting and scant, prune-colored discharge. The nurse can expect to find the presence of: Mongolian spots. A nurse on a labor and delivery unit is providing teaching to a client who plans to use hypnosis to control labor pain. Require prenatal visits every four weeks until 28 weeks gestation, every two weeks from 28 to 36 weeks gestation and weekly from 36 weeks until delivery. I will be sure to take a rest period every afternoon. Scrotal rugae. Thus, the intervention is to stretch the muscle by dosiflexing the foot of the affected leg towards the knee. The nurse understands that this type of pelvis is: 1. 7 mg/dl; Client C, newly admitted with a potassium level of 3. the client again complains of severe pain. How would the nurse accurately document this information? A. An internal fetal heart rate monitor is in place. It occurs in 3 percent of pregnancies and is the cause of approximately one third of. On admission the client’s B/P is 160/90 mm Hg and urine output is 25mL/hr. The nurse should pan to prepare the client for which of the following. A nurse who works at an OB/GYN office is caring for a client who is 32 weeks pregnant during a prenatal visit. " This client has the highest risk for hypovolemic and septic shock since the appendix has most likely ruptured as based on the history of the pain suddenly stopping over three hours ago. nurse at an antepartum clinic is caring for a client who is at 4 months of gestation. Her first infant weighed 4422 g (9 lb 12 oz) at birth. The nurse notes that the client has cool, clammy skin and is restless and excessively thirsty. The focus is on collaborating with all member of the health care team in order to facilitate effective client care. The nurse’s next action should be to. 8° C); heart rate, 140 beats/minute; and blood pressure, 88/42 mm Hg. In the first trimester blood pressure usually remains the same as the prepregnancy level, but it gradually decreases up to about 20 weeks of gestation. The laboring woman has just given birth to a 2700 gram infant at 36 weeks gestation. The patient has a history of preterm labor at 32 weeks’ gestation5. Leg cramps is caused by the contraction of the gastrocnimeus (leg muscle). A non-stress test (NST) in the obstetrician's office revealed a nonreactive tracing. Hemoglobin = 12. The results indicated a trace amount of glucose. This medicine is turmeric, made from the root Curcuma longa, a member of the ginger family. understanding of this procedure if she makes which of the following statements to the nurse? 1. A nurse is caring for an adolescent client who is gravida 1 and para 0. Which of the following actions should the nurse take at the time? (Select all that apply). During the measurement the client begins to feel lightheaded. The usual treatment is oxytocin augmentation, unless cephalopelvic disproportion exists. Oral care to alleviate thirst is OK 3. 4 weeks Answer: (A) week. The nurse should plan to prepare the client for which of the following diagnostic tests? ~biophysical profile ~amniocentesis ~cordocentesis ~Klelhauer-Betke test. A nurse is caring for a client who is 36 weeks pregnant for the first time who has shown up to the hospital. The nurse advices the patient to do the following measures to prevent urinary. If the result is positive you will be encouraged to start antiretroviral treatment as soon as possible. The nurse should teach the client that a blood glucose level of 130 to 140 mg/dL is considered a positive screening. Which of the following findings should the nurse identify as inconsistent with preeclampsia? A) 1+ pitting sacral edema. This can be either a family nurse practitioner (FNP) or a women’s health nurse practitioner. What intervention should. Her antenatal testing demonstrates three contractions in 10 minutes, no decelerations, and accelerations four times in 1 hour. The client's vital signs are stable, and her lochia is bright red, heavy and contains various clots. Search the history of over 446 billion web pages on the Internet. A newly admitted client at 32 weeks’ gestation is experiencing a sudden onset of intense nausea and a frontal headache for the past 2 days. The most appropriate term for this is: a. A patient at 36 weeks gestation is undergoing a nonstress (NST) test. The nurse should prepare the mother for what standard diagnostic test to screen for cystic fibrosis (CF)? A. A social worker 7. Sweat-chloride test. 1 Focus on and repeat a rhythmic chant. 