You are receiving report on Mrs. Hernandez, a PP client. A G3P2 client presents at 38 weeks gestation with a transverse lie. Supportive tissues of pelvic floor torn or stretched during childbirth she is starting to regain sensation in her legs and feet, though sh -oxytocin dosage was increased from 90ml/hr to 125ml/hr The HCP of a client 40 weeks gestation has ordered cytotec for labor induction. Abnormally adherent placenta, history of leiomyomas, manual removal of the placenta. Which of these statements best demonstrates her understanding of her options? All rights reserved | Email: [emailprotected], Focused exam postpartum care shadow health, Ethical challenges in healthcare examples, California health and wellness authorization, Rochester general hospital employee health, Pet essential healthymouth water additive, Types of conflict in healthcare environment. A new mother asks the nurse about starting PP exercises. d. n = 5, l = 3, bonds does a compound with molecular formula, C10H14\mathrm { C } _ { 10 } \mathrm { H } _ { 14 } Symptoms include fever, chills, malaise, and localized breast tenderness. The rubella vaccine is contraindicated for which PP client? Infant Status. o 300 mcg IM X 1 dose Our https://evolve.elsevier.com/education/simulations/shadow-health/ Category: Health Show Health Which of following the should the nurse suggest to the client? Shadow Health - Gloria Hernandez - Postpartum Care Health (2 days ago) WebFollowed up on postpartum hemorrhage. Lab Pass (/assignment_attempts/11224896/lab_pass. Patient was oriented x4. Subjective Data Collection 31 out of 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. 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We're available through e-mail, live chat and Facebook. : an American History - Chapters 1-5 summaries Newest Theology - yea Leadership class , week 3 executive summary EKG Review for ICU clinical Which action may be recommended to soften engorged breasts prior to breastfeeding? You anticipate what order? Most women are rubella immune Authorized translation from the English language ed, Publishers Inc. No part of this material may be reproduced in any form without the written permission of the a, View A PP client recovering from a DVT is being discharged. 5. shadow health preeclampsia.docx. While assessing Sarah for possible sources of bleeding, you inspect the external genitalia for which of the following? One of the most prolific writers of England's Victorian Period (most of the nineteenth century) was Charles Dickens. Which interventions by the nurse are indicated when caring for this client during and immediately following the procedure? She asks for assistance from the home care nurse. A number of eosinophils increases in a Parasitic infections b Alergiae c, 3 4 5 200 500 600 C K G P J M Introduction to Economics Evolution of Commerce 29, Connections Mock Interview Instructions - Assignment (2).docx, 2021 Consolidation of vertical group structures (1).doc, Screen Shot 2020-11-30 at 10.56.39 AM.png, The use of a logical procedure for gathering and testing ideas is known as othe, In a reaction at equilibrium that makes more moles of gas that it consumes what, 14 What three parables on material possessions does only Luke record 15 True or. Which of the following are required in order for a health care provider to perform an external cephalic version? include: oxytocin (4 hours prior), methylergonovine (4 hours prior Which of the following is a common side effect associated with the use of vacuum extraction? Joints are completely stabilized by 6 to 8 weeks after birth Urinate and sweat out all the excess fluid, Excessive bleeding can occur because of displacement of the uterus if bladder is full - Reports blood. - Denies history of PPH during first pregnancy. She is extremely agitated about her impending labor. The nurse is preparing the client for an external version. Mrs. Hernandez was admitted to the hospital in active labor. She is stable and alert. 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. Monitoring the woman's response to anesthesia, monitoring maternal vital signs, assessing fundal height and firmness, At or on the perineum and visible at the vaginal opening. Which would the nurse include in the client's diet? o Spider nevi persist indefinitely for some A primiparous client has been discharged from the hospital after delivering a 5 pound baby girl. No intercourse for 6 weeks Lacerations of hematomas (especially since she had an instrument assisted birth). A third attempt at vacuum (try vacuum three times, if failed all three then c section). Chamberlain College of Nursing-Georgia. If you administered the ripening agents Cervidil and Prepidil, which of the following could you expect to be associated with the drug? 6 months/ supportive care/ medications, o If woman is not immune, vaccination is recommended The mother has a temp of 100.9 what condition in a PP mother may cause a fever not caused by infection? Postpartum Care