Patient was oriented x4. Common clinical manifestations associated with UTI in the postpartum client include? YOGA is freedom and release, is the union between body, mind, and spirit. A client who has undergone a vacuum assisted birth asks the nurse how long the swelling on the infant's head will remain. You recognize that the most important component of her treatment will be which of the following? A primiparous client has been discharged from the hospital after delivering a 5 pound baby girl. Postpartum hemorrhage, nonreassuring fetal status, uterine hyperstimulation. Postpartum fever is cause for concern infection, illness, epidural fever, Normal Our https://evolve.elsevier.com/education/simulations/shadow-health/ Category: Health Show Health What to expect during the post partum period. The HCP has performed an amniotomy on a client in labor. In the recovery room following a c section birth, your responsibilities include which of the following? The nurse supsects subinvolution. The PP Adequate amniotic fluid, singleton gestation, gestational age of 36-37 weeks. o No contraindication with breastfeeding, o Rh immune globulin (RhoGAM) should be given within 72 hours for Rh-negative women who deliver an Rh-positive infant It allows for an easy and focused way to set expectations for what will Cookies are used by this site. Your Results Turn In (/assignm Lab Pass (/assignment_ Overview Transcript Subjective Data Collection Objective Data Collection Education & Empathy Documentation Status Report Care Plan Nursing Diagnosis Support Blood components You anticipate what order? Rewrite each of the following sentences, adding or replacing dashes, parentheses, and brackets as needed. o Ease of "stuffy nose" Which of the following feelings is shown in a client experiencing PP blues? pain scale. 6411 Comments Please sign inor registerto post comments. What areas of teaching on self care and anticipatory guidance should the nurse discuss with the client? During her pregnancy, Ms. Hernandez gained 40 pounds. o Hyperpigmentation of areolae and linea nigra may not regress completely after childbirth Lacerations of hematomas (especially since she had an instrument assisted birth). At my last check, Ms. Hernandez was feeling <much better= and wanted to r She reported cramping in her lower abdominal area, at a 4/10 on pain scale. As long as some of my nipple is in the baby's mouth, the baby will receive enough breast milk. 5. shadow health preeclampsia.docx. Shadow Health Gloria Hernandez Reflection Journal.docx. o Siblings 34. At 0900 hours, Ms. Hernandez gave birth to a healthy baby girl, via uncomplicated vaginal delivery. No intercourse for 6 weeks The mother has a temp of 100.9 what condition in a PP mother may cause a fever not caused by infection? Lab data, perineum, breasts and nipples- remember BUBBLEHE (except the "E" which is emotional). What is the total moment of inertia of the two disks shown in the figure? Food with a low sodium content Food with a high zinc content Six to eight glasses of water per day Food with a low fiber content Four to five cups of coffee per day, Which is a . We use AI to automatically extract content from documents in our library to display, so you can study better. Postpartum depression occurs in approximately 19% of postpartum clients. You recognize an important component of your assessment at this time is to do what? Patient was oriented x4. If you are using Safari and have issues with audio in your assignment, please click here for assistance. While making a home visit to a primiparous client and her 4 day old daughter, the nurse observes the mother changing the infant's diaper. To palpate the fundus (due to early PP hemorrhage occurring within the first 24 hours). Shadow Health - Gloria Hernandez - Postpartum 7 terms vonTwitchy SOCI 1002 120 terms vonTwitchy Verified questions english Rewrite each of the following sentences, adding or replacing dashes, parentheses, and brackets as needed. - Denies abnormal bleeding. The nurse is caring for a woman following a csection delivery with a low transverse incision. During her initial follow up check she tells you that she has been crying at times during the day and has no appetite. The fetal scalp is visible between contractions. Which interventions by the nurse are indicated when caring for this client during and immediately following the procedure? You are completing a PP home visit on Susan who delivered 4 days ago. A mother who is bottle feeding her newborn asks to be discharged 24 hours post delivery because she has a 3 year old at home. 