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Give typed explanation of all otherwise leave it
Abbi made it to 39 weeks and is begin seen in OB triage for labor pains and leaking fluid. She thinks her water broke!
She is excited yet nervous about meeting her infant. Her partner is at the bedside. She tells you she just found out she is GBS +. She has no drug allergies.
Abbi seems somewhat tired and states that her contractions are located in the abdomen and groin and are irregular and uncomfortable.
Are these contractions characteristic of true labor and how are true labor contractions different from Braxton Hicks contractions?
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- One of the problems that Nurse Rain was able to identify is pre-eclampsia of Mrs., Cantos, 36 years old mother of 5 children. She is at 22 weeks A0G, with BP of 140/90. There is pedal edema and weighs 120 lbs. One of the family nursing problems that was identified was the inability to recognize the presence of possible complication in pregnancy due to lack of knowledge. One of the interventions was geared towards broadening the knowledge of the family on possible complications of pregnancy. What will be the more specific actions of the nurse for this? Choose all that apply. Discuss the implications of the signs and symptoms presented by Mrs. Cantos. Discuss with the family the causes of pre-eclampsia and risk factors of pre-eclampsia. Explore with the family the available courses of action open to them. Discuss the consequences of a possible consequence of pre-eclampsiaBetty presents at the ED with chest pain, accompanied by Alan and her daughter Cheryl. On triage, Betty reports that the pain started overnight. Betty is diaphoretic, pale and is complaining of pain - 7/10. She is alert and oriented but needs help to get into the ED from the car via a wheelchair. Once she is moved to a treatment cubicle, a cannula is inserted for IV access and she is given 5mg Morphine IV as a stat does. Her observations are as follows: T: 36.7 , HR:110bpm, BP: 150/90 Sats: 95%RA The admitting ED doctor orders and ECG and Bloods. ECG shows some <ST elevation> suggesting a myocardial infarction (MI). Her bloods show raised troponin – also suggestive of a MI. Provisional diagnosis –a second MI and she is admitted to a cardiology ward for a GTN infusion and ongoing monitoring History: Chronic Kidney Disease (CKD) Type 2 diabetes Coronary Artery Disease (CAD), Peripheral Vascular Disease (PVD) Hypertension Myocardial infarction (MI) Height: 168 cm; Weight: 50kg Betty…Tracy is a 25-year-old woman, Roman Catholic, from a semi-remote First Nation Community, L.A., Laguna. She is 37weeks pregnant, 65 kgs and attending a prenatal visit with her community nurse today. This is her third pregnancy and she has attended all previous visits with her mother and/or Frank, the father of her baby. She stated that she experience minimal vaginal discharge, with mild contraction.Tracy is very quiet and makes limited eye contact during visit. Tracy’s pregnancy has been fairly uneventful. Laboratory values (Complete blood count (CBC), hepatitis B Screening (HBSag) ,Urinalysis(UA), ABO typing) and vital signs have been within normal limits. A 20-week ultrasound found no abnormalities of fetal anatomy. During her visit the nurse told her the labor signs and symptoms and when to go for hospitalization. I. Using the information above: Make a Nursing Care Plan
- Mary Crusader (age 81) was admitted to Madonna Hospital 10 days ago and has been receiving treatment for bacterial pneumonia (Rocephin 1 gram IVPB q12 hours). Her past medical history includes hypertension, MI (4 years ago), angina, and Class III heart failure. Mary is the primary caregiver of her husband. George has moderate dementia and is currently in a skilled rehabilitation center. Mary and George's only child died in a car accident many years ago. Mary has completed her advanced directives that stated that she does not artificial ventilation or nutrition under any circumstances. Mary's niece Kristina is her medical power of attorney. Mary became restless and confused this morning with diminished lung sounds bilaterally, and increased heart rate and respiratory rate. The hospitalist met with Kristina and recommended Mary be transferred to the ICU for medical ventilation. Kristina knew that this was against her aunt's advance directives and a decision was made with Mary to transfer…Patient's Profile: A 22-year-old woman in her 2 pregnancy has arrived in the labor ward at 38 weeks 3 days She had a normal delivery 18 months ago. This pregnancy has been complicated by persistent vomiting until 20 weeks and more recently by anemia. She reports contractions commencing approximately 4 hours ago. She took paracetamol at home and tried to relieve the pain with a bath, but now she feels she cannot cope with the pain She had a show 2 days ago but has had no bleeding since then and has not noticed any vaginal leak. She has felt the baby moving normally all day. Physical Examination: BP is 110/58 mmHg, heart rate is 98/min. The presentation is cephalic with 2/5 palpable abdominally, Uterine contractions are palpable and the uterus is non-irritable. On vaginal examination the cervix is 5 cm dilated and the head is 1 cm above the ischial spines. The fetus is right occipitotransverse with mild caput and molding. The membranes are intact but rupture spontaneously during…Tracy is a 25-year-old woman, Roman Catholic, from a semi-remote First Nation Community, L.A., Laguna. She is 37weeks pregnant, 65 kgs and attending a prenatal visit with her community nursetoday. This is her third pregnancy and she has attended all previous visits with her mother and/or Frank, the father of her baby. She stated that she experience minimal vaginal discharge, with mild contraction.Tracy is very quiet and makes limited eye contact during visit. Tracy’s pregnancy has been fairly uneventful. Laboratory values (Complete blood count (CBC), hepatitis B Screening (HBSag) ,Urinalysis(UA), ABO typing) and vital signs have been within normal limits. A 20-week ultrasound found no abnormalities of fetal anatomy. During her visit the nurse told her the labor signs and symptoms and when to go for hospitalization.
