During immersion, the maternal temperature and fetal heart rate should remain stable. A nurse is coaching a woman in labor in patterned breathing. An IV will probably be needed prior to delivery (depending on institutional protocol), but, again, this is not the priority in the setting of a patient with abnormal laboratory results. Master content from the textbook with this helpful study tool! My class required the 3rd edition but I opted to save money and go with the 2nd. Your download link will be provided to you automatically. Written by the foremost experts in pediatric and maternity nursing, Maternal Child Nursing Care, 5th Edition (PDF) offers the accurate, practical information you need to succeed in the classroom, the clinical setting, and on the NCLEX ® examination. H1 receptor antagonists are medications that block the action of histamines at the receptor sites. However, because the woman will lose the ability to feel contractions, maternal pushing efforts are compromised, which increases the risk of an operative birth. The perinatal nurse would expect which of the following responses to the block? This womanâs platelet count is low and her INR is high, leading to concern about coagulopathies. ), While providing a hospital tour, the perinatal nurse shows the compact disc player stored in the birthing room. Benefits of spinal block anesthesia include: easy to administer, has immediate onset of action, requires a smaller volume of medication, produces excellent muscular relaxation, allows for maintenance of maternal consciousness, and is associated with minimal blood loss. Strategies to eliminate respiratory alkalosis focus on replacement of the bicarbonate ion rebreathing carbon dioxide. It should be administered 10 to 20 minutes before perineal anesthesia is needed and may be used late in the second stage of labor if an episiotomy is to be performed or if forceps or vacuum extraction will be used to facilitate birth. Description Test Bank Maternal Child The nurse reviews the womanâs admission laboratory results and finds the following: white blood count (WBC) 6,500/ mm. What action the nurse is best? Cannot be used if a cesarean birth is required, Associated with a delayed onset of good pain control, Associated with an increased risk of infection and headache, Increased irritability related to repeated questions, Decreases the production of catecholamines, Block histamine action at the receptor sites, Decrease anxiety and promote sleep or rest, Lead to more efficient contractions earlier in labor, May decrease fetal heart rate variability, Administers the medication between contractions, Administers the medication during a contraction, Checks the three rights prior to administration. test bank maternal child nursing care perry (6th edition, 2017) table of contents table of contents chapter 01: 21st century maternity nursing chapter 02: 1 3 17 27 44 65 83 99 114 131 148 162 182 204 217 234 252 276 293 307 321 336 354 373 385 Notify the health-care provider immediately. Encourage the woman to void every 2 hours postpartum. Stating âat least itâs not from illnessâ is factual but dismissive of her fears. The perinatal nurse observes a woman entering the transition phase of labor while she uses a patterned breathing method to cope with the increasing strength of contractions. Assess sensation in the lower extremities. H1 receptor antagonists are often used for sedation and relaxation in labor. Amazon has this text book if you would like that as well: Maternal Child Nursing 2nd Edition Ward Hisley Test Bank, Email us if you have any questions. Which of the following statements the nurse would help to ease the womanâs fears? Maternal pain is intensified. A post-anesthesia care nurse is receiving a report on a patient who was delivered under general anesthesia. Blowing out the candle is an instruction given during transition with the pattern-paced method. Text book is in decent shape. Each text book has one test bank that teachers use to test students with. A signed consent form should be in the chart for an invasive procedure; however, this is not the priority at this point. Prime members enjoy FREE Delivery and exclusive access to music, movies, TV shows, original audio series, and Kindle books. The patientâs medication regime should then be discussed with the provider. Typically, the headache is intensified when the patient assumes an upright position and is relieved when she assumes a supine position. Thirty minutes later, the patientâs respiratory rate is 8 breaths/minute. Patient Needs: Safe and Effective Care Environment: Management of Care. What assessment would best indicate that actions to decrease fear have been successful? To get the free app, enter your mobile phone number. The perinatal nurse is aware that a 25-year-old woman with gestational hypertension in labor would benefit most from which pharmacological pain relief medication? The perinatal nurse understands that the purpose of combining an opioid with a local anesthetic agent in an epidural is primarily for which of the following? If this is the nursing test bank that you want. ). Discontinue the patientâs intravenous infusion. Patient Needs: Physiological Integrity: Pharmacological and Parenteral Therapies, Integrated Process: Nursing Process: Assessment. Amniotomy, which is the artificial rupture of the fetal membranes, may be performed using a plastic amnihook or surgical clamp. This book is very well written and extensive. âBlow like you are blowing out a candle at the end of your breath.â, âI will count to 4 while you inhale and again when you exhale.â, âTake a deep cleansing breath when the contraction ends.â, âYou need to breathe at half of your normal rate in this pattern.