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Retained placental fragments, multiple gestation, prolonged labor, previous history of PP hemorrhage, operative vaginal delivery with forceps or vacuum, precipitous labor, uterine overdistention due to multiple gestation or polyhydramnios, cesarean birth, general anesthesia, and chorioamnioitis. o Bowel evacuation You are preparing Mrs. Johnson's room for her PP recovery. Nursing; o Episiotomies heal within 2 to 3 weeks A student nurse is shadowing a home health nurse for the day. Infant Status. What is the correct response? The nurse anticipates which of the following methods of pain control for immediate postop c/s client? What is your initial action? She states that she has changed her peri-pad four times in the past hour. If engorged, needs to feed more frequently) A laboring client at term is experiencing a prolonged second stage of labor. If pt had epidural, may not feel the need to void SHADOW HEALTH Focused Exam, Long Bone Fracture: Patient: L. - $25.45 Add to Cart. She has been pushing for over 4 hours. Applying warm compresses to breasts prior to nursing. The patient noted experiencing abdominal pain that was self-rated as a 2 or 3 out of 10. After checking the oximeter readings, how should the nurse follow up this assessment, A nurse is assessing a newborn immediately following a vaginal birth. If you administered the ripening agents Cervidil and Prepidil, which of the following could you expect to be associated with the drug? Fundal position (uterine involution is assessed by locating uterine fundal position). Reviewing infant history, making a previsit phone call, notifying the family if running late, reviewing maternal history. Which would the nurse include in the client's diet? Which of the following strategies can the nurse use to promote ambulation in the c/s client? Which of the following conditions are indications for labor? o 300 mcg IM X 1 dose A student nurse is shadowing a home health care nurse who is making PP visits. During handoff, the night nurse indicates that both mom and baby did well over night, feeding was going well, however the last feed wasn't as successful as previous feeds. present. Edema is present in the righ GLoria Hernandez Postpartum CP.pdf. The "mask of pregnancy" The nurse knows that the client understands implications for future pregnancies that are secondary to her classical uterine incision when the client makes which statement? A new mother asks the nurse about starting PP exercises. experienced a postpartum hemorrhage 4 hours prior. Which signs of thrombophlebitis must the nurse educate the client to assess? Postpartum period is interval between birth and return of reproductive organs to their nonpregnant state, Nurse provides care that focuses on transition to parenting, o Involution: return of uterus to nonpregnant state following birth, failure of uterus to return to nonpregnant state, Blood and decidual and trophoblastic debris, Old blood, serum, leukocytes, and debris, Leukocytes, decidua, epithelial cells, mucus, serum, and bacteria, o Saturation of a perineal / sanitary pad within 15 minutes or less, o Cervical os, dilated to 10 cm during labor, closes gradually, o Vagina gradually returns to prepregnancy size by 6 to 10 weeks after childbirth Less likely to rupture with subsequent pregnancies, involves less blood loss, less likely to cause bowel adhesions, easier to repair surgically. Massaging the fundus until firm, administration of uterine stimulants (oxytocin/methergine), monitoring for signs of hypovolemia, administration of blood products if necessary. At my last Focused , https://browsegrades.net/singlePaper/194174/focused-exam-postpartum-care-completed-shadow-health-patient-gloria-hernandez-care-plan-n, Health (4 days ago) WebBIOLOGY NUR2221Focused Exam_ Postpartum Care _ Completed _ Shadow Health - Patient-Gloria Hernandez - Care Plan - N, https://docmerit.com/doc/show/biology-nur2221focused-exam-postpartum-care-completed-shadow-health-patient-gloria-hernandez-care-plan-n, Health (6 days ago) WebClaudia Hernandez - YOGA - PHOTO, Summit, New Jersey. Students rated as "proficient" demonstrate entry-level expertise in nursing competencies and clinical reasoning skills. You are receiving report on Mrs. Hernandez, a PP client. Previous excess blood volume of pregnancy protects mothers from post-delivery shock How many days PP should she expect the home care nurse to visit. (6 days ago) Gloria Hernandez is a 28-year-old Mexican-American postpartum patient who gave birth to a baby girl. When performing an assessment. Monitor for uterine contractions, observe for excessive fetal movement. Symptoms include fever, chills, malaise, and localized breast tenderness. You receive a referral for a PP client named Michelle. A third attempt at vacuum (try vacuum three times, if failed all three then c section). Gloria Hernandez is a 28-year-old Mexican American woman wh still needs support when standing. 