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- One of your best friends tells you that she and her husband think she might be pregnant. She feels she can wait until shes several months along before finding an obstetrician. You think she could use some medical advice sooner, and you suggest she discuss her plans with a physician as soon as possible. What kinds of health issues might you be concerned about?Which 2 of these physical signs does the midwife need to check at each postnatal visit? Select one or more: a. Bowel motions b. Skin colour and appearance of rashes Oc. Weight gain Od. Reflexes When is the best time for a newborn baby to have its first breastfeed? Select one: O a. Within 6 hours of the birth O b. It does not matter, the baby will feed when it is hungry O c. After the mother has been stablised and examined and transferred to the postnatal ward Od. In the first 1-2 hours after birthYou are treating a female patient who is complaining of chest pain. She i diaphoretic with a blood pressure of 98/50. You have her medications on board which includes a prescription for nitroglycerin. Medical control has instructed you to administer 1 nitroglycerin tablet sublingually. How would you respond? 2. Respectfully disagree and state that you feel it is in the best interest of the patient with & blood pressure 5o low to not lower it any further by administering nitroglycerin b. Administer 1 nitroglycerin tablet s instructed
- 9. Marielle, 18 year old, Gravida 1 Para 0, 40 weeks AOG is in the labor and delivery unit. Eight minutes after a normal delivery under pudendal anesthesiaMarielle has not completed the third stage of labor. The uterus is discoid and firm; no bleeding is evident. What should the nurse do?a. Gently massage the uterus and waitb. Pull steadily but with greater traction on the cordc. Perform Crede's maneuver the contractions with intramuscular (IM) methergined. Manually remove the placenta.IDENTIFICATION (WHAT DO YOU CALL THESE, PLEASE IDENTIFY) 1. A procedure taken after birth to avoid bladder distention that can cause postpartum bleeding 2. A graphical record data to monitor progress of labor. 3. A maneuver performed during prenatal check up to determine fetal l attitude. flexion and presentation 4. A supplement given to mother to prevent iron deficiency anemia 5. Bluish extremities, pinkish body. 6. Actual event of birth 7. Gradual thinning of the cervix 8. Gradual opening of the cervix 9. A term “woman in labor” 10. Number of pregnanciesJuliet and Romeo cant conceive a baby so they plan to investigate. What investigations can they undergo to in order to evaluate their inability to conceive a baby? Here is the 3 test that can be done to Juliet, Provide their definition and Process 1. Imaging testing 2. Hysterosalpingography
- A young woman is seen in the emergency department. She states, "I took a pregnancy test today . I'm pregnant . My parents will be furious with me !! have to do somethingWhich of the following responses by the nurse is most appropriate? Lets talk about your options Take medicine to abort the pregnancy so your parents won't know. I can help you tell your parents The best thing for you to do is to have the baby and to give it up for adoption.The nurse is teaching a young woman how to perform breast self-examination. Which comment, if made by the client, indicates that the teaching has been effective? 1. should examine my breasts every year.” 2. need to see the doctor every six months for 3 breast exam.” “I don't need to worry about breast cancer for a few years: . should examine all parts of my breasts while both lying down and standing up.”62 Possible reasons for an emergency caesarean delivery, except: A. Maternal hemorrhage B. Accelerations and decelerations can both occur during labor C. Placenta abruption (the placenta peels away from the wall of your uterus) D. Uterine rupture (your uterus tears along a previous C-section scar 63 Preoperative Assessment of patient for CS delivery A. Assess the woman about past surgeries. secondary illnesses, allergies to foods or drugs, reaction to anesthesia, and medications that could increase any surgical risk. B. An obese woman with poor nutritional status is at risk for a slow wound healing. C. The general medication history of the woman must also be assessed because there are drugs that could increase the surgical risk by interfering with the effects of anesthesia. D. To prevent fluid and electrolyte imbalance, intravenous fluid replacement is initiated preoperatively and postoperatively. E. A woman with lower than normal blood volume might feel the effects of surgery more…
- You are treating a female patient who is complaining of chest pain. She is diaphoretic with a blood pressure of 98/50. You have her medications on board which includes a prescription for nitroglycerin. Medical control has instructed you to administer 1 nitroglycerin tablet sublingually. How would you respond? 2. Respectfully disagree and state that you feel it is in the best interest of the patient with a blood pressure 5o low to not lower it any further by administering nitroglycerin b, Administer 1 nitroglycerin tablet s instructed ¢ Instruct medical control to get out the protocol books and look under contraindications for nitroglycerin administration d. Repeat the vital signs to medical control and ask if they still wish to have you administer the nitroglycerin with the blood pressure that low1. A 30-year-old client with testicular cancer is advised to undergo a unilateral orchiectomy to remove the testes. The client is reluctant to undergo the surgery because he fears he will not be able to continue a normal sex life and may become impotent. “I’m worried about the results of the surgery and how it will affect my marriage.” How should the nurse respond to this client? 2. A 35-year-old male client with a urinary tract infection is admitted to the healthcare facility. During the initial assessment, the client tells the nurse that this is the second time he has had a urinary tract infection. What are the risks associated with urinary tract infection that the client must be made aware of? 3. A client who had prostate cancer underwent a prostatectomy. After the removal of the urinary catheter, the client developed urinary incontinence. What instructions should the nurse provide the client to help him manage urinary incontinence?A physician suspects a woman of child bearing age to have a prolactinoma. They have run two prolactin tests on the patient and both have been elevated. The next best step is to: O perform a pituitary MRI O exclude pregnancy as the cause O perform a third prolactin level to confirm O take the patient off of all medications for two weeks