- Betty presents at the ED with chest pain, accompanied by Alan and her daughter Cheryl. On triage, Betty reports that the pain started overnight. Betty is diaphoretic, pale and is complaining of pain - 7/10. She is alert and oriented but needs help to get into the ED from the car via a wheelchair. Once she is moved to a treatment cubicle, a cannula is inserted for IV access and she is given 5mg Morphine IV as a stat does. Her observations are as follows: T: 36.7 , HR:110bpm, BP: 150/90 Sats: 95%RA The admitting ED doctor orders and ECG and Bloods. ECG shows some <ST elevation> suggesting a myocardial infarction (MI). Her bloods show raised troponin – also suggestive of a MI. Provisional diagnosis –a second MI and she is admitted to a cardiology ward for a GTN infusion and ongoing monitoring History: Chronic Kidney Disease (CKD) Type 2 diabetes Coronary Artery Disease (CAD), Peripheral Vascular Disease (PVD) Hypertension Myocardial infarction (MI) Height: 168 cm; Weight: 50kg Betty…Women’s Health Prescribing Case Ann is a 57 y/o female who presents today with c/o vaginal dryness and dyspareunia. She says that this has been an issue for the last 2 years or so, but it has gotten worse. She went through natural menopause at the age of 53—and did not take any oral estrogens—she said it was her preference not to, and that she really did not have any systemic signs/symptoms of menopause—just the vaginal dryness for the last 2 years or so. She says that she has used OTC products without benefit—and she uses Astroglide or some type of lubricant when she is sexually active with her husband—but it is still uncomfortable because she just thinks her tissue are so dry. Ann tells you that she usually does not have any itching or discharge but has in the last few days—which she attributes to a recent round of Amoxicillin for a tooth infection. So she thinks she may need something for that also—she has not used any OTC meds for the discharge. Ann is healthy—she takes…Patient’s Profile: A 22-year old woman in her 2nd pregnancy has arrived in the labour ward at 38 weeks 3 days. She had a normal delivery 18 months ago. This pregnancy has been complicated by persistent vomiting until 20 weeks and more recently by anemia. She reports contractions commencing approximately 4 hours ago. She took paracetamol at home and tried to relieve the pain with a bath, but now she feels she cannot cope with the pain. She had a show 2 days ago but has had no bleeding since then and has not noticed any vaginal leak. She has felt the baby moving normally all day. Physical Examination: BP is 110/58 mmhg, heart rate is 98/min. The presentation is cephalic with 2/5 palpable abdominally. Uterine contractions are palpable and the uterus is non-irritable. On vaginal examination, the cervix is 5 cm dilated and the head is 1 cm above the ischial spines. The fetus is right occipitotransverse with mild caput and molding. The membranes are intact but rupture…
- Patient History "A week before period starts, I experience lower abdominal pain that radiates into the lower back and both legs. I have been trying to get pregnant for the past two years with no success." Medical History • T.Ris 29 years old white female who is at the OB/Gyn office. She has painful irregular periods that start a weck before menstruation starts. The menstrual flow is heavy (need to change pads every 2 hours) with dots. She explained that she has been trying to get pregnant for the past two years. Physical Exam Abdomen Exam . LQ and RLO palpation: Tenderness Female exam No tears, swelling of vaginal canal Normal cervical mucous, cervix of normal length, and no obstruction to cervical opening No signs of infection internally/externally of vagina and labia Questions 1. Research: What is the most common cause of chronic pelvic pain and infortility in women of reproductive-age? How frequent is this disease? 2 is this disease estrogen-dependent? What ussue is stimulated to…Please I need two nursing care plan with two nursing diagnosis for this case scenario Sharry is a primigravida at 43 weeks of gestation. Her labor is being stimulated with oxytocin administered IV. Her contractions have been increasing in intensity with a frequency of every 2 to 2 ½ minutes and a duration of 80 to 85 seconds. She is currently in supine position with a 30-degree elevation of her head. On observation of the monitor tracing, you note that during the last 2 contractions the FHR decreased after the contraction peaked and did not return to baseline until about 10 seconds into the rest period. A slight decrease in variability and baseline rate was observed. Identify the pattern described and the possible factors responsible for it. Describe the actions you would take. State the rationale for each action. Make a nursing care plan. (Identify at least 2 nursing diagnoses)urse_id%3D_22348_1&content_id=_674386_1&step=null adar A Classes Classes 6 My Institution - Bla. Student Home - Bla. Search Movies and. O Libby - What's New? O My Account- Hold. Welcome Home . M HBO Max Question Completion Status QUESTION 3 A patient has been receiving outpatient chemotherapy treatment for leukemia They come to the appointment feeling ill with a temperature of 100 2 oF Blood results show the neutrophil count is 1,000/uL Which of the following best explains the patient's signs and symptoms? O chemotherapy treatment has damaged the red bone marrow resulting in decreased leukocyte production and increased susceptibility to infection chemotherapy is making the patient sick and the marrow has increased leukocyte production to fight off the toxicity of cancer-fighting chemicals that are being received the chemotherapy is not working, the cancer cells are dividing out of control, and the immune system has been activated with increased leukocyte production in an effort to…