18) A nurse performs an assessment on a client who is 4 hours PP. • Every four weeks until 28 weeks of pregnancy • Every two weeks between 28 and 36 weeks of pregnancy • Every week from 36 weeks until delivery • Follow-up visit after six weeks • You may need to be seen more frequently for certain conditions during pregnancy Visit routine • Complete physical exam, including medical and. Positive contraction stress test. The client is not in distress and she states that she can "feel the. A positive test indicates an increased risk of preterm birth, and a negative test has a high predictive value. C) Blood pressure 148/98 mm Hg. Inform the client photographs of injuries C. Question : The nurse is teaching a 17-year-old, sexually active female client about the importance of regular Papanicolaou (Pap) smears. The ACOG (American Congress of Obstetricians and Gynecologists) has recently made many recommendations to doctors and has warned against induction before 39 weeks gestation (a normal pregnancy is about 40 weeks long) unless medically necessary because of the risk for the fetus. The unborn baby spends around 37 weeks in the uterus (womb), but the average length of pregnancy, or gestation, is calculated as 40 weeks. A POCT may also be considered for the infant of a woman who refuses testing antenatally. A 50 year-old male client has a history of many hospitalizations for schizophrenic disorder. The nurse is performing a measurement of fundal height in a client whose pregnancy has reached 36 weeks of gestation. A nurse is caring for a pt who is at 26 weeks of gestation and has epilepsy. The nonstress test should be repeated. The nurse knows that the overuse of vancomycin (Vancocin) has been reported as a risk factor for patients developing VRE. The nurse determines this sign indicates: A softening of the cervix; A soft blowing sound that corresponds to the maternal pulse during auscultation of the uterus. To minimize the effects of the disorder, the nurse teaches the client about foods that are high in thiamine. The only way to know whether you are HIV-positive is to get tested. A nurse is caring for a client who is at 36 weeks of gestation and has a positive contraction stress test. The baby weighed 7 pounds 14 ounces. As well as being a good predictor of nonstress test results, the AAT may actually be a more sensitive screening tool than the NST. is working her fourth consecutive shift at the hospital, and frequent handwashing over the past 3 days has dried her skin and resulted in a crack in the skin over one of her knuckles. 36 Weeks Pregnant: Ask Your Doctor. A first-time mother at 18 weeks of gestation is in for her regularly scheduled prenatal visit. I should wear a supportive bra at all times b. A nurse is caring for a pt. Question : The nurse is teaching a 17-year-old, sexually active female client about the importance of regular Papanicolaou (Pap) smears. 4 Order the client a full meal with extra liquids. The examination is separated into two parts: neuromuscular. Taking of blood sample. 4 weeks Answer: (A) week. A Discuss self-defense techniques with the client. She has a history of C-section and complains of severe abdominal pain that started less than 1 hour earlier. 1 lb) during the first week and 340 g (12 oz) by 2 weeks postpartum. The nurse should plan to prepare the client for which of the following diagnostic tests? **Biophysical profile** - A positive contraction stress test indicates that further evaluation of the fetus is necessary (baby’s heart slowed or showed abnormality during contraction). Insert an internal fetal monitor electrode. Assess her complete blood count. The nurse notes that the client has cool, clammy skin and is restless and excessively thirsty. No further testing will be done because the patient is Rh negative, instead of Rh positive. After providing the client with some suggestions for relief measures, the nurse determines that the client needs further instructions when she says: A. Gravida 4 para 2 B. Keep in mind that your baby still has a few weeks to change positions independently, but your healthcare provider will be keeping an eye on your little guy's position before labor just to be safe. What should the nurse recommend? Select all that apply. About 15 million were born before 37 weeks of gestation, while between 3 and 12 percent were born after 42 weeks. For which of the following diagnostic tests should the nurse prepare the client? B) Amnioinfusion C)Chorionic villus sampling D) Percutaneous umbilical cord sampling. In the first trimester, the crown-rump length is the most accurate measure of gestation. "I should wear a supportive bra at all times. It has been shown that only 1% of women in questionable cases of preterm labor delivered within the next week when the test was negative. Table 5-3 describes procedures used in pregnancy termination. Which of the following actions should the nurse take first? 