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The newborn’s toes will hyperextend and fan apart from dorsiflexion of the big toe when one side of foot is stroked upward from the ball of the heel and across the ball of the foot.
The newborn abducts and flexes all extremities and may begin to cry when exposed to sudden movement or loud noise.
The newborn turns the head in the direction of stimulus, opens the mouth, and begins to suck when cheek, lip, or corner of mouth is touched.
The newborn will attempt to crawl forward with both arms and legs when he is placed on his abdomen on a flat surface
Pressure on blood vessels from the enlarging uterus
The force of gravity pulling down on the uterus
5 weeks gestation
10 weeks gestation
15 weeks gestation
20 weeks gestation
Begin monitoring maternal vital signs and FHR
Place the client in a knee-chest position in bed
Notify the physician and prepare the client for delivery
Apply a sterile warm saline dressing to the exposed cord
Leaking amniotic fluid
Blink, cough, rooting, and gag
Blink, cough, sneeze, gag
Rooting, sneeze, swallowing, and cough
Stepping, blink, cough, and sneeze
Fear related to the unknown
Pain related to numerous procedures.
Ineffective family coping related to infertility.
Self-esteem disturbance related to infertility.
Inflammation and clot formation that result when blood components combine to form an aggregate body
Inflammation and blood clots that eventually become lodged within the pulmonary blood vessels
Inflammation and blood clots that eventually become lodged within the femoral vein
Inflammation of the vascular endothelium with clot formation on the vessel wall
Between 10% and 40% of all new mothers report some form of postpartum blues
Between 30% and 50% of all new mothers report some form of postpartum blues
Between 50% and 80% of all new mothers report some form of postpartum blues
Between 25% and 70% of all new mothers report some form of postpartum blues
Limiting hypovolemic shock
Obtaining blood specimens
Instituting complete bed rest
Inserting a urinary catheter
Instruct the mother’s support person to remain in the family lounge until after the delivery
Arrange for a staff member of the anesthesia department to explain what to expect postoperatively
Modify preoperative teaching to meet the needs of either a planned or emergency cesarean birth
Explain the surgery, expected outcome, and kind of anesthetics
Epidemic infection from nosocomial sources localizing in the lactiferous glands and ducts
Endemic infection occurring randomly and localizing in the periglandular connective tissue
Temporary urinary retention due to decreased perception of the urge to avoid
Breast injury caused by overdistention, stasis, and cracking of the nipples
The test was performed less than 10 days after an abortion
The test was performed too early or too late in the pregnancy
The urine sample was stored too long at room temperature
A spontaneous abortion or a missed abortion is impending
The neonatal effects include hypotonia, hypothermia, generalized drowsiness, and reluctance to feed for the first few days.
These drugs readily cross the placental barrier, causing depressive effects in the newborn 2 to 3 hours after intramuscular injection.
They rapidly transfer across the placenta, and lack of an antagonist make them generally inappropriate during labor.