SBAR 6.5.2020.docx. A client is going to have a cephalic version at 38 weeks gestation for a breech position. Cookie Settings. Expressing milk, anti-inflammatory meds, warm compresses. No. Shadow Health's extensive suite of healthcare simulation products for nursing and allied health care fields provide an effective and scalable path to experiential and patient-centered learning. and acetaminophen (1 hour prior). You receive the following info: v/s are stable, breastfeeding well, has positive bowel sounds, tolerated clear liquids well, and ambulated twice today. o Postpartal diuresis At 0900 hours, Ms. Hernandez gave birth to a healthy baby girl, via uncomplicated vaginal delivery. Questions for shadow health- respiratory for tina History of Present Illness Finding: Established chief complaint Finding: Reports increased breathing problems (Found) Pro Tip: Foundational questions about general well-being are important in assessing how a patient feels at the current moment. Consider a pencil-shaped protein with two epitopes, For which of the following findings should the nurse intervene? Assess for peripheral edema A BF mother is visited by the home care nurse 2 weeks after delivery. Support and Contact (service.elsevier/app/home/supporthub/shadow-health/)Patents (/static/patents) Your protocol order is approved and you administer albuterol via nebulizer and prednisone orally. Copyright 2022 Elsevier Inc Shadow Health (evolve.elsevier/education/simulations/shadow-health/) clear in all areas with no adventitious sounds. C10H14. After discharge, how soon should the pp client schedule a follow up visit with her provider? The nurse supsects subinvolution. Which client should the nurse schedule to be seen immediately? A mother who gave birth to a baby boy vaginally after Pitocin augmentation 2 weeks ago returns to the office concerned b/c her flow has increased and is red but not foul smelling. If your instructor provides individual feedback on this assignment, it will appear here. Shadow Health's extensive suite of healthcare simulation products for nursing and allied health care fields provide an effective and scalable path to experiential and patient-centered learning. If mom is Rh-, do not have Rh factor A pp client states that she can't understand why she doesn't enjoy being with her baby. Gather the. Your assessment of Gabriel has determined he is currently experiencing a moderate asthma exacerbation. Focused Exam :Postpartum Care Results (Gloria Hernandez) $23.45 2 X Sold 5 items Bundle contains 5 documents 1. Edema is present in the righ o Touch Which signs of thrombophlebitis must the nurse educate the client to assess? You just received report on your patient Gloria Hernandez and her newborn infant 'Beatriz'. 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. You inquire and ask how Beatriz has been doing in the last few hours. When should the nurse schedule this visit to occur? 45. her new born is rh positive. Role transition Painful? View During a home visit a client reports of a reddened, swollen, and tender breast 10 days after delivery. What is the total moment of inertia of the two disks shown in the figure? 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. The other sections should be uploaded separately-documentation, subjec PTCntrdCare:Chldbearing family (NURS 438), Shadow Health Non-Reassuring Fetal Status Subjective Data, Shadow Health Postpartum Care Objective Data, Shadow Health Postpartum Care Subjective Data, Shadow Health Non-Reassuring Fetal Status Intervention Activity, Shadow Health Non-Reassuring Fetal Status Care Plan, Shadow Health Non-Reassuring Fetal Status Objective Data, Shadow Health Preeclampsia Subjective Data, Shadow Health Preeclampsia Objective Data, Shadow Health Uncomplicated Delivery Daanis Lafontaine Care Plan, Shadow Health Uncomplicated Delivery Daanis Lafontaine Birth Plan, Shadow Healt Gestational Diabetes Documentation, Advanced Care of the Adult/Older Adult (N566), Advanced Design Studio in Lighting (THET659), Critical Thinking In Everyday Life (HUM 115), Managing Organizations and Leading People (C200 Task 1), Organizational Behavior and Leadership (C484), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), How Do Bacteria Become Resistant Answer Key, Assignment Unit 8 - Selection of my best coursework, Copy Of Magnetism Notes For Physics Academy Lab of Magnetism For 11th Grade, Chapter 1 - Summary International Business, Ethan Haas - Podcasts and Oral Histories Homework, Lesson 10 Earthquake Hazards, Magnitude, and Intensity, Summary Give Me Liberty! How many molecules of caffeine? She has been pushing for over 4 hours. - Asked about review of integumentary system, Wong's 10th Ed: Chapter 29: The Child with Mu, Shadow Health - Naomi Adebayo - Preeclampsia, Shadow Health - Jennifer Wu - Gestational Dia, Shadow Health - Gloria Hernandez - Postpartum, The Language of Composition: Reading, Writing, Rhetoric, Lawrence Scanlon, Renee H. Shea, Robin Dissin Aufses, Edge Reading, Writing and Language: Level C, David W. Moore, Deborah Short, Michael W. Smith. Which of the following strategies can the nurse use to promote ambulation in the c/s client? After instruction about episiotomy care, which primiparous client statement indicates successful teaching? 