Which situation in the high-risk antepartal unit requires immediate intervention?
1. A third-trimester client pregnant with twins who required an appendectomy yesterday is positioned in a supine position.
2. Oxygen is being administered at 2 L via nasal cannula to a client in her third trimester who underwent an urolithotomy today.
3. Fetal monitoring is being performed on a client in her third trimester who is scheduled for a cholecystectomy tomorrow.
4. The client in her third trimester returned from bowel resection surgery has a nasogastric tube attached to intermittent suction.
1
Rationale:
1. A client undergoing surgery in the third trimester should be positioned in a left lateral position or with a hip wedge placed. Being supine will cause vena cava syndrome and hypotension, which in turn will decrease fetal oxygenation. Twin gestation, with the larger uterus and heavier uterine contents, makes vena cava syndrome more problematic.
2. Oxygen is required during and after surgery during pregnancy to maintain adequate fetal oxygenation.
3. Fetal monitoring prior to, during, and after surgery on pregnant clients is important to assess the fetal condition.
4. Due to the decreased peristalsis of pregnancy, pregnant clients who undergo abdominal surgery are at risk for vomiting. An NG tube is placed to prevent vomiting.
You might also like to view...
Which of the following activities should the perinatal nurse encourage women who come for preconceptional counseling to consider? (Select all that apply.)
A. Choosing breastfeeding or bottle feeding B. Decreasing risk for exposure to toxoplasmosis C. Decreasing fetal risks related to the work environment D. Ensuring folic acid supplementation E. Ensuring iron supplementation
A patient was prescribed an oral antibiotic for the treatment of sinusitis. The patient has now stopped, stating she developed a rash shortly after taking the first dose of the drug. What is the nurse's most appropriate response?
A) Encourage the woman to continue with the medication while monitoring her skin condition closely. B) Refer the woman to her primary care provider to have the medication changed. C) Arrange for the woman to go to the nearest emergency department. D) Encourage the woman to take an OTC antihistamine with each dose of the antibiotic.
The correct Celsius value for a temperature of 98.6¡ F is:
1. 37¡ C. 2. 66.6¡ C. 3. 32¡ C. 4. 66¡ C.
The following content may be included in the concept map
a. risk factors b. brief pathophysiology of each health condition c. significant other demographic data d. reason for hospitalization