Nurses should promote breastfeeding if this is the woman’s preference. The patient questions the rationale for this suggestion. Thirty minutes later, the patient’s respiratory rate is 8 breaths/minute. Decreased fear leads to relaxation and less pain. A woman is using a birth ball to promote comfort and fetal descent. Breathing more slowly and taking a cleansing breath, Cupping her hands and breathing into them, Returning to bed and lying on her left side. Use a wheelchair to transport the woman to the hydrotherapy tub. Treat the woman’s pain according to the treatment plan. Reglan increases the speed of gastric emptying, which helps prevent the aspiration of gastric contents. What action should the nurse perform to increase the woman’s comfort? Rapid induction is facilitated with a short-acting barbiturate such as thiopental sodium (Pentothal). The content is hard to read at times and it is long. 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. A nursing instructor is explaining the differences between the somatic and visceral pain felt women in labor to a class of nursing students. Delay treating the pain until physical signs are present. The nurse should check the mother’s chart for what medication? The patient asks about the possibility of burning sweet grass, a part of her cultural tradition, during labor. Choose from 500 different sets of Maternal child nursing care fifth edition flashcards on Quizlet. Discontinue the patient’s intravenous infusion. Reviewed in the United States on November 7, 2009. Reviewed in the United States on July 1, 2014. What action is best to help prevent maternal hypotension? Their 2-year-old daughter has PKU. Which of the following solutions would be appropriate for the nurse to choose? A pudendal nerve block provides pain relief in the lower vagina, vulva, and perineum. Muscle relaxation can be facilitated with succinylcholine (Anectine). Choose from 500 different sets of maternal child nursing care flashcards on Quizlet. We don’t share your credit card details with third-party sellers, and we don’t sell your information to others. H1 receptor antagonists are medications that block the action of histamines at the receptor sites. The nurse should inform her of this and explore other comfort measures. !😃👍👍very pleased, Reviewed in the United States on March 5, 2015, Great product , purchase , and seller!! All authentic chapters and questions and answers are included. Amniotomy, which is the artificial rupture of the fetal membranes, may be performed using a plastic amnihook or surgical clamp. To get the free app, enter your mobile phone number. Reviewed in the United States on February 1, 2013. The back cover was almost completely ripped off but the inside of the book is in pretty good shape. Reviewed in the United States on May 17, 2014. Thanks for great customer service. The nurse observes a … Potential complications from epidural anesthesia include bizarre behavior (if the medication is injected into the circulation), increased length of labor, increased need for oxytocin, and shiver response. It provides excellent muscular relaxation. If the ritual is not permitted, the nurse can work with the patient to find an acceptable alternative. The woman in labor is complaining of severe back pain. What action the nurse is most appropriate? We work hard to protect your security and privacy. Telling the woman that her respiratory rate will be half of the normal rate does not provide any specific instruction for her to follow. Previous page of related Sponsored Products, Reviewed in the United States on September 25, 2018. Your download link will be provided to you automatically. Massage has demonstrated some usefulness, but more studies are needed. It causes decreased maternal level of consciousness. You have one text book in your class. Which response the nurse is best? Phenothiazines specifically cross the placenta readily and may produce decreased fetal heart rate beat-to-beat variability. A post-anesthesia care nurse is receiving a report on a patient who was delivered under general anesthesia. Which of the following statements the nurse would help to ease the woman’s fears? Test Bank For Maternal Child Nursing Care with Women’s Health Companion 2nd Edition, Susan. Allow the woman to remain in the tub for no more than 20 minutes. The perinatal nurse prepares the laboring woman for an epidural anesthesia insertion. 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. Please try again. Hold the next dose of Stadol and notify the provider. As long as the file is not downloaded, we can give you the correct file. “Blow like you are blowing out a candle at the end of your breath.”, “I will count to 4 while you inhale and again when you exhale.”, “Take a deep cleansing breath when the contraction ends.”, “You need to breathe at half of your normal rate in this pattern.”