Decreased fear leads to relaxation and less pain. The nurse assesses for findings that indicate pain, including which of the following? The perinatal nurse is caring for a Native American woman in labor with her first baby. The perinatal nurse is caring for a woman in early labor with a fetus in the occiput posterior position. Ensure a signed consent form is in the chart. Each text book has one test bank that teachers use to test students with. The other three options all contain dextrose. My class required the 3rd edition but I opted to save money and go with the 2nd. The nurse should assess her response to this modality and document it. The other options are all appropriate. Perform a head-to-toe assessment on the neonate. Stating âat least itâs not from illnessâ is factual but dismissive of her fears. This leads to decreased labor progress. Many students send us emails thanking us for helping them. During labor, music provides comfort and decreases maternal anxiety stimulating the release of endorphins. Test Bank For Maternal-Child Nursing Care with Women’s Health Companion -Optimizing Outcomes for Mothers, Children, and Families 2nd Edition by Susan L. Ward, Shelton M. Hisley Chapter 6: Human Sexuality and Fertility Then you can start reading Kindle books on your smartphone, tablet, or computer - no Kindle device required. We try our best to give nursing students exactly what they want. With decreased catecholamine release, blood pressure should remain stable or decrease. This method requires puncture of the dura and placement of a catheter in the epidural space, so it is associated with a higher incidence of infection and postprocedure headache than other methods. This was a long mailing period ~ it was within the parameters of when it was due, but long after I actually needed it, and I ordered 10 days before school started. Thirty minutes later, the patientâs respiratory rate is 8 breaths/minute. Test Bank For Maternal Child Nursing Care with Women’s Health Companion 2nd Edition, Susan. The nurse explains that music is encouraged during labor because it does which of the following? As muscle tension increases due to fear or anxiety, the effectiveness of uterine contractions decreases. Description: ISBN-13: 978-0803636651, ISBN-10: 0803636652. As long as the file is not downloaded, we can give you the correct file. It is caused stretching of the perineal body, distention and traction, and soft tissue lacerations. (Select all that apply. For safety, water temperature should remain between 96.8 and 100.4Â°F (36â38Â°C). Since we know that students want their files fast, we listened and made it exactly the way you want. Please try again. !ðððvery pleased, Reviewed in the United States on March 5, 2015, Great product , purchase , and seller!! Instant Test Bank for Maternal Child Nursing Care In Canada, 2nd Edition Authors: Perry RN PhD FAAN, Shannon E., Hockenberry PhD RN-CS PNP FAAN, Marilyn J., Lowdermilk RNC PhD FAAN, Deitra Leonard, Wilson MS RN C(INC), David, Keenan-Lindsay RN MN PNC(C) LCCE, Lisa, Sams RN BScN MSN, Cheryl A Nurses should promote breastfeeding if this is the womanâs preference. You may be charged a restocking fee up to 50% of item's price for used or damaged returns and up to 100% for materially different item. Document the findings in the womanâs chart. The perinatal nurse explains to the new graduate nurse that fear and anxiety have physiological consequences in labor. Promote skin-to-skin contact and bonding as soon as possible. (Select all that apply.). Too close to birth; causing fetal depression. Pregnant women are at a higher risk of gastric reflux than the general population. Amniotomy, which is the artificial rupture of the fetal membranes, may be performed using a plastic amnihook or surgical clamp. Get the accurate, practical information you need to succeed in the classroom, the clinical setting, and on the NCLEX-RN ® examination. To use the slow-paced breathing method, which instruction is best? The perinatal nurse suggests that a laboring woman may wish to use the birth ball. Please try again. The perinatal nurse is caring for a woman with a postdural puncture headache. Telling the woman that her respiratory rate will be half of the normal rate does not provide any specific instruction for her to follow. Somatic pain is sharp, intense, well-localized, burning, or prickling pain felt during the second stage of labor. Which information does the nurse include? What information does the nurse provide about spinal anesthesia block? Featuring the most accurate, current, and clinically relevant information available, Maternal Child Nursing Care in Canada, 2nd Edition, combines essential maternity and pediatric nursing information in one text. The operating room nurse states that the patient received a dose of metoclopramide (Reglan) IV in the operating room. Book was in great shape, practically new along with the CD which worked ! Encourage the woman to void every 2 hours postpartum. Bring your club to Amazon Book Clubs, start a new book club and invite your friends to join, or find a club thatâs right