A multigravida client is admitted to Labor and Delivery in active labor. Nursing diagnoses that might apply to the client with suspected abruptio placentae include: (Select all that apply.)
1. Fluid Volume, risk for deficit related to hypovolemia.
2. Tissue Perfusion, risk for altered related to blood loss.
3. Anxiety related to concern for own safety.
4. Knowledge deficit related to lack of information about inherited genetic defects.
1, 2, 3
Rationale:
1. Maternal and perinatal fetal mortality are concerns due to blood loss and hypoxia.
2. Maternal and perinatal fetal mortality are concerns due to blood loss and hypoxia.
3. Maternal and perinatal fetal mortality are concerns due to blood loss and hypoxia.
4. Abruptio placentae is a premature separation of the placenta, not a genetic abnormality.
You might also like to view...
The client with blood type O Rh-negative has given birth to an infant with blood type O Rh-positive. The infant has become visibly jaundiced at 12 hours of age. The mother asks why this is happening. The best response by the nurse is:
1. "The RhoGAM you received at 28 weeks' gestation did not prevent alloimmunization." 2. "Your body has made antibodies against the baby's blood that are destroying her red blood cells." 3. "The red blood cells of your baby are breaking down because you both have type O blood." 4. "Your baby's liver is too immature to eliminate the red blood cells that are no longer needed."
In reviewing information related to the occurrence of pregnancies using a focus group discussion with women, concern was expressed that many of them had problems using their respective type of contraception and, as a result, became pregnant
Based on this information, the nurse would incorporate which of the following in a teaching plan for group members? a. Provide information relative to product recalls of contraceptive devices. b. Have the clients keep a contraceptive diary related to the consistency of using methods because it is apparent that they forgot to use their preferred method as directed. c. Have the clients consider switching to a different form of contraception because the contraception did not prevent pregnancy for them. d. Plan for assessing the clients' knowledge related to the contraception methods and provide information to increase the knowledge base so that the effectiveness rate would improve.
A 28-year-old female patient is diagnosed with inflammatory disease of the small bowel. The nurse realizes that this patient most likely is experiencing what health problem?
1. ulcerative colitis 2. chronic diarrhea 3. gastroenteritis 4. Crohn disease
A child who weighs 65 lb and is 29 inches tall has a BSA of ______________
a. 1.5 m2 b. 0.78 m2 c. 0.52 m2 d. 0.72 m2