Adverse reactions may include maternal hypotension, allergic or toxic reaction or partial or total respiratory failure
Edema of the feet and ankles
Edema of the hands and face
Weight gain of 1 lb/week
Early morning headache
Labor that begins after 20 weeks gestation and before 37 weeks gestation
Labor that begins after 15 weeks gestation and before 37 weeks gestation
Labor that begins after 24 weeks gestation and before 28 weeks gestation
Labor that begins after 28 weeks gestation and before 40 weeks gestation
Frequency, urgency, dehydration, nausea, chills, and flank pain
Nocturia, frequency, urgency dysuria, hematuria, fever and suprapubic pain
Dehydration, hypertension, dysuria, suprapubic pain, chills, and fever
High fever, chills, flank pain nausea, vomiting, dysuria, and frequency
Weak contraction prolonged to more than 70 seconds
Tetanic contractions prolonged to more than 90 seconds
Increased pain with bright red vaginal bleeding
Increased restlessness and anxiety
Renal or vascular disease
80 beats per minute
100 beats per minute
120 beats per minute
140 beats per minute
The ultrasound will help to locate the placenta
The ultrasound identifies blood flow through the umbilical cord
The test will determine where to insert the needle
The ultrasound locates a pool of amniotic fluid
Turn the neonate every 6 hours
Encourage the mother to discontinue breast-feeding
Notify the physician if the skin becomes bronze in color
Check the vital signs every 2 to 4 hours
“Nausea and vomiting can be decreased if I eat a few crackers before arising”
“If I start to leak colostrum, I should cleanse my nipples with soap and water”
“If I have a vaginal discharge, I should wear nylon underwear”
“Leg cramps can be alleviated if I put an ice pack on the area”
Activity limited to bed rest
Immediate cesarean delivery
Labor induction with oxytocin
Feeding the neonate a maximum of 5 minutes per side on the first day
Wearing a supportive brassiere with nipple shields
Breast-feeding the neonate at frequent intervals
Decreasing fluid intake for the first 24 to 48 hours
Tonic neck reflex
Notify the neonate’s pediatrician immediately
Check the diaper and circumcision again in 30 minutes
Secure the diaper tightly to apply pressure on the site
Apply gently pressure to the site with a sterile gauze pad
Excessive vaginal bleeding
Rigid, boardlike abdomen
Titanic uterine contractions
Premature rupture of membranes
Note the fetal heart rate patterns
Notify the physician immediately
Administer oxygen at 6 liters by mask
Have the client pant-blow during the contractions
High-pitched speech with tonal variations
Low-pitched speech with a sameness of tone
Cooing sounds rather than words
Repeated stimulation with loud sounds
“Yes, it produces no adverse effect.”
“No, it can initiate premature uterine contractions.”
“No, it can promote sodium retention.”
“No, it can lead to increased absorption of fat-soluble vitamins.”
Fluid volume deficit
Fetal body flexion or extension
Maternal age, body frame, and weight
Maternal and paternal ethnic backgrounds
Maternal parity and gravidity
The membranes must rupture
The fetus must be at 0 station
The cervix must be dilated fully
The patient must receive anesthesia
Around the pelvic girdle
Around the pelvic girdle and in the upper arms
Around the pelvic girdle and at the perineum
At the perineum
Tubal or ectopic pregnancy
Proteinuria, headaches, vaginal bleeding
Headaches, double vision, vaginal bleeding
Proteinuria, headaches, double vision
Proteinuria, double vision, uterine contractions
Oxytoxin causes water intoxication
Oxytocin causes excessive thirst
Oxytoxin is toxic to the kidneys
Oxytoxin has a diuretic effect
Low room humidity
Cold weight scale
Cools incubator walls
Cool room temperature
Increase heart rate
Dry mucous membranes
Nausea and Vomiting
Apply warm compresses to her nipples just before feedings
Lubricate her nipples with expressed milk before feeding
Dry her nipples with a soft towel after feedings
Apply soap directly to her nipples, and then rinse
Between 10 and 12 weeks’ gestation
Between 16 and 20 weeks’ gestation
Between 21 and 23 weeks’ gestation
Between 24 and 26 weeks’ gestation
Bright red blood
Large clots or tissue fragments
A foul odor
The complete absence of lochia
“Do you have any chronic illness?”
“Do you have any allergies?”
“What is your expected due date?”
“Who will be with you during labor?”
Every 5 minutes
Every 15 minutes
Every 30 minutes
Every 60 minutes
Increased vaginal mucus
Shortness of breath on exertion
The patient is 25 years old
The patient has a child with cystic fibrosis
The patient was exposed to rubella at 36 weeks’ gestation
The patient has a history of preterm labor at 32 weeks’ gestation
At the beginning of each fetal movement
At the beginning of each contraction
After every three fetal movements
At the end of fetal movement
“I’ll report increased frequency of urination.”
“If I have blurred or double vision, I should call the clinic immediately.”
“If I feel tired after resting, I should report it immediately.”
“Nausea should be reported immediately.”
An empty gestational sac.
A severely malformed fetus.
An extrauterine pregnancy.
The attachment of the baby to the breast.
The mother’s comfort level with positioning the baby.
The baby’s lips smacking
Chorionic villi sampling.
The fetus should be delivered within 24 hours.