for you for free. Choose from 500 different sets of maternal child nursing care flashcards on Quizlet. Use a wheelchair to transport the woman to the hydrotherapy tub. What action the nurse is best? Anxiety and fear stimulate the release of catecholamines and heighten the sensation of pain. The perinatal nurse prepares the laboring woman for an epidural anesthesia insertion. They cause drowsiness and are often used during early labor to promote sleep and to decrease anxiety. A woman is using a birth ball to promote comfort and fetal descent. Butorphanol can cause both maternal and fetal respiratory depression. Ensure the water temperature does not exceed 101Â°F (38.3Â°C). Encourage frequent cleansing breaths during the procedure. The nurse observes a … What action the nurse is most appropriate? Encourage the woman to assume a sitting position. Assessment of cultural beliefs and practices, questions to identify specific needs, and encouragement and support to use safe interventions is key in providing culturally sensitive care that empowers the patient to maintain her sense of control over her labor and childbirth experience. !ððð, Reviewed in the United States on September 26, 2007. Learn Maternal child nursing care fifth edition with free interactive flashcards. The nurse should make every attempt to accommodate this womanâs request as long as safety is not compromised. Therapeutic touch is provided trained personnel. Reviewed in the United States on July 1, 2014. Because spinal anesthesia can cause bladder atony, it is important for the nurse to monitor the postpartum womanâs urine output. I wish there were more highlights within the text to summarize key points, but other than that this book was a great learning tool! Somatic pain is more intense, sharp, and burning. The other actions are not necessary. What action should the nurse suggest to the birth partner? The couple tells the nurse that they are ), A nurse is teaching a woman about pain management strategies during labor. Reviewed in the United States on May 17, 2014. A woman in labor receives a dose of hydromorphone hydrochloride (Dilaudid) at 11:30 a.m. She gives birth at 12:45 p.m. What action the nurse takes priority? A woman is being prepared for an elective cesarean birth. To ensure patient safety, what action the nurse is best? In the event of severe maternal hypotension, the nurse should place the patient in a lateral position or use a wedge under the hip to displace the uterus, elevate the legs, maintain or increase the IV infusion rate, and administer oxygen face mask at 10 to 12 L/min, or according to institution protocol. Stating that she has to expect some pain is also dismissive and gives the impression that wanting pain control is unreasonable. ~~ Book Maternal And Child Nursing Care 2nd Edition ~~ Uploaded By Stan and Jan Berenstain, maternal child nursing care 2nd edition covers the essential content for the maternity and pediatric nursing courses combined in one affordable text the inclusion of expert authors contributors featuring the most accurate current and clinically Visceral pain is most often felt during contractions. The most common complication seen with the use of spinal anesthesia blocks is maternal hypotension. Her coach counts slowly to 4 during inhalation and again during exhalation. More tissue trauma due to hurrying the delivery. Assuming a sitting position on the birth ball facilitates a supported squatting position that opens the pelvis to allow fetal descent in preparation for birth. (Select all that apply. You certainly can. The nurse should inform her of this and explore other comfort measures. Assist the woman to lie down in a supine position. Maintain water temperature no higher than 100.4Â°F (38Â°C). Please try again. Reglan increases the speed of gastric emptying, which helps prevent the aspiration of gastric contents. Nursing Mnemonics: 108 Memory Tricks to Demolish Nursing School. I decided to rent the book in the meantime to be prepared for school.and the rental beat the book, so I offered the book to a student who didn't have one and it worked out wonderfully. It provides excellent muscular relaxation. The nurse should intervene if the student injects the medication between contractions, checks only three rights of medication administration, and injects the medication rapidly. The nurse might anticipate an order for what medication? Promethazine binds to bilirubin binding sites and may cause hyperbilirubinemia and jaundice in term infants exposed to the drug during the intrapartal period. The Flight Nurse Bible: A Field Guide To Awesomeness. Somatic pain is usually only felt in the third stage. This is the nursing test bank for the book you have. ), The perinatal nurse explains to the student nurse that the effects of the H, The perinatal nurse assesses a patient who is immersed in a water-filled tub during active labor. Administer naloxone (Narcan) per protocol. The other medications do not cause this side effect. Discontinue the patientâs intravenous infusion. There are five rights to medication administration (right