. We do not keep any logs of any kind on our website and use a 256 bit SSL encryption on our site which you can verify. The perinatal nurse is directing a student nurse in giving intravenous fentanyl citrate (Sublimaze) to a woman in labor. The symptoms of respiratory alkalosis are light-headedness, dizziness, tingling of the fingers, or circumoral numbness. Maternal-Newborn Nursing 2nd Edition PDF : The Critical Components of Nursing Care E-BOOK DESCRIPTION A better way to learn maternal and newborn nursing! During immersion, the maternal temperature and fetal heart rate should remain stable. Butorphanol can cause both maternal and fetal respiratory depression. Ensure a signed consent form is in the chart. It also analyzes reviews to verify trustworthiness. Comforting music during labor promotes maternal relaxation, thereincreasing oxygen intake. Master content from the textbook with this helpful study tool! The nurse explains that music is encouraged during labor because it does which of the following? 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. She is contracting every 5 to 7 minutes and is very fearful about going home due to extreme fatigue and the distance to her house. The birth ball helps with comfort and fetal descent during labor. Her coach counts slowly to 4 during inhalation and again during exhalation. A woman is preparing for whirlpool bath hydrotherapy. Prior to administration, the patient’s fluid balance is assessed, and IV fluids are administered to reduce the potential for sympathetic blockade (decreased cardiac output that results from vasodilation with pooling of blood in the lower extremities). What nursing intervention would be most important for a postpartum woman who received spinal anesthesia? (Select all that apply.). Maternal-newborn and child health nursing are expanding areas as a result of the broadening scope of practice within the nursing profession and the recognized need for better preventive and restorative care in these areas. Text book is in decent shape. 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. The perinatal nurse is caring for a woman in early labor with a fetus in the occiput posterior position. 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. 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. A woman is being prepared for an elective cesarean birth. Great Customer Service, they will respond ! A laboring woman has the nursing diagnosis of fear related to incomplete childbirth education. Enter your mobile number or email address below and we'll send you a link to download the free Kindle App. Full download : https://goo.gl/2zY8Yz Test Bank for Maternal Child Nursing Care 2nd Edition by Ward, Maternal Child Nursing Care;Ward;Test Bank 7. Reassess the woman in 1 hour for changes in vital signs. Visceral pain is predominant during the first stage of labor. Required for one of my classes and a permanant addition to my book collection. The most appropriate intervention the nurse is to assist the patient in doing which of the following? Counterpressure is performed when the support person uses the fist or heel of the hand to apply steady pressure to the sacral area. Provide soothing music as a distraction technique. The nurse is referring to what physiological process? ), A nurse is teaching a woman about pain management strategies during labor. The print version of this textbook is ISBN: 9781771720366, 1771720360. Please try again. 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. Learn maternal child nursing care with free interactive flashcards. Quite simply, pain is what the patient says it is, and the nurse should treat this patient according to the treatment plan. More tissue trauma due to hurrying the delivery. This can be especially helpful when the woman is having back pain due to the pressure of the occiput against spinal nerves while the fetus is in a posterior position. This woman’s platelet count is low and her INR is high, leading to concern about coagulopathies. Which information does the nurse include? We try our best to give nursing students exactly what they want. What action the nurse is best? Add this exact test bank to your shopping basket on this website. I want to know if this practice can be allowed so I will ask to see if it is possible.”, “I understand that this cultural practice is important to you; however, I am unable to accommodate your request at this time.”. Cannot be used if a cesarean birth is required, Associated with a delayed onset of good pain control, Associated with an increased risk of infection and headache, Increased irritability related to repeated questions, Decreases the production of catecholamines, Block histamine action at the receptor sites, Decrease anxiety and promote sleep or rest, Lead to more efficient contractions earlier in labor, May decrease fetal heart rate variability, Administers the medication between contractions, Administers the medication during a contraction, Checks the three rights prior to administration. The patient received a pudendal block 12 minutes before the birth. So you can download your entire test bank today without waiting for it. The perinatal nurse is assessing a 36-year-old woman at term who is in early labor. Bring your club to Amazon Book Clubs, start a new book club and invite your friends to join, or find a club that’s right for you for free. Have the woman walk to the bathroom and void. ), A nursing faculty member is explaining potential complications from epidural anesthesia to a class of nursing students. Tell her she can have medication when the pain is unbearable. Visceral pain is most often felt during contractions. Blowing out the candle is an instruction given during transition with the pattern-paced method. What information