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Please provide two recommendations to improve the process of perinatal care for exclusive breast milk feeding
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- As a postpartum nurse your next client is an LGA baby boy who was born at 37 weeks' gestation. He had Apgar scores of 8 and 9. The mother is breast-feeding. Your unit requires a full assessment, screenings, discharge instructions, and documentation. A. Describe and demonstrate what a normal head-to-toe assessment would be for an infant born at 37 weeks' gestation. What test is used to determine this gestational age? What is the scale used to determine the Apgar score, and are this baby’s scores normal?B. As the discharging nurse, you are responsible for what screenings in an infant in the first 24 to 48 hours? What immunizations would be required?discuss the essential intrapartum and newborn care (EINC).A nurse is collecting data during a prenatal visit. What two (2) questions would be asked to identify maternal drug abstinence? 2. A nurse is reinforcing teaching with a pregnant client who is diagnosed with iron deficiency anemia and has been prescribed iron supplements. List a statement if made by the client would indicate an understanding of the teaching. 3. A nurse is caring for a newborn with hyperbilirubinemia who has been prescribed phototherapy. Identify three (3) interventions the nurse should institute for this client?
- A multigravida at 37 weeks' gestation tells the nurse that she has frequent heartburn. After providing the patient with suggestions for obtaining relief from the heartburn. the nurse determines that the patient has understood the instructions when the patient says: I should eat only three large meals and drink plenty of fluids It's all right for me to have a fried hamburger and fries I can take a teaspoon of baking soda in water occasionally I should eat smaller, more frequent meals with fluidsWhich of the following patients would the nurse consider a priority for being placed at high risk for fetal distress during labor? A gestational diabetic whose glucose level was 90 mg/dl on admission An Rh-negative patient with a negative indirect Coombs' test A Patient with a 20-to 25-pound weight gain during pregnancy A patient at 43 weeks gestation admitted for induction of laborA nurse explains that the efficiency of the basal body temperature method of contraception depends on fluctuation of the basal body temperature. What factor will alter its effectiveness? 1. Presence of stress 2. Length of abstinence 3. Age of those involved 4. Frequency of intercourse
- A multigravida at 32 weeks gestation tells the nurse that she gets dizzy in while.The nurse should instruct the patient to: Stand with her head lowered Discontinue moderate exercise Avoid being in a cold room Avoid sudden position changesA patient in Rubin’s taking-in phase will display which of the following behaviors? Select all that apply. a. Asking her partner to choose what she should eat for dinner b. Becoming frustrated when she’s unable to change the baby’s diaper without making a mess c. Asking for assistance with pericare whenever she voids d. Stating that it’s ok that the baby is a girl when she was hoping for a boy e. Crying and stating she’s too anxious to eatLily accompanied by her husband come for her 6-week postpartal check-up. Lily, who has just become parent of an 7 lbs baby girl via normal spontaneous delivery in the nearby lying-in clinic. She reports that “Everything is good so far .” My husband, Mike is very supportive to me and my new baby. 1. What would you include in an assessment plant to ensure that the client has physically and emotionally adjusted well to childbirth? 2. How would you evaluate the family based on your observation? 3. Encouraged to share and discuss their answers to one another.
- The nurse is assessing a client with suspected endometriosis. Which of the following findings would support a diagnosis of endometriosis? Dyspareunia Hot flashes Weight gain AmenorrheaHow you would respond to a client regarding the various choices for screening mammograms and clinical breast exams?25 year old G1P0 seeks consult at 20 weeks AOG for initial obstetric visit. The nursing student is preparing to instruct the pregnant client in performing Kegel exercises. The nursing instructor asks the student the purpose of Kegel exercises. Which response made by the student indicates an understanding of the purpose? “The exercises will help strengthen the pelvic flood in preparation for delivery.” “The exercises will help reduce backaches.” “The exercises will help prevent ankle edema.” “The exercises will help prevent urinary tract infections.”