The occiput anterior position is the optimal position for the fetus. What action the nurse is most appropriate? This womanâs respiratory rate is too low, and the nurse needs to administer naloxone per protocol. This deep, dull and aching, poorly localized pain is usually felt only during contractions. The nurse should check the motherâs chart for what medication? The most common complication seen with the use of spinal anesthesia blocks is maternal hypotension. A nursing instructor is explaining the differences between the somatic and visceral pain felt women in labor to a class of nursing students. Add this exact test bank to your shopping basket on this website. Test Bank For Maternal Child Nursing Care with Women’s Health Companion 2nd Edition, Susan. The nurse should inform the pregnant woman about these facts in a supportive, encouraging way. If this is the nursing test bank that you want. Visceral pain is predominant during the first stage of labor. Obtain informed consent prior to allowing the woman in the tub. A nurse is coaching a woman in labor in patterned breathing. Massage has demonstrated some usefulness, but more studies are needed. Their 2-year-old daughter has PKU. Reassess the woman in 1 hour for changes in vital signs. Excellent buy! I wish there were more highlights within the text to summarize key points, but other than that this book was a great learning tool! It can be used for both vaginal and cesarean births. The print version of this textbook is ISBN: 9781771720366, 1771720360. Save up to 80% by choosing the eTextbook option for ISBN: 9781771720366, 9781771720670, 1771720670. Maternal & Child Nursing Care 2nd Edition by Marcia L. London (Author) › Visit Amazon's Marcia L. London Page Find all the books, read about the author, and more. 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. On assessing the patient further, the nurse finds her vital signs to be within normal limits, the patient is calm and cooperative, and she voided 400 mL 30 minutes ago. Assuming a hands-and-knees position will help relieve the pressure on the womanâs back when the fetus is in a posterior position. Great product , purchase , and seller!! Assess vital signs every 5 minutes after the epidural insertion. Urinary retention, not incontinence, is another possible complication. The off-going nurse states that the mother received some sort of sedative during the intrapartum period. So you can download your entire test bank today without waiting for it. Remove the fetal monitor wires prior to the patientâs getting in the tub. Then you can start reading Kindle books on your smartphone, tablet, or computer - no Kindle device required. Use a wheelchair to transport the woman to the hydrotherapy tub. Ephedrine would be the drug of choice for refractory hypotension if other measures donât work. 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? Which of the following statements the nurse would help to ease the womanâs fears? After viewing product detail pages, look here to find an easy way to navigate back to pages you are interested in. Designed to accompany Perry's Maternal Child Nursing Care, 4th Edition, this workbook will assist students in understanding and applying material from each chapter in What assessment would best indicate that actions to decrease fear have been successful? A woman is preparing for whirlpool bath hydrotherapy. Typically, the headache is intensified when the patient assumes an upright position and is relieved when she assumes a supine position. The patient questions the rationale for this suggestion. With Dilaudid, if birth occurs within 1 to 4 hours after administration, the nurse must assess the neonate frequently for respiratory depression. The back cover was almost completely ripped off but the inside of the book is in pretty good shape. Decreased fear leads to relaxation and less pain. The other options do not show decreased fear. The symptoms of respiratory alkalosis are light-headedness, dizziness, tingling of the fingers, or circumoral numbness. Your recently viewed items and featured recommendations, Select the department you want to search in. Provide soothing music as a distraction technique. The other interventions will not be as helpful. Which response the nurse is best? Great Customer Service, they will respond ! 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. Ensure the water temperature does not exceed 101Â°F (38.3Â°C). The perinatal nurse explains to the student nurse that which of the following may increase labor discomfort? Documentation should always be thorough, but further action is needed. Visceral pain is most often felt during contractions. Full download : https://goo.gl/2zY8Yz Test Bank for Maternal Child Nursing Care 2nd Edition by Ward, Maternal Child Nursing Care;Ward;Test Bank 7. The perinatal nurse is caring for a Native American woman in labor with her first baby. These medications produce sedative, antiparkinsonian, and antiemetic effects. Inform her that she is not able to participate in this method. The assessments that indicate the hydrotherapy has been effective include which of the following? My class required the 3rd edition but I opted to save money and go with the 2nd. (Select all that apply. The perinatal nurse is caring for a woman in early labor with a fetus in the occiput posterior position. Book was in great shape, practically new along with the CD which worked ! If these measures are not effective, an autologous epidural blood patch may be administered. 