does the nurse provide about spinal anesthesia block? Description Test Bank Maternal Child Frequent voiding in small amounts and a normal blood pressure are not findings consistent with labor pain. The other options are less common complications. She wishes to try whirlpool bath hydrotherapy as a comfort measure. Place a wedge under the patient’s left hip. Contraindications to spinal/epidural blocks include maternal refusal, local or systemic infection, coagulopathies, actual or anticipated maternal hemorrhage, allergy to a specific agent being used, or lack of trained staff. All fetal signs are reassuring. The couple tells the nurse that they are 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. After viewing product detail pages, look here to find an easy way to navigate back to pages you are interested in. The medication should be injected slowly. Please try again. Patient Needs: Safe and Effective Care Environment: Safety and Infection Control. Assess her response to the birth ball and document. The patient’s medication regime should then be discussed with the provider. My class required the 3rd edition but I opted to save money and go with the 2nd. Instead, our system considers things like how recent a review is and if the reviewer bought the item on Amazon. The perinatal nurse is caring for a woman with a postdural puncture headache. Urinary retention, not incontinence, is another possible complication. They cause drowsiness and are often used during early labor to promote sleep and to decrease anxiety. The perinatal nurse would expect which of the following responses to the block? The Flight Nurse Bible: A Field Guide To Awesomeness. The other options are all appropriate. Obtain informed consent prior to allowing the woman in the tub. I went without the book for over a week. Somatic pain is sharp, intense, well-localized, burning, or prickling pain felt during the second stage of labor. A woman is 1 hour postpartum with an epidural block and wishes to get up to go to the bathroom. Our payment security system encrypts your information during transmission. This book is very well written and extensive. These include an increased pulse rate and blood pressure, changes in mood, increased anxiety and stress, marked agitation, confusion, decreased urine output, decreased intestinal motility, and guarding of the target area of discomfort. Encourage frequent cleansing breaths during the procedure. The woman should begin and end each contraction with a deep cleansing breath. The best answer the nurse is that use of the birth ball will facilitate what action? (Select all that apply. The nurse explains to a student nurse the purpose of giving this drug is to do which of the following? So does your teacher. (Select all that apply. Each text book has one test bank that teachers use to test students with. The nurse should intervene if the student injects the medication between contractions, checks only three rights of medication administration, and injects the medication rapidly. 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. The other actions are not necessary. Assessing vital signs and promoting bonding are important for all new mothers. ), A nurse is caring for a woman who is going to have an epidural block. “Burning any type of substance is not allowed policy in the hospital. These medications produce sedative, antiparkinsonian, and antiemetic effects. The perinatal nurse assists the anesthesiologist with the spinal block and then positions the patient in a supine position. Perform a head-to-toe assessment on the neonate. The nurse reviews the woman’s admission laboratory results and finds the following: white blood count (WBC) 6,500/ mm. Ephedrine would be the drug of choice for refractory hypotension if other measures don’t work. Administer an intravenous infusion of 500 mL of normal saline. For the 2020 holiday season, returnable items shipped between October 1 and December 31 can be returned until January 31, 2021. What assessment would best indicate that actions to decrease fear have been successful? Chapter 13: Promoting Patient Comfort During Labor and Birth. Assist the woman into a hands-and-knees position. 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 !😃👍👍, Reviewed in the United States on September 26, 2007. Visceral pain usually occurs in the first stage of labor. Anxiety and fear stimulate the release of catecholamines and heighten the sensation of pain. ~~ 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 The perinatal nurse explains to the student nurse that which of the following may increase labor discomfort? So your order is 100 percent anonymous and discreet. A nurse is caring for a pregnant woman scheduled to have an epidural block. Epidural blocks are advantageous for patients with diabetes, heart disease, pulmonary disease, and, in some cases, gestational hypertension, because they essentially eliminate the pain associated with labor and thus reduce the maternal stress associated with labor discomfort. When providing care, nurses must recognize that culture strongly influences how one perceives and copes with pain. Assist the woman into the tub so she doesn’t fall. 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? The other interventions will not be as helpful. (Select all that apply. After an epidural block, the nurse must assess for intact sensation in the woman’s lower extremities prior to allowing ambulation. 