The nurse assesses a neonate born at 39 weeks gestation via…
The nurse assesses a neonate born at 39 weeks gestation via Cesarean section. The neonate has nasal flaring, grunting, and intercostal retractions. The respiratory rate is 82 breaths per minute, and there are crackles in the lungs on auscultation. The nurse suspects the newborn is having difficulty clearing the fluid from the lungs. What is the nurse’s assessment of the neonate’s most likely condition?
Read DetailsThe nurse is caring for a client in labor who is at 10 cm di…
The nurse is caring for a client in labor who is at 10 cm dilation. She performs a sterile vaginal exam and feels the anterior fontanel at 10 o’clock and the posterior fontanel at 4 o’clock. The nurse suspects the fetus is in what position?
Read DetailsThe nurse cares for a client who is G1P0 at 40 weeks gestati…
The nurse cares for a client who is G1P0 at 40 weeks gestational age who is experiencing labor. She is going natural and was 6 cm dilated two hours ago. She has been laboring in the shower with the nurse intermittently listening to the fetal heart rate using a handheld Doppler. She calls out and thinks she may have had a spontaneous rupture of membranes. The nurse enters the room. His priority assessment is
Read DetailsThe nurse is observing the fetal heart rate tracing of a cli…
The nurse is observing the fetal heart rate tracing of a client who had an artificial rupture of membranes (AROM) fifteen minutes ago. After seeing periodic variable decelerations with each contraction, the nurse performs a sterile vaginal exam and feels the pulsations of the umbilical cord ahead of the fetal presenting part. The nurse prioritizes
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