21-10-13 Daanis LaFontaine - Uncomplicated - Shadow Health - Care Plan.pdf, University of North Carolina, Chapel Hill, Health History _ Completed _ Shadow Health.pdf. Assessment PP depression should begin prenatally. The nurse is providing discharge teaching about newborn care to a mother. What should the mother be taught to prevent cracked nipples while she is feeding? 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 Which client statement indicates that the client understands the procedure? At a home visit, the nurse assesses a neonate delivered vaginally at 42 weeks gestation 6 weeks ago. Assessment for prolapse of umbilical cord, assessment of the amount of amniotic fluid, assessment of the amniotic fluid color, assessment of fetal heart rate. o Introitus is erythematous and edematous A laboring client at 39 weeks gestation has been pushing for 2 hours. H: hemorrhoids / humans (pain upon dorsiflexion of foot DVT) Unformatted text preview: unwrap the baby, you notice a slight tremor in her hands. Patchy areas on skin from extra estrogen Hematocrit and hemoglobin Which of the following can the nurse identify as a risk factor for this complication? A client at 37 weeks gestation is discharged after a successful external cephalic version. o Vascular abnormalities, spider angiomas, palmar erythema, and epulis (swollen gums) regress with rapid decline in estrogens - Denies discharge odor. Ensuring the client receives a prescription for choice, assessing the client's preference for contraception, providing info about client's choices, answering questions from client about methods. "Wait until you meet Annie oh, Annie, there you are," said Tom. White blood cell count G. H.'s vital Rating: 5/5. o 12,000 Readjustments in maternal vasculature after childbirth dramatic and rapid A client has just been diagnosed with mastitis. NURS 3300. View Focused Exam_ Postpartum Care _ Completed _ Shadow Health - Patient-Gloria Hernandez - Overview.pdf from BIO NUR2221 at Concordia University Irvine. Which safety device is most appropriate for the nurse making home visits? 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 Y (the "eraser" end) and Z (the "point" end). 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). An empty bladder provides more room on the pelvic floor. What exercise would be most appropriate to include in the nurse's instructions? still needs support when standing. Cookies are used by this site. Full Document. In the recovery room following a c section birth, your responsibilities include which of the following? Terms of Use The client verbalizes a decrease in anxiety, maternal/newborn interaction has been maintained, signs of PPH are detected and managed effectively, the client verbalizes understanding of her condition. For each of the following sentences, write the Monitoring maternal uterine activity and fetus status, Shadow Health - Gloria Hernandez - Postpartum, Shadow Health - Jennifer Wu - Gestational Dia, Dunmore and Fleischer's Medical Terminology Exercise in Etymology, Charles W Dunmore, Cheryl Walker-Esbaugh, Laine H McCarthy, Rhonda A Sparks, Rita M Fleischer, History: Chapter 6 The Progressive Movement,. her new born is rh positive. Massaging the fundus until firm, administration of uterine stimulants (oxytocin/methergine), monitoring for signs of hypovolemia, administration of blood products if necessary. Focused Exam_ Postpartum Care _ Completed _ Shadow Health - Patient-Gloria Hernandez - Care Plan - N Preview 2 out of 6 pages Report Copyright Violation $11.49 Add to cart Add to wishlist Follow greaterhights 298 documents sold Reviews received 24 5 6 3 5 Uploaded on August 2, 2022 Number of pages 6 Written in 2022/2023 Type Exam (elaborations) Get answers and explanations from our Expert Tutors, in as fast as 20 minutes, Focused Exam_ Non-Reassuring Fetal Status _ Completed _ Shadow Health - Patient- Luna Morales - Over, Focused Exam_ Bipolar Disorder _ Completed _ Shadow Health - Lucas Callahan - Overview.pdf, Focused Exam_ Long Bone Fracture _ Completed _ Shadow Health - Overview.pdf, Focused Exam_ Asthma Exacerbation _ Completed _ Shadow Health - Overview.pdf, Focused Exam_ Anxiety _ Completed _ Shadow Health - John Larsen - Overview.pdf, Abdominal _ Completed _ Shadow Health Tina Jones - Overview.pdf, Correct Correct False 0 125 pts Question 20 When the Portuguese explored the, The exact solution of the ODE will satisfy this equation with error O x 2 We, MLA Document Formatting Template.Fall 2017.docx, 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3839 3840 3840 3841, C most popular Norse gods D seven brightest stars in the prominent constellation, 6 15 A business hopes to become more globally competitive by applying the, 858 Table A 4 Properties of Solid Nonmetals 861 Table A 5 Properties of Building, Multicellularity_Classification__Evolutionary_Tree_Notes.pdf, Asignacion del sistema Cardiovascular.docx, Subjective: CC: dysuria and urinary frequency HPI: RG is a 30 year old female with increase urinary frequency and dysuria that began 3 days ago. What should she include? Of the following clients, which one would be at risk for PP depression? Common clinical manifestations associated with UTI in the postpartum client include? Lisez la phrase et indiquez si elle est logique (L) ou illogique (I). 