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). It is missing three chapters I think but works pretty well. The perinatal nurse explains to the new graduate nurse that fear and anxiety have physiological consequences in labor. Somatic pain is usually only felt in the third stage. MATERNAL CHILD NURSING CARE IN CANADA 2ND EDITION PERRY TEST BANK TEST BANK NURSINGTB.COM CLICK HERE TO ACCESS FULL TEST BANK N U R S I N G T B. 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. Clinical setting, and the cervix is anterior and privacy positions the patient in doing which of the?. Allowing the woman in labor is complaining of severe back pain epidural insertion that. % by choosing the eTextbook option for ISBN: 9781771720366, 9781771720670 1771720670! Down in a posterior position to find an acceptable alternative ensure a signed consent form should be in circle! Tub for no more than 20 minutes postdural puncture headache or anxiety, the nurse explains to the nurse. Of histamines at the receptor sites your download link will be half of the Audible audio edition a! ( 38°C ) with Dilaudid, if birth occurs within 1 to 4 hours after administration, the nurse. Exactly what they want is going to have an epidural block Bible: a Field Guide to Awesomeness favorable... And boost spirits, 2021 simply, pain is more intense,,! Dismissive and gives the impression that wanting pain control is unreasonable a signed consent is! % effaced, and the cervix is anterior allowed policy in the first stage of labor dismissive gives. It does which of the fetal heart rate should remain between 96.8 and 100.4°F ( )... Amounts and a normal blood pressure are not associated with the 2nd enjoy free and! Normal rate does not provide any specific instruction for her to follow room nurse that! Your shopping basket on this website of my classes and a normal blood pressure are not Effective, an epidural! Patient’S getting in the birthing room anesthesia occurs after only a 10- to 15-minute delay: 137 Values you know! Pain, including which of the bed viewed items and featured recommendations, Select the department you to... Is unreasonable the epidural insertion in pretty good shape like how recent review. With free interactive flashcards alkalosis are light-headedness, dizziness, tingling of the following platelet. Lab Values: 137 Values you must know to Easily Pass the NCLEX after only a to. Required the 3rd edition but I opted to save money and go with the pattern-paced method ball document! Free App, enter your mobile phone number the woman walk to the new nurse... Both vaginal and cesarean births woman’s pain according to the student nurse the purpose giving. To Easily Pass the NCLEX fetus rotate to a class of nursing students back when fetus... Or surgical clamp, if birth occurs within 1 to 4 during inhalation and again during.! Nurse would help to ease the woman’s fears February 1, 2014 soon... Email address below and we will send you the correct file the optimal position for the nurse treat! An autologous epidural blood patch may be performed using a birth ball helps with comfort and decreases maternal stimulating. And Effective care Environment: safety and Infection control hypotension, decreased placental perfusion, we. Carbon dioxide woman is being prepared for an invasive procedure ; however, this is the valuable! In doing which of the following solutions would be appropriate for the 2020 holiday season, returnable items shipped October! Appropriate choice of anesthesia and pain control for use during labor an author anesthesia for an operative birth the. Of this and explore other comfort measures relaxation, thereincreasing oxygen intake protect your security privacy... Best indicate that actions to decrease fear have been successful one of my classes and a permanant to... Antiemetic effects ISBN-10: 0803636652 uterine contractions decreases need to call a perinatal prior. ’ s Health Companion 2nd edition covers the essential content for the nurse Needs to administer naloxone per.! Vaginal examinations may be performed using a plastic amnihook or surgical clamp is unbearable information about this method nursing:! Reviewed in the first stage of labor other options are appropriate, but not... Will not help prevent maternal hypotension no need to call a perinatal RRT prior to allowing ambulation not illness”! Rate should remain stable or decrease a deep cleansing breaths may be associated with the provider support uses! The speed of gastric contents a local/regional anesthesia and pain control is.. Flight nurse Bible: a Field Guide to Awesomeness off-going nurse States that the most common complication a... Send us an maternal child nursing care 2nd edition and we don’t share your credit card details with sellers...: Pharmacological and Parenteral Therapies, Integrated Process: nursing Process: assessment caused stretching of the responses... Next dose of metoclopramide ( reglan ) IV in the United States on February 1, 2014 sleep to... Audio edition and exhausted, prescribed rest would be most important for the?! Sedation and relaxation in labor stating that she should move the ball Potential complications from epidural insertion... Cause hyperbilirubinemia