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 Breathing more slowly and taking a cleansing breath, Cupping her hands and breathing into them, Returning to bed and lying on her left side. Thereafter, checkout. Most of the formats are going to be in a PDF format. Somatic pain is usually only felt in the third stage. Stating that she has to expect some pain is also dismissive and gives the impression that wanting pain control is unreasonable. The perinatal nurse assists the anesthesiologist with the spinal block and then positions the patient in a supine position. Phenothiazines specifically cross the placenta readily and may produce decreased fetal heart rate beat-to-beat variability. For this woman, who is not yet ready for admission and exhausted, prescribed rest would be of benefit. Instead, our system considers things like how recent a review is and if the reviewer bought the item on Amazon. A labor and delivery nurse explains to the student that the most common complication following a spinal anesthesia block is which of the following? 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. Telling the woman that her respiratory rate will be half of the normal rate does not provide any specific instruction for her to follow. Butorphanol can cause both maternal and fetal respiratory depression. We work hard to protect your security and privacy. Text book is in decent shape. Some women find that music enhances their ability to remain focused during contractions. 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. Many students send us emails thanking us for helping them. A woman received butorphanol (Stadol) IV for labor pain. Explain that she should move the ball in a circle. Decreasing anxiety and pain will decrease oxygen requirements. Start a peripheral IV of normal saline (NS). Thirty minutes later, the patientâs respiratory rate is 8 breaths/minute. What action the nurse is most appropriate? Which of the following solutions would be appropriate for the nurse to choose? Think about it like this. There was an error retrieving your Wish Lists. The Flight Nurse Bible: A Field Guide To Awesomeness. Â Think about it like this. This action ensures patient safety. Please send us an email and we will send you the correct file right away. A woman has just given birth to an infant weighing 9 lb, 15 oz (4,350 g) with the assistance of forceps and an episiotomy. Although there are objective signs that can be assessed with pain (changes in vital signs, emotional changes, and decreased urinary output), their absence does not invalidate the womanâs complaints. Find all the books, read about the author, and more. Enter your mobile number or email address below and we'll send you a link to download the free Kindle App. The other options are less common complications. The patient is using it correctly; the two methods are moving it in a circle and rocking back and forth. Maternal Child Nursing Care in Canada 2nd Edition by Shannon E. Perry, RN, PhD, FAAN, Marilyn J. Hockenberry, PhD, RN, PNP-BC, FAAN, Deitra Leonard Lowde and Publisher Elsevier (HS-US). !ððð, Reviewed in the United States on September 26, 2007. The perinatal nurse suggests that a laboring woman may wish to use the birth ball. Reglan increases the speed of gastric emptying, which helps prevent the aspiration of gastric contents. Great customer service!! What action is best to help prevent maternal hypotension? Have the woman walk to the bathroom and void. A woman is using a birth ball to promote comfort and fetal descent. It is caused stretching of the perineal body, distention and traction, and soft tissue lacerations. Encourage the woman to void every 2 hours postpartum. Allow the woman to remain in the tub for no more than 20 minutes. I decided to rent the book in the meantime to be prepared for school.and the rental beat the book, so I offered the book to a student who didn't have one and it worked out wonderfully. Patient Needs: Safe and Effective Care Environment: Safety and Infection Control. Unable to add item to List. Visceral pain usually occurs in the first stage of labor. What action the nurse is best? Tell her she can have medication when the pain is unbearable. Nursing Mnemonics: 108 Memory Tricks to Demolish Nursing School. 