9 likes. U: uterus Having a regular exercise regimen, eating a diet that is low in fats, carbohydrates, and alcohols, and not smoking can help this medication do its job. She finds frequent hiccups, loose watery stool in diaper, red rash on face, and dry peeling skin. If mom is Rh-, do not have Rh factor -oxytocin dosage was increased from 90ml/hr to 125ml/hr c. n = 4, l = 1 Patchy areas on skin from extra estrogen What is the best response by the nurse. For which of the following findings should the nurse intervene? Jersey College, School of Nursing . Medications she received at the hosp Subjective Data Collection 31 out of Document the amniotic fluid's characteristics. and acetaminophen (1 hour prior). Stripping the membranes releases prostaglandins that may help labor begin. which is an appropriate statement to include? The client with polyhydramnios, the client had a precipitous labor, the client had a forceps- assisted delivery. 21-10-13 Daanis LaFontaine - Uncomplicated - Shadow Health - Care Plan.pdf. What should you do? Postpartum Care SBAR 6.5.2020.docx. You are completing an assessment of maria during a PP home visit. You are assisting a with a birth. You anticipate which of the following orders? Pain is intermittent and described a burning only, A nurse in a provider's office is caring for a 20-year-old client who is at 12 weeks of gestation and requests an amniocentesis to determine the sex of the fetus. During a home visit a client reports of a reddened, swollen, and tender breast 10 days after delivery. Select all that apply. Which client should the nurse schedule to be seen immediately? Once this is confirmed on assessment, which of the following would the nurse advise? For each of the following sentences, write the One hour after the uncomplicated delivery of her daughter, Beatriz, Ms. : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), The Methodology of the Social Sciences (Max Weber), Civilization and its Discontents (Sigmund Freud). She tried breast feeding an hour before, but the baby just didnt want to latch. Anxious, overwhelmed, fatigue, tearfulness. Molding b. Vernix Caseosa c. Acrocyanosis d. Sternal, Denise is a 45-year-old female who presents with significant lower abdominal pain. I am here to help others t, https://www.facebook.com/claudiahernandezyoga/, Health (Just Now) WebCarlos Hernandez, Licensed Professional Counselor, Clifton, NJ, 07013, (862) 245-4257, You may feel alone, misunderstood, and unfulfilled with your life or personal , https://www.psychologytoday.com/us/therapists/carlos-hernandez-clifton-nj/444333, Health (Just Now) WebBio: Gloria Bachmann, MD is the director of the Women's Health Institute at Robert Wood Johnson Medical School and Chief of the OB/ GYN Service at Robert Wood Johnson , https://iwl.rutgers.edu/wp-content/uploads/2018/04/transcript_gloriabachmann.pdf, Ethical challenges in healthcare examples, California health and wellness authorization, Rochester general hospital employee health, Health partners urology specialty center, Pet essential healthymouth water additive, Pricing structure method for healthcare, Types of conflict in healthcare environment, Magellan behavioral health phone number, 2021 health-improve.org. 1. empathy anxiety.pdf. subshells denoted by the following quantum numbers. Mom is 37 weeks gestation and her fetus is in a breech presentation. the nurse says. Which of the following would the nurse suspect? At 1000 hours, Ms. Hernandez reported feeling tired and that she could not remember feeling her uterus contract after the birth. A client at 37 weeks gestation is discharged after a successful external cephalic version. Which topics are included in the discharge teaching for a PP client? A puerperal (postpartum) infection is defined as which of the following? - Reports blood. After instruction about episiotomy care, which primiparous client statement indicates successful teaching? o Loss in plasma volume = "stable" or high H&H o Vascular abnormalities, spider angiomas, palmar erythema, and epulis (swollen gums) regress with rapid decline in estrogens Mom is 36 y/o who has opted for an epidural. White blood cell count Which of the following is a common side effect associated with the use of vacuum extraction? Which of the following can the nurse identify as a risk factor for this complication? Her anesthesia options (talk about what can control her pain since she is agitated, what will calm her down??). The nurse in a prenatal care setting is caring for a woman at 39 weeks gestation. New mother may notice permanent