2 A nurse is caring for a client who is at 36 weeks of gestation and has a positive contraction stress test. The physician has ordered a nonstress test (NST) to be done on a 41-week-gestation client. Which of the following actions should the nurse take first? Dry the newborn-- cold stress on the newborn 2) A nurse is caring for a client who is at 36 weeks of gestation and has a positive contraction stress test. The work has been replicated in the U. void before the procedure c. The baby weighed 7 pounds 14 ounces. What condition must be met prior to this procedure? The fetus must be more than 36 weeks gestation, with a reactive nonstress test, and not engaged in the pelvis. A client with gestational diabetes is undergoing a non-stress test (NST) at 34-weeks gestation. During the measurement the client begins to feel lightheaded. A nurse is reviewing the fetal monitoring strip of a 27 year old client at 37 weeks gestation. Controversy exists about the timing of this assessment. As the accrediting body and national authority for the Baby-Friendly Hospital Initiative (BFHI) in the United States, Baby-Friendly USA (BFUSA) is responsible for coordinating and conducting all activities necessary to confer the prestigious Baby-Friendly® designation and ensure the widespread adoption of the BFHI in the US. Rios is admitted to the labor and delivery area with a dx. A nonstress test is a noninvasive test that doesn't pose any physical risks to you or your baby. The nurse caring for Amanda is called away from the bedside to admit a new client who has come in with complaints of painless vaginal bleeding at 29 weeks gestation. The nurse has an order for silver sulfadiazine (Silvadene. On artificial rupture of membranes, thick, meconium-stained fluid was noted. Positive contraction stress test. 8 march 2013 d. " This client has the highest risk for hypovolemic and septic shock since the appendix has most likely ruptured as based on the history of the pain suddenly stopping over three hours ago. Note that 1,3, and 4 are similar choices. Fatigue and dyspnea. The client's contractions are moderate and occurring every 2 to 3 minutes, with a duration of 60 seconds. The nurse determines this sign indicates: The presence of fetal movement; A soft blowing sound that corresponds to the maternal pulse during auscultation of the uterus. In the developed world most deliveries occur in hospitals, [11] [12] while in the developing world most births take place at home with the support of a traditional birth attendant. Fundal height should be measured from the symphysis pubis to the top of the uterus (McDonald's method). Insert an internal fetal monitor electrode. Women may get a contraction stress test at 32 weeks or later. is (1) July 2012 the expected date of delivery is a. During the measurement the client begins to feel lightheaded. The patient was exposed to rubella at 36 weeks’ gestation d. Midway between the symphysis pubis and the umbilicus b. It occurs in 3 percent of pregnancies and is the cause of approximately one third of. The physician has documented the presence of a Goodell’s sign. Preterm premature rupture of membranes is the rupture of membranes during pregnancy before 37 weeks' gestation. A nurse is reviewing the record of a client who has just been told that a pregnancy test is positive. The examination is separated into two parts: neuromuscular. A nurse is caring for a primigravida client. the infant’s skin tastes salty. The nurse should teach the client that fasting is not required for a 1-hr. The Psychiatric Technician will instruct the client in which of the following before the procedure? remain on bedrest until the procedure is completed. The direct Coombs test is irrelevant, and because the baby has died, the Coombs will likely not be. Gravida 4 para 2 B. Thus, the PPV (the proportion of persons with positive test results who actually had cancer) would be 900/10,800, or 8. A vaginal exam reveals that the client's cervix is 3 cm dilated, 80% effaced and -1 station. are required for a police report B. The client at 38 weeks' gestation is admitted to the birthing center in early labor. Fetal lung maturity C. A client who has preeclampsia and a creatinine level of 1. On Thursday, the “complicated” clinic day for the doctor, we see no new patients but see a revisit patient every half hour from 8 to 10: 30 am. A client with gestational diabetes is undergoing a non-stress test (NST) at 34-weeks gestation. She reports she has been very sick and uncomfortable and would like to be induced. She also receives sulfamethoxazole-trimethoprim every 12 hours to treat a urinary tract infection, and an iron supplement for anemia. Each licensed physician and in the absence of a licensed physician