patient, right drug, right dose, right route, right time). A pregnant woman is asking about a combined spinal-epidural analgesia for labor pain. Unable to add item to List. The nurse explains to a student nurse the purpose of giving this drug is to do which of the following? Remove the fetal monitor wires prior to the patientâs getting in the tub. Their 2-year-old daughter has PKU. Think about it like this. Description Featuring the most accurate, current, and clinically relevant information available, Maternal Child Nursing Care in Canada, 2 nd Edition, combines essential maternity and pediatric nursing information in one text. Excellent buy! This womanâs platelet count is low and her INR is high, leading to concern about coagulopathies. Patient Needs: Safe and Effective Care Environment: Management of Care. Our payment security system encrypts your information during transmission. Designed to accompany Perry's Maternal Child Nursing Care, 4th Edition, this workbook will assist students in understanding and applying material from each chapter in Labor induction and augmentation, amniotomy, and vaginal examinations may be associated with intensifying labor discomfort. H1 receptor antagonists are medications that block the action of histamines at the receptor sites. Add this exact test bank to your shopping basket on this website. The perinatal nurse would expect which of the following responses to the block? We also have files in Microsoft Word. Frequent voiding in small amounts and a normal blood pressure are not findings consistent with labor pain. To calculate the overall star rating and percentage breakdown by star, we donât use a simple average. Of course the patientâs report of lessened pain is the most valuable assessment. Administer an intravenous infusion of 500 mL of normal saline. Assess vital signs every 5 minutes after the epidural insertion. ), A nurse is caring for a woman who is going to have an epidural block. The most appropriate intervention the nurse is to assist the patient in doing which of the following? Interventions usually center on oral analgesics, bedrest in a darkened room, caffeine, and hydration. Provide soothing music as a distraction technique. This action ensures patient safety. For the 2020 holiday season, returnable items shipped between October 1 and December 31 can be returned until January 31, 2021. Instead, our system considers things like how recent a review is and if the reviewer bought the item on Amazon. Description Maternal Child Nursing 2nd Edition Ward Hisley Test Bank ISBN-13: 978-0-8036-3665-1 How can a nursing test bank help me in school? The medication should be injected slowly. A pudendal nerve block provides pain relief in the lower vagina, vulva, and perineum. There is no need to call a perinatal RRT prior to administering the medication. Comforting music during labor promotes maternal relaxation, thereincreasing oxygen intake. What assessment would best indicate that actions to decrease fear have been successful? During the assessment, the nurse may identify physiological and psychological changes that are indicative of maternal pain. It may increase the chance of an operative birth. So you can download your entire test bank today without waiting for it. The IV would not be discontinued. Hydrotherapy is effective when it provides relief from labor discomfort and pain decreasing maternal catecholamines, prompting an increase in the release of oxytocin (stimulates uterine contractions) and endorphins (reduce the perception of pain). Instruct her to only use the birth ball for 10 minutes. (Select all that apply. It causes decreased maternal level of consciousness. A patient in labor complains of a pain rating of 7 on a 1-to-10 scale. Pudendal block is considered a local/regional anesthesia and would not provide sufficient anesthesia for an operative birth. If the ritual is not permitted, the nurse can work with the patient to find an acceptable alternative. For this woman, who is not yet ready for admission and exhausted, prescribed rest would be of benefit. This can be accomplished instructing the woman to breathe into a paper bag held tightly around the mouth and nose or, if no bag is available, instructing her to breathe into her cupped hands. The other options do not show decreased fear. You have one text book in your class. A laboring woman has the nursing diagnosis of fear related to incomplete childbirth education. Following administration of the anesthetic, the patientâs blood pressure, pulse and respirations, and fetal heart rate must be taken and documented every 5 to 10 minutes; however, assessing vital signs will not prevent hypotension from occurring. Which of the following is the best response the nurse? Which of the following solutions would be appropriate for the nurse to choose? I went without the book for over a week. The woman should begin and end each contraction with a deep cleansing breath. Typically, the headache is intensified when the patient assumes an upright position and is relieved when she assumes a supine position. Great Customer Service, they will respond ! On assessing the patient further, the nurse finds her vital signs to be within normal limits, the patient is calm and cooperative, and she voided 400 mL 30 minutes ago. âBlow like you are blowing out a candle at the end of your breath.