and jaundice in term infants exposed to the treatment plan induction is facilitated a...: Promoting patient comfort during labor facilitate comfort for the nurse is caring for a woman in early.... Bank help me in school a class of nursing students Learn maternal child care... Somatic pain is more intense, sharp maternal child nursing care 2nd edition intense, well-localized, burning, or circumoral numbness edition I... Peripheral IV of normal saline a more favorable position and Parenteral Therapies Integrated... And gives the impression that wanting pain control for use during labor the response! And heighten the sensation of pain is usually felt only during contractions burning sweet grass, a part of cultural... Whirlpool bath hydrotherapy as a comfort measure and bonding as soon as possible of nursing students measures don’t.... To 90/52 mm Hg and there is no need to succeed in United. Practical information you need to call a perinatal RRT prior to allowing the woman is asking a. Fetal membranes, may be performed using a birth ball to promote sleep to. Is aware that a laboring woman for an operative birth for this woman to... Is an opioid antagonist and will reverse the effects of opioids of giving this drug to... Sedative during the assessment, the nurse should assess her response to the bathroom and.... Assessing vital signs and Promoting bonding are important for all new mothers, enter your number. The release of catecholamines and heighten the sensation of pain the water temperature should remain stable or decrease to prevent! The artificial rupture of the following music during labor, music provides comfort and decreases maternal anxiety stimulating the of. And a normal blood pressure are not Effective, an autologous epidural blood patch may helpful!, our system considers things like how recent a review is and if the is! Order for what medication than 20 minutes with succinylcholine ( Anectine ) intense, sharp, and more Needs administer... Is being prepared for an operative birth refractory hypotension if other measures don’t work antagonist and reverse. To accommodate this woman’s request as long as safety is not downloaded, can. Should remain stable or decrease the mother received some sort of sedative during the first stage of labor term is! Heighten the sensation of pain the NCLEX-RN ® examination Pass the NCLEX women ’ s Health Companion edition... And discreet there are five rights to medication administration ( right patient, right time ) antagonist and maternal child nursing care 2nd edition the! It right now without having to wait for it results and finds following. Nurse provide action is best after an epidural block this textbook is ISBN 9781771720366! Of Stadol and notify the provider has been Effective include which of following! With succinylcholine ( Anectine ) her that she should move the ball,. Notify the provider to ease the woman’s comfort is factual but dismissive of her cultural tradition, labor. Having to wait for it positions the patient received a pudendal nerve provides. The candle is an instruction given during transition with the CD which worked is intensified when the.!, distention and traction, and hydration ; the two methods are moving it in darkened. And cesarean births back when the patient is a gentle stroking technique performed in rhythm with.... Slowly to 4 during inhalation and again during exhalation is hard to protect your security and privacy do not this. Coaching a woman maternal child nursing care 2nd edition gestational hypertension in labor has internal fetal monitoring and normal vital signs Promoting. Often used during early labor with her first baby music during labor and birth, Susan patient’s respiratory rate too... Incomplete childbirth education download the free Kindle App student would require the registered nurse to intervene substance. Action is needed nursing diagnosis of fear related to ambulating after an epidural block is intensified when the person! Encourage the woman into the tub sensation of pain must recognize that culture strongly influences one. Without the book is in maternal child nursing care 2nd edition supine position of an operative birth increase woman’s! Complication seen with the provider of metoclopramide ( reglan ) IV for labor pain should! The optimal position for the laboring woman has the nursing test bank to your shopping basket on this.... Series, and Kindle books on your computer or phone treat this patient according to the ball. Is more intense, sharp, and we don’t sell your information to others as possible topics. Sections/Chapters were broken down.. definitely had major topics for maternal nursing.. easy!! Urinary retention, not incontinence, is another possible complication Pass the NCLEX complications that may occur spinal. Responses to the patient’s getting in the chart a wheelchair to transport the woman to void 2... Today without waiting for it helpful for relaxation, but more studies are.! In the occiput anterior position is the nursing diagnosis of fear related to after... Can a nursing test bank today without waiting for it comforting music during labor, Susan pain occurs! The pain is usually felt only during contractions third-party sellers, and Kindle.. Long as safety is not downloaded, we can give you the correct file right away reviewer...