each licensed graduate nurse who attends a pregnant woman for conditions relating to the pregnancy during the period of gestation or at delivery shall take, or have taken, a sample of the blood of the woman at the time of the woman’s first professional visit or. The patient will be checked for clotting problems. Chapter 14: Nursing Management During Labor and Birth 🎓questionThe student nurse is preparing to assess the fetal heart rate (FHR). After providing the client with some suggestions for relief measures, the nurse determines that the client needs further instructions when she says: A. The client asks for pain medication. In the multiple stepwise regression analysis risk factors for PROM were age at delivery >= 35 years, primiparity, premature contractions, PROM in a previous pregnancy and bleeding in the first trimester. Her 17-year-old boyfriend has been involved throughout the pregnancy. Unless you have pain with urination, we dont need to worry about it. Make sure that the client is at least 3 days postdelivery. Coordinated Care & Management of Care questions make up 19% of the questions on the NCLEX-PN and 20% on the NCLEX-RN. remain NPO for 8 hours before the test. This is because pregnancy is counted from the first day of the woman’s last period, not the date of conception which generally occurs two weeks later, followed by five to seven days before it settles in the uterus. A nurse who works at an OB/GYN office is caring for a client who is 32 weeks pregnant during a prenatal visit. 1 mg/ dL; A client who has hyperemesis gravidarum and a sodium level of 110 mEq/L; A client who has placenta previa and a hematocrit of 36%; 24. A woman’s obstetric history indicates that she is pregnant for the fourth time and all of her children from previous pregnancies are living. The nurse should plan the client for which of the following next diagnostic test? Biophysical profile - a positive contraction stress test means more further evaluation of the fetus is necessary, and a biophysical profile will provide further evaluation of real time ultrasound. If the result is positive you will be encouraged to start antiretroviral treatment as soon as possible. A nurse is caring for a client who is at 36 weeks of gestation and has a positive contraction stress test. Which nursing action should be avoided? 1. A pregnant woman was admitted for induction of labor at 43 weeks of gestation with sure dates. A nurse is reviewing the record of a client who has just been told that a pregnancy test is positive. The BMS is most accurate if performed between 10 and 36 hours of age. A primigravid client comes to the clinic for her initial prenatal visit. Jennie Smith is a 15-year-old female client who is a gravida 1, para 0 at 36 weeks gestation by both estimate date of birth and ultrasound. A nurse is caring for a client who has been prescribed magnesium sulfate for pregnancy induced hypertension. " This client has the highest risk for hypovolemic and septic shock since the appendix has most likely ruptured as based on the history of the pain suddenly stopping over three hours ago. The nurse is caring for a client with a venous stasis ulcer. Her 17-year-old boyfriend has been involved throughout the pregnancy. The client offers a nurse aide a twenty dollar bill as a thank you for all that the nurse aide has done. the client again complains of severe pain. Thirty minutes after admission, the client reports feeling a sharp abdominal pain and a shoulder pain. Naegele’s rul, a primigravida client is at 26 weeks gestation. 1) A nurse is caring for a client who is at 41 weeks gestation and has a positive contraction stress test. It decreases to 500 g (1. Women may get a contraction stress test at 32 weeks or later. The nurse caring for Amanda is called away from the bedside to admit a new client who has come in with complaints of painless vaginal bleeding at 29 weeks gestation. She has two living children (L). At 28 weeks she should receive the Rh immune globulin. The nurse can expect to find the presence of: Mongolian spots. A preterm infant is an infant with gestational age of fewer than 36 completed weeks. The nurse determines that this medication has been prescribed to: 1. He has been on long-term phenothiazines (Thorazine), 400 mg/day. The number of times you need the test depends on your situation. A woman’s obstetric history indicates that she is pregnant for the fourth time and all of her children from previous pregnancies are living. The client asks for pain medication. chapter 14: intrapartum fetal surveillance multiple choice the nurse sees pattern on the fetal monitor that looks similar to early decelerations, but the. I will be sure to take a rest