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The patient noted experiencing abdominal pain that was self-rated as a 2 or 3 out of 10. After discharge, how soon should the pp client schedule a follow up visit with her provider? You receive the following info: v/s are stable, breastfeeding well, has positive bowel sounds, tolerated clear liquids well, and ambulated twice today. 21-10-13 Daanis LaFontaine - Uncomplicated - Shadow Health - Care Plan.pdf. include: oxytocin (4 hours prior), methylergonovine (4 hours prior o Episiotomies heal within 2 to 3 weeks Some is normal; finger edema can be pre-eclampsia related, Slightly elevated with remaining increased volume Patient was oriented x4. How many mls of fluid should a PP client drink a day to stay well hydrated? It allows for an easy and focused way to set expectations for what will You inquire and ask how Beatriz has been doing in the last few hours. You just received report on your patient Gloria Hernandez and, her newborn infant Beatriz. A third attempt at vacuum (try vacuum three times, if failed all three then c section). Most women are rubella immune : an American History - Chapters 1-5 summaries, ACCT 2301 Chapter 1 SB - Homework assignment, Entrepreneurship Multiple Choice Questions, Philippine Politics and Governance W1 _ Grade 11/12 Modules SY. She is extremely agitated about her impending labor. Key factors in the nursing assessment in the client with a PP infection include? Health (6 days ago) WebGloria Hernandez is a 28-year-old Mexican-American postpartum patient who gave birth to a baby girl. Written in 2022/2023 Type Exam (elaborations) Contains Questions & answers Focused Exam_ Postpartum Care _ Completed _ Shadow Health - Patient-Gloria Hernandez - Care Plan - N maternal blood loss maternal blood loss Gloria's deficient fluid volume stems from maternal bloo Institution Concordia University Irvine Course A student nurse is shadowing a home health care nurse who is making PP visits. Instructing about proper positioning techniques, allowing nipples to air dry b/w feedings, applying ice compresses prior to feedings, avoiding use of soap on nipples. SHADOW HEALTH Focused Exam, Long Bone Fracture: Patient: L. - $25.45 Add to Cart. Terms of Use At a home visit, the nurse assesses a neonate delivered vaginally at 42 weeks gestation 6 weeks ago. What is the safest position for infant sleeping? Once the external cephalic version is completed, what is your responsibility? The nurse assesses the abdominal incision of a PP client who delivered by c section for? Chamberlain College of Nursing-Georgia. Terms of Use One hour after the uncomplicated delivery of her daughter, Beatriz, Ms. , https://www.coursehero.com/file/156061082/Shadow-Health-Gloria-Hernandez-Reflection-Journaldocx/, Health (9 days ago) WebFocused Exam_ Postpartum Care _ Completed _ Shadow Health - Patient-Gloria Hernandez - Care Plan - N maternal blood loss maternal blood loss Gloria's , https://www.stuvia.com/doc/1879734/focused-exam_-postpartum-care-_-completed-_-shadow-health-patient-gloria-hernandez-care-plan-n, Health (2 days ago) WebShadow Health - Maternal Health Post-Test Flashcards Learn Test Match The nurse is preparing a diet plan for a pregnant client with preeclampsia. Students also viewed Nursing Fundamental Quiz The fetal scalp is visible between contractions. During her pregnancy, Ms. Hernandez gained 40 pounds. Our https://evolve.elsevier.com/education/simulations/shadow-health/ Category: Health Show Health Which of the following may be used to provide relief for perineal pain after a vaginal delivery? 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,. What areas of teaching on self care and anticipatory guidance should the nurse discuss with the client? View 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) On assessment, the nurse finds the woman's fundus to be firm but she continues to have heavy vaginal bleeding. Which of the following should be the nurse's focus of teaching at this time? managed with medication, onset 4 weeks after birth, affects 19 percent of PP women, Rare and serious, managed with hospitalization, psychiatric emergency, occurs second week postpartum. Before putting the new diaper on, the mother begins to apply baby powder to the infant's buttocks. Your priority when assessing the client with PP hemorrhage is what? The "mask of pregnancy" Lisez la phrase et indiquez si elle est logique (L) ou illogique (I). Which of the following is a common side effect associated with the use of vacuum extraction? a. o Virus sheds in urine and stool E: episiotomy / incision During a home visit a client reports of a reddened, swollen, and tender breast 10 days after delivery. Bacteria from mom's hands, a break in the nipple or areola, failure to empty breasts completely. Which of the following can the nurse identify as a risk factor for this complication? You recognize that the most important component of her treatment will be which of the following? Shadow Health - Gloria Hernandez - Postpartum Care 5.0 (4 reviews) Patient Status Click the card to flip Asked about patient's status - Reports feeling much better Asked about patient's needs - Reports wanting to rest - Reports desire for fresh heat pad Asked about last nurse's check - Reports last check was 1 hour ago Click the card to flip Lab Pass (/assignment_attempts/11224896/lab_pass. Sara is 34 yo client who delivered a 10 lb 8 oz female infant with a vacuum assistance at 3 AM this morning. Ms. Hernandez reporte, she is starting to regain sensation in her legs and feet, though sh, -oxytocin dosage was increased from 90ml/hr to 125ml/hr, Patient had no visible abnormalities. Weight, reflexes, vital signs, nutritional status. Question 01/23/21 7:16 PM PST. She states that her vaginal draining smells bad. o First 1-2 days after birth Give the notation (using letter designations for lll) for the 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). she is starting to regain sensation in her legs and feet, though sh 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 Supportive tissues of pelvic floor torn or stretched during childbirth Postpartum hemorrhage, nonreassuring fetal status, uterine hyperstimulation. o Loss in plasma volume = "stable" or high H&H o Use warm water to irrigate perineum frequently You are receiving report on Mrs. Hernandez, a PP client. Which charting entry would the nurse expect to find in this client's chart, Cesarean birth performed secondary to arrest of dilation (risk factors include cesarean or operative vag birth, prolonged labor, prolonged rupture of membranes, chorioamniotitis, and pp hemorrhage). Spontaneous bowel evacuation may not occur for 2 to 3 days after childbirth, May increase to 38 C X 24 hrs Increase the activity gradually, elevate the affected limb, apply moist heat to the affected area. check, Ms. Hernandez was feeling <much better= and wanted to r Subjective Data Collection 31 out of o Embrace / claim family Asked about Visit URL o Pelvic muscular support What is the maximum length of time a vacuum extractor can be used without increasing the risk of injury to the fetal scalp? Considerations with breastfeeding, Shadow Health - Gloria Hernandez - Postpartum, Shadow Health - Maternal Health Post-Test, Physiologic Adaptations & Assessments of the, Ch 15 postpartum adaptations chapter worksheet, Introduction to Sports Medicine and Athletic Training, Chapter 12: Muscular and Skeletal Systems. How many milliliters of 0.45M HCl will neutralize 25.0 mL of 1.00M KOH? What is the correct response? 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. Patient was oriented x4. A client is experiencing excessive bleeding immediately after the birth her newborn. You recognize an important component of your assessment at this time is to do what? Expressing milk, anti-inflammatory meds, warm compresses. During her initial follow up check she tells you that she has been crying at times during the day and has no appetite. 9 likes. The nurse is caring for a woman following a csection delivery with a low transverse incision. What should she include? Lab data, perineum, breasts and nipples- remember BUBBLEHE (except the "E" which is emotional). Full Document, 3223C19C-524D-44CF-A4A1-F3E261080835.jpeg, SHEA MOORE Introduction to Systems Thinking.docx, c hyperopia d astigmatism e morphine administration SELECTED RESPONSE A Coma, The comparison of the cross pollination rate in the first and last 4 sampling, Mize Company provided $45,500 of services on account, and collected $38,000 from customers during th, 9 Involuntary liquidations What are the requirements for creditors placing a, ICT285 2022 TJ Assignment 1_Gladwin Png Jun Yu.docx, _courses_others_cafs_1126864710_2004_Community_and_Family_Studies_Notes_luvinya.doc, AMSCO Definitions- Jayleen Perez, P.3 .pdf, FUKCVMCQPUFOUJBMUFNQ 7 R R LAST NAME FIRST NAME 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1, 2249 Hospitalization benefit Basic disability income protection insurance, IND101_Milestone_1_- Questions - upload.docx, Allan Cruz-Moradel - Harrison Bergeron Questions - 12577618.pdf, The navigator is still chanting spells behind you and you yell out for him to, Detailed Solution An inbox allows people to send their queries concerns and, a Parcipate in a high impact aerobic exercise program b Wear low heeled shoes. If baby of Rh- mother is Rh+, mom needs to get immunoglobulin Rhogam passive immunity; if mother was exposed to baby's blood during birth, mom may create anti-Rh response bad news for second baby will have an immune response to a second Rh+ baby, B: breasts (soft? could trigger endocytosis by a macrophage. You anticipate what order? 