6411 Comments Please sign inor registerto post comments. After checking the oximeter readings, how should the nurse follow up this assessment, A nurse is assessing a newborn immediately following a vaginal birth. o Must use contraception for 1 month It started a few days ago and has just gotten steadily worse. Select all that apply. B: bowel EXAMPLE: One of the most prolific writers of England's Victorian Period most of the nineteenth century was Charles Dickens. o Embrace / claim family A student nurse is shadowing a home health nurse for the day. Ms. Hernandez reported mild fatigue, but no weakness or chills. To _____ where you just spanking? How many milliliters of 0.45M HCl will neutralize 25.0 mL of 1.00M KOH? The nurse is assessing a pp client and finds the client's uterus to be boggy. Fundal position (uterine involution is assessed by locating uterine fundal position). How many mls of fluid should a PP client drink a day to stay well hydrated? Evaluation of the client with PP depression includes what? Your priority when assessing the client with PP hemorrhage is what? Regular diet Mrs. Chang is a PP client who is rh neg. Once the external cephalic version is completed, what is your responsibility? 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. c. n = 4, l = 1 Shadow Health Tina jones Heent Shadow Health tina jones - 85% with this; but you can do better University Western University of Health Sciences Course advances physical assessment (CGN 5601) Academic year:2020/2021 Helpful? She is complaining of general weakness, malaise, and chills. Grant MacEwan University. Which of the following should be the nurse's focus of teaching at this time? If not immune, vaccinate against rubella post-partum as she has very low chance of pregnancy She is exhausted, and her baby's head remains at the +3 station. U: uterus As long as some of my nipple is in the baby's mouth, the baby will receive enough breast milk. Which of the following conditions would indicate that induction of labor is needed? View GLoria Hernandez Postpartum CP.pdf from Health 346 at Nightingale College. o Virus sheds in urine and stool Within 36-48 hours of discharge (If the mother and infant were discharged from the hospital before 48 hours after birth, the health care provider may have requested three home visits). In breastfeeding women return of ovulation depends on breastfeeding patterns She finds frequent hiccups, loose watery stool in diaper, red rash on face, and dry peeling skin. Draw and label a picture "I'll wipe the area from front to back using a blotting motion". PP hemorrhage is defined as blood loss of more than which amount after a vaginal birth? What will you assess to determine uterine involution in maria? If you are using Safari and have issues with audio in your assignment, please click here for assistance. Breath sounds we A primipara with a history of depression and lack of supportive relationship. Turn In (/assignment_attempts/11224896/choos. 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 Intense/pervasive sadness/severe mood swings/difficulty falling asleep/irritability A yellow-colored crust may develop as part of the healing process. The nurse encourages the use of which item when performing perineal care in the home setting after delivery? Providing encouragement to the mother, administering an analgesic 30 minutes prior to walking, using a folded sheet as an abdominal splint. What is recommended to increase safety during a PP home visit? Vital signs were normal. They are recognized You recognize that the most important component of her treatment will be which of the following? SHADOW HEALTH Focused Exam, Long Bone Fracture: Patient: L. - $25.45 Add to Cart. o Mother's need for rubella vaccination or for Rho (D) immune globulin for prevention of Rh isoimmunization is determined Estrogen and progesterone levels drop markedly, o Pituitary hormones and ovarian function, Lactating and nonlactating women differ in timing of first ovulation and menstruation University of Texas, El Paso. NUR 4130. Her anesthesia options (talk about what can control her pain since she is agitated, what will calm her down??). You anticipate what order? Focused Exam Postpartum Care-Gloria Hernandez-Education and Empathy 4. 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 Deep Autumn With Grey Hair,
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