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. A nurse is caring for a pregnant woman scheduled to have an epidural block. (Select all that apply. Hydrotherapy can provide excellent comfort for many women in labor; however, the presence of internal fetal monitoring electrodes is a contraindication to the use of whirlpool tubs or jet hydrotherapy. A woman is 1 hour postpartum with an epidural block and wishes to get up to go to the bathroom. Assessing vital signs and promoting bonding are important for all new mothers. It may increase the chance of an operative birth. Instant Test Bank for Maternal Child Nursing Care In Canada, 2nd Edition Authors: Perry RN PhD FAAN, Shannon E., Hockenberry PhD RN-CS PNP FAAN, Marilyn J., Lowdermilk RNC PhD FAAN, Deitra Leonard, Wilson MS RN C(INC), David, Keenan-Lindsay RN MN PNC(C) LCCE, Lisa, Sams RN BScN MSN, Cheryl A Encourage the woman to assume a sitting position. So your order is 100 percent anonymous and discreet. Which action the nurse is best? Deep cleansing breaths may be helpful for relaxation, but will not help prevent hypotension. The patient asks about the possibility of burning sweet grass, a part of her cultural tradition, during labor. Comforting music during labor promotes maternal relaxation, thereincreasing oxygen intake. (Select all that apply. Maternal Child Nursing 2nd Edition Ward Hisley Test Bank. There's a problem loading this menu right now. During the assessment, the nurse may identify physiological and psychological changes that are indicative of maternal pain. Assess sensation in the lower extremities. We also have files in Microsoft Word. The perinatal nurse prepares the laboring woman for an epidural anesthesia insertion. The other actions are not necessary. âDonât worry about the pain; at least itâs not from illness.â, âKeep in mind there is an end to the pain with the birth.â, âPain during labor is normal and expected, and helps you to give birth.â, âWe can anticipate your labor pain and plan for it.â, âYou have to expect some amount of pain during labor.â. Choose from 500 different sets of Maternal child nursing care fifth edition flashcards on Quizlet. London, Marcia L., Ladewig, Patricia W., Ball, Jane W., Bindler, Ruth C. Nursing Assessment: Head-to-Toe Assessment in Pictures (Health Assessment in Nursing). The other options are not appropriate. The nurse should intervene if the student injects the medication between contractions, checks only three rights of medication administration, and injects the medication rapidly. ), While providing a hospital tour, the perinatal nurse shows the compact disc player stored in the birthing room. To get the free app, enter your mobile phone number. I am impressed. H1 receptor antagonists are medications that block the action of histamines at the receptor sites. Please email us sending an email to us. Pudendal block is considered a local/regional anesthesia and would not provide sufficient anesthesia for an operative birth. Sublimaze (and all opioid analgesics) should be administered during contractions so that the fetus has less exposure to the drug due to uterine vasoconstriction. So does your teacher. Our payment security system encrypts your information during transmission. Muscle relaxation can be facilitated with succinylcholine (Anectine). Thanks for great customer service. 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. 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. This can be especially helpful when the woman is having back pain due to the pressure of the occiput against spinal nerves while the fetus is in a posterior position. Please try again. Reviewed in the United States on July 1, 2014. She wishes to try whirlpool bath hydrotherapy as a comfort measure. Encourage frequent cleansing breaths during the procedure. Administer naloxone (Narcan) per protocol. Get the accurate, practical information you need to succeed in the classroom, the clinical setting, and on the NCLEX-RN ® examination. Please try again. When providing care, nurses must recognize that culture strongly influences how one perceives and copes with pain. During labor, music provides comfort and decreases maternal anxiety stimulating the release of endorphins. Written by the foremost experts in maternity and pediatric nursing, the user-friendlyMaternal Child Nursing Care, 6th Edition provides both instructors and students with just the right amount of maternity and pediatric content. This method requires puncture of the dura and placement of a catheter in the epidural space, so it is associated with a higher incidence of infection and postprocedure headache than other methods. Description Test Bank Maternal Child Therapeutic touch is provided trained personnel. Anesthesia occurs after only a 10- to 15-minute delay. With the slow-paced breathing pattern, the woman first takes a deep cleansing breath, then breathes slowly in and out of her mouth at about half her normal respiratory rate. examination. The best answer the nurse is that use of the birth ball will facilitate what action? Assessment of cultural beliefs and practices, questions to identify specific needs, and encouragement and support to use safe interventions is key in providing culturally sensitive care that empowers the patient to maintain her sense of control over her labor and childbirth experience. To ensure patient safety, what action the nurse is best? Assist the woman into the tub so she doesnât fall. A laboring woman has the nursing diagnosis of fear related to incomplete childbirth education. ( right patient, right dose, right route, right drug, right drug, dose... Explaining Potential complications from epidural anesthesia to a class of nursing students other comfort.. Audio series, and Kindle books music during labor facilitate comfort for the nurse provide antiparkinsonian, and more for. By star, we donât share your credit card details with third-party sellers, and vaginal examinations may administered... 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