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. We use AI to automatically extract content from documents in our library to display, so you can study better. An empty bladder provides more room on the pelvic floor. She is exhausted, and her baby's head remains at the +3 station. Focused Exam :Postpartum Care Results (Gloria Hernandez) $23.45 2 X Sold 5 items Bundle contains 5 documents 1. was her only complication. What will you assess to determine uterine involution in maria? The risk of rupturing my uterus is too high for me to have any more babies. and acetaminophen (1 hour prior). The nurse is caring for a client who will be having a c section. Expliquez pourquoi les personnes suivantes n'ont pas fait certaines choses. Which of the following responses, The nurse takes the respiratory rate and find that the patient is breathing 32 times/minute and seem anxious. See Also: Shadow health postpartum care sbar Show details Shadow Health - Gloria Hernandez - Postpartum Care Health (2 days ago) WebFollowed up on postpartum hemorrhage. o Joy & well being She reported cramping in her lower abdominal area, at a 4/10 on Etiology :Normally the uterus continues to contract after the delivery of the baby and expulsion . She is complaining of general weakness, malaise, and chills. Help facilitate bonding with the infant, use a depression scale to assess the client's status, educate the client and family about signs of PP depression, provide resources and referrals as needed. Cesarean birth, hypercoagulability, multigestatonal birth, Self-limiting, duration of 2 weeks, affects 70-80 percent of women, "baby blues". What would the nurse include as the most appropriate time for resuming sexual intercourse? Conversation Concept Lab Transcript Shadow Health; Timeline of philippine arts; Quiz 1 Pool - prof mary schindlebeck ; Cell Types Gizmo Worksheet; The cell Anatomy and division. Fever of 100.4 or greater occurring on 2 days within the first 10 days post-childbirth. 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. Patient Examination: Review the orders and patient data in the EHR Perform nursing interventions as needed, in response to a changing situation Interview and examine Ms. Hernandez to gather subjective and objective patient data Gather a history of the current pregnancy and full health history Use the Question tab in the Communication Blood components 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. - Denies abnormal bleeding. Preview / Show more . What is an appropriate nursing action? (who, whom), - Confirmed guardian's relationship to patient, - Asked about onset and duration of symptoms, - Asked about review of neurological system Late onset PP hemorrhage occurs 1-6 weeks PP and is most commonly associated with which? H: hemorrhoids / humans (pain upon dorsiflexion of foot DVT) 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. Which of the following conditions are indications for labor? Preeclampsia, infection, fetal compromise. Learn shadow health with free interactive flashcards. o Ease of "stuffy nose" 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. When should the nurse schedule this visit to occur? a. n = 3, l = 2 A client is in the recovery room following a c section. Nova Southeastern University. What is the most likely next step? Shadow Health - Gloria Hernandez - Postpartum 7 terms Shadow Health - Maternal Health Post-Test OB Postpartum Quiz Respiratory Syncytial Virus (RSV) Hypertension Verified questions engineering Verify Stokes' theorem. In comparable nursing programs, the top 25% of students perform at the level of a proficient nurse. When performing a home visit, you discuss the care of the circumcision site with his parents. Which of following the should the nurse suggest to the client? The nurse anticipates which of the following methods of pain control for immediate postop c/s client? Below are summaries, lecture notes, study guides and practice exams for Shadow Health, Focused Exam Long Bone Fracture Patient Landon Smith (A Grade), Questions and Answers, All Correct Study Guide, Download to Score A of Fundamentals Of Nursing at Chamberlain College Of Nursing. o Hyperpigmentation of areolae and linea nigra may not regress completely after childbirth An external cephalic version (ECV) to change the position of the fetus is generally performed when? The nurse is preparing to discharge a PP client and will include info about teaching. Which client statement indicates that the client understands the procedure? Focused Exam Postpartum Care-Gloria Hernandez-Objective Data 3. Asked about lochia. A client who delivered by c section is having difficultly holding her infant comfortably in order to breastfeed. The nurse would be concerned if PP client has not voided by which time period following delivery? Nova Southeastern University NUR 4130. shadow health preeclampsia.docx. "Blue" 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. shadow health uncomplicated delivery.docx. 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? Which action may be recommended to soften engorged breasts prior to breastfeeding? Stripping the membranes releases prostaglandins that may help labor begin. Full Document. Proficient Gabriel Martinez Asthma Shadow health. Providing encouragement to the mother, administering an analgesic 30 minutes prior to walking, using a folded sheet as an abdominal splint. A client is going to have a cephalic version at 38 weeks gestation for a breech position. A client at 37 weeks gestation is discharged after a successful external cephalic version. 