â. Lab Values: 137 Values You Must Know to Easily Pass the NCLEX! A pregnant woman is asking about a combined spinal-epidural analgesia for labor pain. ~~ Book Maternal And Child Nursing Care 2nd Edition ~~ Uploaded By Stan and Jan Berenstain, maternal child nursing care 2nd edition covers the essential content for the maternity and pediatric nursing courses combined in one affordable text the inclusion of expert authors contributors featuring the most accurate current and clinically Counterpressure is performed when the support person uses the fist or heel of the hand to apply steady pressure to the sacral area. The perinatal nurse suggests that a laboring woman may wish to use the birth ball. You have one text book in your class. Visceral pain usually occurs in the first stage of labor. A patient in labor has internal fetal monitoring and normal vital signs. Description Featuring the most accurate, current, and clinically relevant information available, Maternal Child Nursing Care in Canada, 2 nd Edition, combines essential maternity and pediatric nursing information in one text. Encourage the woman to assume a sitting position. Assess vital signs every 5 minutes after the epidural insertion. Somatic pain is usually only felt in the third stage. A nurse is caring for a pregnant woman scheduled to have an epidural block. Epidural blocks are advantageous for patients with diabetes, heart disease, pulmonary disease, and, in some cases, gestational hypertension, because they essentially eliminate the pain associated with labor and thus reduce the maternal stress associated with labor discomfort. Chapter 13: Promoting Patient Comfort During Labor and Birth. The perinatal nurse assists the anesthesiologist with the spinal block and then positions the patient in a supine position. Which of the following is the best response the nurse? Decreased fear leads to relaxation and less pain. Learn Maternal child nursing care fifth edition with free interactive flashcards. In the event of severe maternal hypotension, the nurse should place the patient in a lateral position or use a wedge under the hip to displace the uterus, elevate the legs, maintain or increase the IV infusion rate, and administer oxygen face mask at 10 to 12 L/min, or according to institution protocol. The IV would not be discontinued. During labor, music provides comfort and decreases maternal anxiety stimulating the release of endorphins. Promethazine binds to bilirubin binding sites and may cause hyperbilirubinemia and jaundice in term infants exposed to the drug during the intrapartal period. Which response the nurse is best? Anxiety and fear stimulate the release of catecholamines and heighten the sensation of pain. !ððð, Reviewed in the United States on September 26, 2007. This deep, dull and aching, poorly localized pain is usually felt only during contractions. All authentic chapters and questions and answers are included. Provide soothing music as a distraction technique. Decreasing anxiety and pain will decrease oxygen requirements. Assuming a sitting position on the birth ball facilitates a supported squatting position that opens the pelvis to allow fetal descent in preparation for birth. All fetal signs are reassuring. (Select all that apply. Perform a head-to-toe assessment on the neonate. Nurses should promote breastfeeding if this is the womanâs preference. Frequent voiding in small amounts and a normal blood pressure are not findings consistent with labor pain. For this woman, who is not yet ready for admission and exhausted, prescribed rest would be of benefit. Naloxone is an opioid antagonist and will reverse the effects of opioids. Choose from 500 different sets of maternal child nursing care flashcards on Quizlet. Thanks for great customer service. Patient Needs: Physiological Integrity: Basic Care and Comfort, Integrated Process: Nursing Process: Implementation. Inform her that she is not able to participate in this method. Of course the patientâs report of lessened pain is the most valuable assessment. A labor and delivery nurse explains to the student that the most common complication following a spinal anesthesia block is which of the following? Assess her response to the birth ball and document. Start a peripheral IV of normal saline (NS). Effleurage is a gentle stroking technique performed in rhythm with contractions. Cognitive Level: Comprehension/Understanding, Patient Needs: Health Promotion and Maintenance. A woman in labor receives a dose of hydromorphone hydrochloride (Dilaudid) at 11:30 a.m. She gives birth at 12:45 p.m. What action the nurse takes priority? Allow the woman to remain in the tub for no more than 20 minutes. There was an error retrieving your Wish Lists. Most institutions use dextrose-free IV solutions for women in labor because dextrose can cause fetal hyperglycemia with rebound hypoglycemia in the few hours after birth. MATERNAL CHILD NURSING CARE IN CANADA 2ND EDITION PERRY TEST BANK TEST BANK NURSINGTB.COM CLICK HERE TO ACCESS FULL TEST BANK N U R S I N G T B. MATERNAL-CHILD NURSING CARE, 2ND EDITION covers the essential content for the maternity and pediatric nursing courses combined in one affordable text. Place a wedge under the patientâs left hip. The physician orders that an IV be started. To calculate the overall star rating and percentage breakdown by star, we donât use a simple average. The perinatal nurse explains to the new graduate nurse that fear and anxiety have physiological consequences in labor. Potential complications from epidural anesthesia include bizarre behavior (if the medication is injected into the circulation), increased length of labor, increased need for oxytocin, and shiver response. Our payment security system encrypts your information during transmission. Reviewed in the United States on February 1, 2013. Massage has demonstrated some usefulness, but more studies are needed. Maternal-Child Nursing Care with The Women’s Health Companion: Optimizing Outcomes for Mothers, Children, and Families $149.95 (US) Susan L. Ward, PhD, RN Shelton M. Hisley, Ph.D., RNC, WHNP-BC ISBN-13: 978-0-8036 Labor pain has some unique characteristics, including: (1) being part of a normal process, as opposed to being caused illness or injury; (2) being anticipated, which allows for planning and preparation; and (3) having an end point with the birth of the baby.
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