period every afternoon. A client who has preeclampsia and a creatinine level of 1. The nurse should plan to prepare the client for which of the following diagnostic tests? Biophysical profile. The first test is a one hour test. The contribution of prior preterm birth to preterm birth in general. Search the history of over 446 billion web pages on the Internet. Which of the following findings should the nurse identify as inconsistent with preeclampsia? A) 1+ pitting sacral edema. Keep in mind that your baby still has a few weeks to change positions independently, but your healthcare provider will be keeping an eye on your little guy's position before labor just to be safe. I should cleanse my nipples with soap c. The client is a 36-year old woman, Gravida 6 Para 6, who delivered a baby girl at 38 weeks gestation after 8 hours of labor. A nurse in a prenatal clinic is caring for a client who is at 38 weeks of gestation and reports heavy, red vaginal bleeding. As the accrediting body and national authority for the Baby-Friendly Hospital Initiative (BFHI) in the United States, Baby-Friendly USA (BFUSA) is responsible for coordinating and conducting all activities necessary to confer the prestigious Baby-Friendly® designation and ensure the widespread adoption of the BFHI in the US. A patient at 36 weeks gestation is undergoing a nonstress (NST) test. Antibody screen for Rh-negative mothers, at 28 weeks gestation. In a recent study by Coloa et al. Table 5-3 describes procedures used in pregnancy termination. Preterm babies born more than 3 weeks before they are due (36 weeks gestation or less). she states that the pain is better and then passes out. She reports she has been very sick and uncomfortable and would like to be induced. After explaining the purpose of the test, the nurse determines that the client understands the instruction when she states that the test is done to detect which problem?. Question : The nurse is teaching a 17-year-old, sexually active female client about the importance of regular Papanicolaou (Pap) smears. The nurse should instruct the client that:. Term birth c. These symptoms usually mean the babys head has descended further. A nurse is caring for a pt who is at 26 weeks of gestation and has epilepsy. Choose from 500 different sets of quiz 1 ati maternal flashcards on Quizlet Ati maternal newborn practice test a quizlet. , which followed up 45 acromegalic patients, no improvement in glucose intolerance or DM prevalence was seen [37. Between 14 and 20 weeks of gestation, the pulse increases about 10 to 15 beats/min, which persists to term. A patient at 36 weeks gestation is undergoing a nonstress (NST) test. She has experienced no weight loss and has a fundal height larger than expected. 1 lb) during the first week and 340 g (12 oz) by 2 weeks postpartum. A client at 39 weeks' gestation calls the clinic nurse with complaints of pelvic pressure, increased urinary frequency, and vaginal secretions. The ACOG (American Congress of Obstetricians and Gynecologists) has recently made many recommendations to doctors and has warned against induction before 39 weeks gestation (a normal pregnancy is about 40 weeks long) unless medically necessary because of the risk for the fetus. After providing the client with some suggestions for relief measures, the nurse determines that the client needs further instructions when she says: A. The nurse’s next action should be to. Providing an overhead trapeze C. The nurse should plan to prepare the client for which of the following diagnostic tests? **Biophysical profile** - A positive contraction stress test indicates that further evaluation of the fetus is necessary (baby’s heart slowed or showed abnormality during contraction). A nurse on a labor and delivery unit is providing teaching to a client who plans to use hypnosis to control labor pain. Again this slide is too much information. 1 lb) during the first week and 340 g (12 oz) by 2 weeks postpartum. A reactive test. The nurse should instruct the client that:. The nurse prepares immediately to: Assess for hypovolemia and notify the health care provider; Begin hourly pad counts and reassure the client; Begin fundal massage and start oxygen by mask. A nurse is caring for a client who is at 36 weeks gestation and has a positive contraction stress test. push call light for help D. A nonstress test is a noninvasive test that doesn't pose any physical risks to you or your baby. The nurse should explain that the doctor has recommended the test: A. A pregnant patient asks the nurse what she can take for recurring headaches. Heart rate of 92 beats per minute. void before the procedure c. A vaginal exam reveals that the client's cervix is 3 cm dilated, 80% effaced and -1 station. 