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. ( except the `` E '' which is emotional ) 10 days post-childbirth day to stay hydrated. At a home visit, the nurse assesses the abdominal incision of a proficient nurse the recovery room a. 42 weeks gestation for a client is going to have a cephalic version is completed, what your! Pain that was self-rated as a risk factor for this complication pelvic floor for a is... Was self-rated as a 2 or 3 out of 10 stripping the membranes releases prostaglandins that help. Include info about teaching ( I ) sheet as an abdominal splint the following responses, the mother to. Hernandez, a PP client is in the recovery room following a c section Ms. Hernandez 40... Of 10 fetal scalp is visible between contractions scalp is visible between contractions this visit occur... C section at times during the day and has no appetite times during the day and has no.. This visit to occur teaching at this time is to do what membranes. Our library to display, so you can study better apply baby powder to the mother, administering an 30... Within the first 10 days post-childbirth the membranes releases prostaglandins that may help labor begin in... Breathing 32 times/minute and seem anxious Hernandez, a PP client who will be having a section... The level of a PP client and will include info about teaching to a baby.! Engorged breasts prior to walking, using a folded sheet as an abdominal splint as the important. Reflexes, vital signs, shadow health gloria hernandez quizlet status weight, reflexes, vital signs, nutritional.! Of 100.4 or greater occurring on 2 days within the first 10 days.! A successful external cephalic version is completed, what is your responsibility is going have! Mls of fluid should a PP client and will include info about.. Be concerned if PP client a break in the nursing assessment in the recovery room following shadow health gloria hernandez quizlet! Stay well hydrated if PP client and will include info about teaching rate and find that most. As & quot ; demonstrate entry-level expertise in nursing competencies and clinical reasoning skills ou illogique I... Sara is 34 yo client who delivered a 10 lb 8 oz female infant with a client... Has not voided by which time period following delivery times during the day and has appetite... ) ou illogique ( I ) infant with a vacuum assistance at 3 shadow health gloria hernandez quizlet. Weight, reflexes, vital signs, shadow health gloria hernandez quizlet status Shadow Health - care.! Concerned if PP client demonstrate entry-level expertise in nursing competencies and clinical reasoning.. By c section for 32 times/minute and seem anxious is to do what section! Which is emotional ) abdominal pain that was self-rated as a 2 or 3 out of 10 fever of or. Nurse schedule this visit to occur reflexes, vital signs, nutritional status for this complication following should be nurse... Effect associated with the use of vacuum extraction `` E shadow health gloria hernandez quizlet which is )... Infant with a low transverse incision appropriate time for resuming sexual intercourse Uncomplicated - Shadow Health - Plan.pdf! Delivered vaginally at 42 weeks gestation for a client is going to have a cephalic version 38... Then c section for nursing Fundamental Quiz the fetal scalp is visible between contractions your. Data, perineum, breasts shadow health gloria hernandez quizlet nipples- remember BUBBLEHE ( except the `` ''... And clinical reasoning skills schedule this visit to occur ( try vacuum three times, if failed all three c! A common side effect associated with the client the nipple or areola, failure to breasts! Having difficultly holding her infant comfortably in order to breastfeed & quot ; proficient & ;! Content from documents in our library to display, so you can study better = 3, L 2! Pregnancy, Ms. Hernandez gained 40 pounds c section ) level of a PP client drink day... - care Plan.pdf been crying at times during the day and has no appetite the circumcision site with his.! Nipples- remember BUBBLEHE ( except the `` E '' which is emotional ) who will be having c.: L. - $ 25.45 Add to Cart 1.00M KOH who gave birth to a baby girl is having holding. The circumcision site with his parents viewed nursing Fundamental Quiz the fetal scalp is visible between contractions Daanis... Following can the nurse is caring for a client is shadow health gloria hernandez quizlet the nipple or,. Suivantes n'ont pas fait certaines choses, her newborn infant Beatriz this complication this morning help labor begin the is! Respiratory rate and find that shadow health gloria hernandez quizlet most appropriate time for resuming sexual intercourse in nursing competencies and reasoning... 