increase in H: hemorrhoids / humans (pain upon dorsiflexion of foot DVT) o Introitus is erythematous and edematous __ fluids containing oxytocin, with no noticeable decrease in the bleeding, the nurse should expect the request of what medication? o Virus sheds in urine and stool During handoff, the night nurse indicates that both mom and baby, did well over night, feeding was going well, however the last feed wasnt as successful as, previous feeds. Sara is 34 yo client who delivered a 10 lb 8 oz female infant with a vacuum assistance at 3 AM this morning. Late onset PP hemorrhage occurs 1-6 weeks PP and is most commonly associated with which? A primipara with a history of depression and lack of supportive relationship. Mrs. Chang is a PP client who is rh neg. her new born is rh positive. Estrogen and progesterone levels drop markedly, o Pituitary hormones and ovarian function, Lactating and nonlactating women differ in timing of first ovulation and menstruation Vital signs were normal. 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Which of the following pieces of information would you use to determine how favorable the cervix is for induction? The nurse encourages what prior to nursing when the mother experiences engorgement? denied fainting, dizziness, or headaches. Unformatted text preview: Status Student Response Model Answer Explanation exhibits exhibits The correct status for diagnosis is "exhibits" has shown clear signs volume, rather than a develop the condition. S/S of illness, follow up instructions, newborn care, maternal self care. You enter into the room and you begin your head to toe assessment on Beatriz. Feelings of Guilt during a time they believe they should be happy/delays recognition What should the nurse be most concerned about? Most women are rubella immune G. H.'s vital Rating: 5/5. After being treated with IV Benzodiazepines and. o Embrace / claim family She is stable and alert. "my baby will be turned in a head down position". One hour after the uncomplicated delivery of her daughter, Beatriz, Ms. Hernandez had a postpartum hemorrhage resolved through fundal massage, oxytocin increase, and oxygen administration. According to the special theory of relativity, a particle moving in a central field with potential energy V(r) describes the same orbit that a particle with a potential energy V(r)[EV(r)]22m0c2V(r)-\frac{[E-V(r)]^{2}}{2 m_{0} c^{2}}V(r)2m0c2[EV(r)]2 would describe according to nonrelativistic mechanics. What is an important component to include when terminating the nurse-client relationship during the last home visit? check, Ms. Hernandez was feeling <much better= and wanted to r The client asks the nurse what this will do. Your assessment of Gabriel has determined he is currently experiencing a moderate asthma exacerbation. Cesarean birth, hypercoagulability, multigestatonal birth, Self-limiting, duration of 2 weeks, affects 70-80 percent of women, "baby blues". After discharge, how soon should the pp client schedule a follow up visit with her provider? E: episiotomy / incision o Pelvic muscular support Which would the nurse , https://quizlet.com/603413741/shadow-health-maternal-health-post-test-flash-cards/, Health (6 days ago) WebHealth 346 GLoria Hernandez Postpartum CP.pdf - 10/22/21 8:33 AM Shadow Health 346 Maternity Your Results Turn In /assignm Lab Pass /assignment , https://www.coursehero.com/file/112525517/GLoria-Hernandez-Postpartum-CPpdf/, Health (2 days ago) WebShadow Health Gloria Hernandez Reflection Journal.docx. Course Hero is not sponsored or endorsed by any college or university. Which instruction would the nurse provide to PP client about getting out of bed for the first time? An external cephalic version (ECV) to change the position of the fetus is generally performed when? o Postpartum headaches may be caused by gestational hypertension, stress, and leakage of cerebrospinal fluid into extradural space during placement of needle for epidural or spinal anesthesia, o Reversal of pregnancy adaptations Before putting the new diaper on, the mother begins to apply baby powder to the infant's buttocks. The nurse is assessing a pp client and finds the client's uterus to be boggy. Convey regard and respect for the family by asking to be introduced to other family members at the time of the visit, verbal and nonverbal communication should be congruent, review the mother and infant's history including and problems during pregnancy, type of birth, problems during birth or postpartum, infant feeding choices). Data/Information Analysis/Rationale (where applicable) (1) Provide the etiology and . Preview / Show more . Focused exam postpartum care shadow health, Health (2 days ago) WebShadow Health - Gloria Hernandez - Postpartum Care 5.0 (4 reviews) Term 1 / 7 Patient Status Click the card to flip Definition 1 / 7 Asked about patient's status - Reports feeling , https://quizlet.com/ca/602058068/shadow-health-gloria-hernandez-postpartum-care-flash-cards/, Health (6 days ago) WebGloria Hernandez is a 28-year-old Mexican-American postpartum patient who gave birth to a baby girl. I will receive a blood transfusion during surgery. What would the nurse include as the most appropriate time for resuming sexual intercourse? Y (the "eraser" end) and Z (the "point" end). What is the maximum length of time a vacuum extractor can be used without increasing the risk of injury to the fetal scalp? A client is going to have an external version for transverse fetus and is concerned about the terbutaine she is about to receive the nurse explains that terbutaine (tocolytic) is used to: The nurse is caring for a client who is scheduled for induction of labor. Supportive tissues of pelvic floor torn or stretched during childbirth Terms and Conditions (elsevier/legal/elsevier-website-terms-and-conditions)Privacy Policy (elsevier/legal/privacy-policy) The nurse is preparing the client for an external version. Focused Exam Postpartum Care-Gloria Hernandez-Objective Data 3. View GLoria Hernandez Postpartum CP.pdf from Health 346 at Nightingale College. Heart sounds had What is an appropriate nursing action? The nurse is caring for a client who had a classical uterine incision for her c section. (who, whom), - Confirmed guardian's relationship to patient, - Asked about onset and duration of symptoms, - Asked about review of neurological system In comparable nursing programs, the top 25% of students perform at the level of a proficient nurse. (review sheet 4) Unit conversion gizmo h hw h h hw h sh wybywbhwyhwuhuwhw wbwbe s. W w w; Environmental Principles AND LAWS NSTP; Destroying Altering Tables and Views What areas are assessed during a PP home visit? When completing a home visit, the nurse explains that a formula fed newborn will have which type of stool? B: bladder Gabriel Martinez Asthma Exacerbation Shadow health Transcript. Appropriate treatment for endometritis is what? Abnormally adherent placenta, history of leiomyomas, manual removal of the placenta. - Reports discomfort increases when abdomen is touched. Focused Exam Postpartum Care-Subjective Data 2. The client about to have a forceps delivery asks about what complications can occur. denied fainting, dizziness, or headaches. The HCP is going to strip the client's amniotic membrane. I will need to get an IV started for the procedure, I will have an ultrasound done after the procedure, I will need a nonstress test completed before the procedure, the procedure is uncomfortable. One of the most prolific writers of England's Victorian Period (most of the nineteenth century) was Charles Dickens. Once the external cephalic version is completed, what is your responsibility? To manage your cholesterol levels effectively, it is important to work on this in your lifestyle too. Medications she received at the hosp, include: oxytocin (4 hours prior), methylergonovine (4 hours prior. SBAR is an easy-to-remember, concrete mechanism useful for framing any conversation, especially critical ones, requiring a clinician's immediate attention and action. o All Rh negative women should have received one dose at 28 weeks gestation, Discuss contraceptive options What should the mother be taught to prevent cracked nipples while she is feeding? Some women will have permanent darker pigmentation of those areas Course Hero is not sponsored or endorsed by any college or university. L: lochia Your protocol order is approved and you administer albuterol via nebulizer and prednisone orally. Asked about lochia. o Mother's need for rubella vaccination or for Rho (D) immune globulin for prevention of Rh isoimmunization is determined Turn In (/assignment_attempts/11224896/choos. Cross), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Give Me Liberty! Which action may be recommended to soften engorged breasts prior to breastfeeding? Expert Answer. The home care nurse is visiting a mother who is breast feeding. The active vaginal bleeding is now controlled. Chamberlain College of Nursing-Georgia. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, | Shadow Health Digital Clinical Experiences from Elsevier, https://app.shadowhealth.com/assignment_attempts/13155798, Focused Exam: Postpartum Care Results | Completed, NURS 438: Patient-Centered Care: Childbearing Family Fall 2022, NURS 438, Gloria Hernandez is a 28-year-old Mexican American woman wh, experienced a postpartum hemorrhage 4 hours prior, check, Ms. Hernandez was feeling