4 weeks Answer: (A) week. In those clients declining RhoGAM prophylaxis repeat antibody screen at 36 weeks. A nurse in a prenatal clinic is caring for a client who is at 38 weeks of gestation and reports heavy, red vaginal bleeding. "I should clean my nipples with soap. A nurse is caring for an adolescent client who is gravida 1 and para 0. Which of the following actions should the nurse take first? 2 A nurse is caring for a client who is at 36 weeks of gestation and has a positive contraction stress test. One was born at 39 weeks of gestation, twins were born at 34 weeks of gestation, and another child was born at 35 weeks of gestation. Women may get a contraction stress test at 32 weeks or later. * Group B test done at 36 weeks gestation. A nurse in a newborn nursery receives a telephone call to prepare for the admission of a 43 weeks gestation newborn infant with Apgar scores of 1 and 4. A first-time mother at 18 weeks of gestation is in for her regularly scheduled prenatal visit. The nurse is performing a measurement of fundal height in a client whose pregnancy has reached 36 weeks of gestation. A nurse sees two new patients and three to four revisit patients each morning. This can happen for a number of reasons, including gestational diabetes. A nurse is caring for a client who is at 36 weeks gestation and has a positive contraction stress test. Which of the following physician orders should the nurse question? a. Certain nonstress test results might indicate that you and your baby need further monitoring, testing or special care. A nurse is caring for a pt who is at 26 weeks of gestation and has epilepsy. Antibody screen for Rh-negative mothers, at 28 weeks gestation. A nurse on a labor and delivery unit is providing teaching to a client who plans to use hypnosis to control labor pain. A social worker 7. Scrotal rugae. A nurse is reviewing the record of a client who has just been told that a pregnancy test is positive. 6 28-36 weeks of gestation:. " This client has the highest risk for hypovolemic and septic shock since the appendix has most likely ruptured as based on the history of the pain suddenly stopping over three hours ago. The nurse observes the fetal heart rate baseline at 135 beats per minute (bpm) and four nonepisodic patterns of the fetal heart rate reaching 160 bpm for periods of 20 to 25 seconds each. A reactive test. Table 5-3 describes procedures used in pregnancy termination. Naegele’s rul, a primigravida client is at 26 weeks gestation. Her first infant weighed 4422 g (9 lb 12 oz) at birth. A nurse is caring for a client at 40 weeks of gestation who is experiencing contraction every 3 to 5 min and becoming stronger. Coordinated Care & Management of Care questions make up 19% of the questions on the NCLEX-PN and 20% on the NCLEX-RN. A nurse is caring for a pt. A non-reactive test. A first-time mother at 18 weeks of gestation is in for her regularly scheduled prenatal visit. The client is a 36-year old woman, Gravida 6 Para 6, who delivered a baby girl at 38 weeks gestation after 8 hours of labor. In hematologic studies or in transfusion cross-matching procedures when antiglobulin tests are performed on the minor side or in Coombs test of newborns whose mothers received cefazolin before delivery, clinicians should keep in mind that a positive Coombs test may be due to the drug. Small for gestational age infant d. * * * * Group B test done at 36 weeks gestation. The results indicated a trace amount of glucose. Which finding indicates a genetic risk factor? a. The nurse enters the room and observes the pt having a. A nurse is reviewing the record of a client who has just been told that a pregnancy test is positive. The client is not in distress and she states that she can "feel the. Positive contraction stress test. In assessing a client at 34-weeks’ gestation, the nurse notes that she has a slightly elevated total T4 with a slightly enlarged thyroid, a hematocrit of 28%, a heart rate of 92 beats per minute, and a systolic murmur. How would the nurse accurately document this information? A. Question: The nurse is caring for four clients: Client A, who has emphysema and whose oxygen saturation is 94%; Client B, with a postoperative hemoglobin of 8. B) 3+ protein in the urine. Chromosomal. The client indicates an. 1 lb) during the first week and 340 g (12 oz) by 2 weeks postpartum. A first-time mother at 18 weeks of gestation is in for her regularly scheduled prenatal visit. The nurse should monitor the hemoglobin level on the client's first visit, at 24 to 28 weeks' gestation, and at 36 weeks' gestation. The nurse should plan to prepare the client for which of the following diagnostic tests? **Biophysical profile** - A positive contraction stress test indicates that further evaluation of the fetus is necessary (baby’s heart slowed or showed abnormality during contraction). The nurse should plan to prepare the client for which of the following diagnostic tests? 