The client should repeat the test in 24 hours.
The fetus isn’t in distress at this time.
The client should repeat the test in 1 week.
“Are you planning to have epidural anesthesia?”
“Have you begun prenatal classes?”
“What changes have you made at home to get ready for the baby?”
“Can you tell me about the meals you typically eat each day?”
Placing the client in bed to begin fetal monitoring.
Preparing for immediate delivery.
Checking for ruptured membranes.
Providing comfort measures.
Change the client’s position.
Prepare for emergency cesarean section.
Check for placenta previa.
Risk for deficient fluid volume related to hemorrhage
Risk for infection related to the type of delivery
Pain related to the type of incision
Urinary retention related to periurethral edema
Weekly fetal movement counts are made by the mother.
Contraction stress testing is performed weekly.
Induction of labor is begun at 34 weeks’ gestation.
Nonstress testing is performed weekly until 32 weeks’ gestation
Reduce blood pressure
Slow the process of labor
Shortens the second stage of labor
Enlarges the pelvic inlet
Prevents perineal edema
Ensures quick placenta delivery
Nursing unit manager so appropriate agencies can be notified
Head of the hospital’s security department
Chaplain in case the fetus dies in utero
Physician who will attend the delivery of the infant
The vaccine prevents a future fetus from developing congenital anomalies
Pregnancy should be avoided for 3 months after the immunization
The client should avoid contact with children diagnosed with rubella
The injection will provide immunity against the 7-day measles.
Pad the side rails
Place a pillow under the left buttock
Insert a padded tongue blade into the mouth
Maintain a patent airway
Cereal with milk
Peanut butter cookies
Inspect the perineum
Time the contractions
Auscultate the fetal heart rate
Contact the birth attendant
Prevent uterine inversion
Promote uterine involution
Hasten the puerperium period
Determine the size of the fundus
Periorbital edema, absent light reflex and translucent tympanic membrane
Irritability, purulent drainage in middle ear, nasal congestion and cough
Diarrhea, retracted tympanic membrane and enlarged parotid gland
Vomiting, pulling at ears and pearly white tympanic membrane
Sensory stimulation including several senses at a time
Tactile stimulation until signs of over stimulation develop
An attitude of extension when prone or side lying
Ulcerative colitis diet
Use of a high-SPF sunblock
Hair loss monitoring
Monitor for growth retardation
Lie face down
Not drink fluids
Practice holding breaths between contractions
Assume Sim’s position
The anterior is large in shape when compared to the posterior fontanel.
The anterior is triangular shaped; the posterior is diamond shaped.
The anterior is bulging; the posterior appears sunken.
The posterior closes at 18 months; the anterior closes at 8 to 12 months.
Lymphedema and nerve palsy
Hearing loss and ataxia
Headaches and vomiting
Abdominal mass and weakness
Tell her that she would not be loved by others is she behaves that way..
Withholding giving her toys until she behaves properly.
Ignore her behavior as long as she does not hurt herself and others.
Ask her what she wants and give it to pacify her.
Pointing to body parts at 15 months of age.
Using gesture to communicate at 18 months.
Cooing at 3 months.
Saying “mama” or “dada” for the first time at 18 months of age.
Initiative vs. Self doubt
Industry vs. Inferiority
Autonomy vs. Shame and doubt
Trust vs. Mistrust
Irreversible brain damage
To facilitate elimination
To promote uterine contraction
To promote analgesia
To prevent infection
80 beats per minute
100 beats per minute
120 beats per minute
140 beats per minute
13 -14 lbs
16 -17 lbs
22 -23 lbs
27 -28 lbs
Explain the surgery, expected outcome and kind of anesthetics.
Modify preoperative teaching to meet the needs of either a planned or emergency cesarean birth.
Arrange for a staff member of the anesthesia department to explain what to expect post-operatively.
Instruct the mother’s support person to remain in the family lounge until after the delivery.
Blood pressure of 160/110
30- 40 lbs
I am happy to note that we can have sex occasionally when I have no bleeding.
I am afraid I might have an operation when my due comes
I will have to remain in bed until my due date comes
I may go back to work since I stay only at the office.