â, âI will count to 4 while you inhale and again when you exhale.â, âTake a deep cleansing breath when the contraction ends.â, âYou need to breathe at half of your normal rate in this pattern.â. What interventions does the nurse include in this womanâs care plan? Ranitidine hydrochloride (Zantac) or cimetidine (Tagamet) can be used to decrease gastric acid production. These medications produce sedative, antiparkinsonian, and antiemetic effects. (Select all that apply. Which actions the student would require the registered nurse to intervene? Assess the neonate frequently for respiratory depression. We work hard to protect your security and privacy. The other interventions will not be as helpful. Pretty great textbook. ). The woman is helped to a sitting position on the side of the bed. If this is the nursing test bank that you want. Please send us an email and we will send you the correct file right away. It is a fast-acting oral agent that produces mild sedation within 15 minutes following administration, and its effects last for 3 to 4 hours. Maternal pain is intensified. After an epidural block, the nurse must assess for intact sensation in the womanâs lower extremities prior to allowing ambulation. Sublimaze (and all opioid analgesics) should be administered during contractions so that the fetus has less exposure to the drug due to uterine vasoconstriction. The other options are less common complications. Required for one of my classes and a permanant addition to my book collection. When providing care, nurses must recognize that culture strongly influences how one perceives and copes with pain. Description Test Bank Maternal Child However, because the woman will lose the ability to feel contractions, maternal pushing efforts are compromised, which increases the risk of an operative birth. A post-anesthesia care nurse is receiving a report on a patient who was delivered under general anesthesia. Find all the books, read about the author, and more. Choose from 500 different sets of Maternal child nursing care fifth edition flashcards on Quizlet. The physician orders that an IV be started. Using open-ended questions is preferable to yes-no questions for gathering information. Maternal Child Nursing Care in Canada 2nd Edition by Shannon E. Perry, RN, PhD, FAAN, Marilyn J. Hockenberry, PhD, RN, PNP-BC, FAAN, Deitra Leonard Lowde and Publisher Elsevier (HS-US). Chapter 1: Traditional and Community Nursing Care for Women, Families, and Children(FREE) Chapter 2: Contemporary Issues in Women’s, Families’, and Children’s Health Care Chapter 3: The Evolving Family(FREE) Chapter 4: Caring for Women, Families, and Children Across the Life Span(FREE) Chapter 5: Reproductive Anatomy and Physiology (FREE) Chapter 6: Human Sexuality and Fertility … Note: This is not a text book. Counterpressure is performed when the support person uses the fist or heel of the hand to apply steady pressure to the sacral area. There's a problem loading this menu right now. A woman has just given birth to an infant weighing 9 lb, 15 oz (4,350 g) with the assistance of forceps and an episiotomy. Written by the foremost experts in pediatric and maternity nursing, Maternal Child Nursing Care, 5th Edition (PDF) offers the accurate, practical information you need to succeed in the classroom, the clinical setting, and on the NCLEX ® examination. Which of the following statements the nurse would help to ease the womanâs fears? Choose from 500 different sets of maternal child nursing care flashcards on Quizlet. Top subscription boxes â right to your door, Extended holiday return window till Jan 31, 2021, Maternal & Child Nursing Care Plus MyLab Nursing with Pearson eText -- Access Card Package, Â© 1996-2020, Amazon.com, Inc. or its affiliates. The occiput anterior position is the optimal position for the fetus. What information about this method of analgesia should the nurse provide? Obtain informed consent prior to allowing the woman in the tub. Allow the woman to remain in the tub for no more than 20 minutes. Patient Needs: Physiological Integrity: Reduction of Risk Potential. 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Priority at this point 15-minute delay consequences in labor would benefit most from which Pharmacological pain relief medication allowed. Giving intravenous fentanyl citrate ( Sublimaze ) to a woman in labor with her first baby an order what. Combined spinal-epidural analgesia for labor pain should assess her response to this modality and document: 108 Tricks! Which actions the student would require the registered nurse to choose the drug during the intrapartal period please send emails. Child nursing care fifth edition flashcards on Quizlet most important for all new mothers method of should! American woman in labor with her first baby until physical signs are present reassess the woman to remain during.