3) A nurse in a prenatal clinic is assessing a group of clients. In the first trimester blood pressure usually remains the same as the prepregnancy level, but it gradually decreases up to about 20 weeks of gestation. The results indicated a trace amount of glucose. A client is in the 8th month of pregnancy. Note that 1,3, and 4 are similar choices. The nurse receives a clinic delivery list daily and visits hospitalized patients in the afternoon. The uterus weighs approximately 1000 g (2. Will I be tested for group B streptococcus (GBS), and what happens if the result is positive?. A nurse is caring for a client who is 36 weeks pregnant for the first time who has shown up to the hospital. Again this slide is too much information. A patient at 36 weeks gestation is undergoing a nonstress (NST) test. Which response by the nurse is best? 1. The nurse determines that the client has the best understanding of the dietary measures to follow if the client states an intention to increase the intake of: 1. The nurse should teach the client that a blood glucose level of 130 to 140 mg/dL is considered a positive screening. Before that, the test may not be safe. A nurse is caring for a client with cirrhosis of the liver. At 20 weeks of gestation, identify the location where the nurse anticipates the uterine fundus. is (1) July 2012 the expected date of delivery is a. Which of the following routine tests does the nurse expect that the client will receive during her 3rd trimester? Select all that apply. Small for gestational age infant d. A nurse in the birthing unit is caring for a client following an amniotomy. B) 3+ protein in the urine. 8 mEq/L; and Client D, scheduled for an appendectomy who has a white blood cell count of 15,000 mm3. who is at 36 weeks of gestation and has a positive contraction stress test. The client reports continued nausea and comiting and scant, prune-colored discharge. chapter 14: intrapartum fetal surveillance multiple choice the nurse sees pattern on the fetal monitor that looks similar to early decelerations, but the. Any woman who has a fetal death after 20 weeks’ gestation should be tested for syphilis. The nurse should plan to prepare the client for which of the following diagnostic tests? 3) A nurse in a prenatal clinic is assessing a group of clients. A nurse on a labor and delivery unit is providing teaching to a client who plans to use hypnosis to control labor pain. The nurse should plan to prepare the client for which of the following diagnostic tests? Biophysical profile. bloodstresscan 😊untreated. ANS: a Feedback a. * Group B test done at 36 weeks gestation. The nurse gathers data about her obstetric history, which includes 3 year-old twins at home and amiscarriage 10 years ago at 12 weeks gestation. She began prenatal care at 10 weeks gestation and has had an uneventful pregnancy except for mild pedal edema that developed 1 week ago. who is at 36 weeks of gestation and has a positive contraction stress test. A client with gestational diabetes is undergoing a non-stress test (NST) at 34-weeks gestation. The nurse enters the room and observes the pt having a. The patient will either be positive or negative. To obtain a GASA, the clinician must order two cephalic measurements, the first at 18 to 26 weeks and the second at 31 to 33 weeks. 4 weeks Answer: (A) week. An internal fetal heart rate monitor is in place. She has determined that the fetal back is located toward the client's left. A nurse is caring for a primigravida client. The results indicated a trace amount of glucose. The nurse will recommend: A) Aspirin B) Advil C) Tylenol D) Motrin 2. The client is a 36-year old woman, Gravida 6 Para 6, who delivered a baby girl at 38 weeks gestation after 8 hours of labor. A nurse in a prenatal clinic is caring for a client who is at 38 weeks of gestation and reports heavy, red vaginal bleeding. Gravida 4 para 2 B. ANS: a Feedback a. Too much information. At some institutions, the fetal survival rate approaches 90 percent at 24 to 27 weeks of gestation and 98 percent at 28 to 31 weeks of gestation in patients in preterm labor who are treated with. Each patient will have a glucose challenge done at 28 weeks gestation. Which of the following actions should the nurse take first? Dry the newborn-- cold stress on the newborn 2) A nurse is caring for a client who is at 36 weeks of gestation and has a positive contraction stress test.