A client is in the second stage of labor. The nurse should record the following information in the second stage:
A) The exact time of placental delivery
B) The nature of placental delivery
C) The side of placental presentation
D) The type of episiotomy on the client's chart
D
Feedback:
The nurse should note the type of episiotomy on the client's chart in the second stage. The nurse should record the information about the exact time of placental delivery, whether spontaneous or manual placental delivery and the side of placental presentation, in the third stage.
You might also like to view...
After the health history has been obtained and before beginning the physical examination, the nurse should first ask the patient to:
a. Empty the bladder. b. Completely disrobe. c. Lie on the examination table. d. Walk around the room.
A new mother expresses fear to the nurse about changing her baby's diaper after he is circumcised. What information does this mother need to safely take care of the baby when she gets home?
a. Cleanse the penis gently with water and put petroleum jelly around the glans after each diaper change. b. Cleanse the penis with prepackaged diaper wipes every 3 to 4 hours. c. Wash off the yellow exudate that forms on the glans at least once every day to prevent infection. d. Put constant pressure on the penis, if bleeding is noted, and check the site again in 2 hours.
Why is it important to get critical feedback from your patients?
A 60-year-old female patient, Mrs Teuila Afualo, presents at the day surgery unit (DSU) for an open repair of an umbilical hernia at 8 am. She is of Islander background and has brought several of her family members with her. On admission, you calculate her body mass index (BMI) to be 38, note that her respirations are shallow and rapid, and that she appears to be extremely anxious. Her medical history highlights that she has type 2 diabetes, which is managed with metformin, although she tells you that she has not been diligent about taking or recording her blood glucose level (BGL) regularly. She also informs you that a ‘couple of months ago' her GP prescribed tablets to treat her cholesterol and her blood pressure but she can't remember the names of them, and her son doesn't know them either. She has not taken any of these medications prior to her admission, her reason being that she was fasting. Her BP is 160/90 mmHg and her fasting BGL is found to be 12 mmol/L. You also identify that Mrs Afualo did not attend the preadmission clinic. She explains that she could not attend because her son was not available to drive her. Consequently, she has not had a preoperative chest X-ray (CXR) or any blood tests as per her surgeon's protocols. A check of Mrs Afualo's consent form in the presence of her son reveals it has not been signed and that she is somewhat confused about her intended surgery. What will be an ideal response?
When planning care for a patient newly diagnosed with AIDS, the nurse takes into con-sideration that the patient should be closely monitored for covert symptoms associated with:
a. Fluid and electrolyte imbalance b. Imbalanced nutrition c. Adjustment disorder d. Schizophrenia