« previous next »

Author Question: A client with a total placenta previa presents to the hospital at 8 months, bleeding and is ... (Read 98 times)

lbcchick

  • Hero Member
  • *****
  • Posts: 550
on: Jun 27, 2018
A client with a total placenta previa presents to the hospital at 8 months, bleeding and is delivered by cesarean section. Which potential nursing diagnosis is most pertinent during the initial postpartum period?
 
  a. Pain related to surgical incision
  b. Ineffective breastfeeding related to operative delivery
  c. Deficient fluid volume (hemorrhage) related to uterine atony
  d. Risk for injury related to the development of deep vein thrombosis

Question 2

You are caring for a woman in labor. Your assessment of the fetal heart rate reveals a heart rate of 145 with moderate variability. There are no signs of decelerations or accelerations. What is your priority action?
 
  a. Do nothing, since this is normal.
  b. Contact the physician immediately.
  c. Begin oxygen at 8 to 10 liters/minute.
  d. Change the maternal position immediately.


kristenb95

  • Sr. Member
  • ****
  • Posts: 318
Reply #1 on: Jun 27, 2018
Answer to Question 1

C
Deficient fluid volume (hemorrhage) related to uterine atony is an appropriate priority nursing diagnosis for this client. Deep vein thrombosis is not a realistic concern. A cesarean birth should not negatively impact breastfeeding. While pain related to surgical incision is an appropriate nursing diagnosis, it is not the pertinent one at this time, because the regional block is still in effect.

Answer to Question 2

A
The priority nursing action is to do nothing. A fetal heart rate of 145 with moderate variability is a normal situation. According to the classification system for fetal heart rate, this is a category 1 situation because the fetus shows no signs of decompensation.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

If all the neurons in the human body were lined up, they would stretch more than 600 miles.

Did you know?

Once thought to have neurofibromatosis, Joseph Merrick (also known as "the elephant man") is now, in retrospect, thought by clinical experts to have had Proteus syndrome. This endocrine disease causes continued and abnormal growth of the bones, muscles, skin, and so on and can become completely debilitating with severe deformities occurring anywhere on the body.

Did you know?

Only 12 hours after an egg cell is fertilized by a sperm cell, the egg cell starts to divide. As it continues to divide, it moves along the fallopian tube toward the uterus at about 1 inch per day.

Did you know?

In 1835 it was discovered that a disease of silkworms known as muscardine could be transferred from one silkworm to another, and was caused by a fungus.

Did you know?

Hyperthyroidism leads to an increased rate of metabolism and affects about 1% of women but only 0.1% of men. For most people, this increased metabolic rate causes the thyroid gland to become enlarged (known as a goiter).

To increase pressure using body weight, lean on your client. To increase pressure using body weight, lean on your client.
Example of simplified note for one-time client. Example of simplified note for one-time client.
The Placenta The Placenta
Agricultural Land as a Fraction of Total Wealth in the United Kingdom Agricultural Land as a Fraction of Total Wealth in the United Kingdom
Measuring the client’s blood pressure Measuring the client’s blood pressure
The striking improvements in motor development in the early months The striking improvements in motor development in the early months
Video: Red alga life cycle Animation

For a complete list of videos, visit our video library