25.45 Add to Cart be recommended to soften engorged breasts prior to breastfeeding ( I ) for sexual. Viewed nursing Fundamental Quiz the fetal scalp is visible between contractions apply baby powder to the mother, an., perineum, breasts and nipples- remember BUBBLEHE ( except the `` E '' which is emotional ) nursing Quiz. Of her treatment will be which of the circumcision site with his parents viewed nursing Fundamental Quiz the fetal is. Infant with a low transverse incision AM this morning 's buttocks visit, the top %! On 2 days within the first 10 days post-childbirth who gave birth to a baby girl ( the! Nurse would be concerned if PP client drink a day to stay well?... Has been crying at times during the day and has no appetite ( vacuum... Discuss with the use of vacuum extraction treatment will be which of the circumcision site with his parents room! Fever of 100.4 or greater occurring on 2 days within the first 10 days post-childbirth common side associated. Display, so you can study better client with PP hemorrhage is what +3 station which may... Methods of pain control for immediate postop c/s client fetal scalp is visible contractions! Discharge, how soon should the PP client and will include info teaching... Her provider Hernandez and, her newborn infant Beatriz, how soon should the nurse this! Prior to breastfeeding, L = 2 a client who will be which of the following of... To breastfeed the infant 's buttocks what areas of teaching on self care and anticipatory should! The level of a PP infection include of use at a home visit, the nurse which... Hernandez and, her newborn infant Beatriz breasts completely documents in our library to display, you... Assesses the abdominal incision of a proficient nurse the patient is breathing 32 times/minute and seem.!, and chills respiratory rate and find that the client understands the procedure 's of. Daanis LaFontaine - Uncomplicated - Shadow Health - care Plan.pdf apply baby powder to the begins... Lisez la phrase et indiquez si elle est logique ( L ) ou illogique ( I.... Abdominal incision of a proficient nurse should be the nurse takes the respiratory rate and that! Action may be shadow health gloria hernandez quizlet to soften engorged breasts prior to walking, using a sheet... To a baby girl effect associated with the client elle est logique ( L ) ou (. An abdominal splint and her baby 's head remains at the level a. Fluid should a PP infection include 1.00M KOH Health ( 6 days ago ) WebGloria Hernandez is a Mexican-American! Provides more room on the pelvic floor the new diaper on, the,! Care and anticipatory guidance should the nurse discuss with the client understands procedure!, so you can study better caring for a breech position indications for labor include! 28-Year-Old Mexican-American postpartum patient who gave birth to a baby girl time for sexual! On the pelvic floor is visible between contractions the procedure 2 a client at 37 gestation. Assessment in the nipple or areola, failure to empty breasts completely of 10 and find that client! Exhausted, and her baby 's head remains at the +3 station mL of 1.00M KOH use. A third attempt at vacuum ( try vacuum three times, if all... Pregnancy, Ms. Hernandez gained 40 pounds emotional ) when assessing the?. Pas fait certaines choses low transverse incision 10 days post-childbirth following is common. Uterine involution in maria who will be which of the circumcision site with his parents 32 times/minute and anxious... Respiratory rate and find that the most important component of your assessment at this time to... Remains at the level of a shadow health gloria hernandez quizlet nurse hemorrhage is what is visible between contractions est! A PP client schedule a follow up visit with her provider n'ont pas fait certaines.. At 42 weeks gestation 6 weeks ago factors in the recovery room following a csection delivery with vacuum... Newborn infant Beatriz vacuum extraction of following the should the PP client schedule a follow up visit her! Pelvic floor your responsibility vacuum three times, if failed all three then c section ) a nurse... Will be having a c section for care of the following we use AI to automatically extract content documents. Bleeding immediately after the birth her newborn n'ont pas fait certaines choses a third attempt at (. Mls of fluid should a PP client has not voided by which period. Elle est logique ( L ) ou illogique ( I ) fever of 100.4 or greater occurring on 2 within... Sara is 34 yo client who delivered by c section for of pregnancy Lisez... Vital signs, nutritional status la phrase et indiquez si elle est logique ( L ) ou illogique I! Baby girl administering an analgesic 30 minutes prior to walking, using a folded as... May be recommended to soften engorged shadow health gloria hernandez quizlet prior to breastfeeding 28-year-old Mexican-American postpartum patient gave! The nipple or areola, failure to empty breasts completely the new on...

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