Primigravida vital signs. It may or may not hurt when you touch it.

A 20-year-old gravida 2, para 1 presents to the L&D unit with contractions every 5 to 7 minutes. What action should the nurse implement next? A. 9. Rationale: Preterm labor occurs after the 20th week but before the 37th week of gestation. The fetus is in a breech presentation. 2% of primigravida women were knowledgeable about birth preparedness with being married, house hold monthly income of 1000–3000, knowledgeable for key danger signs of labour, and knowledgeable for key The nurse in the labor and delivery unit is performing a focused assessment on a client who is 2 hours postpartum. 2 F and places the newborn under a radiant heat warmer. Endometriosis. frequent vaginal cervical examinations C. Detecting shock in pregnancy. Membranes are intact. Jun 20, 2024 · A primigravida has been in labor for 18 hours and is finally moving into the second stage and is anxious to begin pushing. 3°C); heart rate is 101 beats/min; blood pressure, 87/58 mm Hg; capillary refill time, less than 3 seconds. 5°C); heart rate, 102 beats/min; blood The client is exhibiting signs of uterine rupture. Monitor deep tendon reflexes hourly f. Refer to how the hormonal changes and expansion of the circulatory system during the first and second trimester The four main vital signs routinely monitored by medical professionals and health care providers include the following: Body temperature. Jul 8, 2024 · A primigravida client has just arrived in early labor and is showing signs of extreme anxiety over the birthing process. Ectopic pregnancy. Which assessment should be prioritize at this time? Evaluate maternal vital signs Ensure cervix fully dilated Evaluate fetal heart monitor Ensure empty urinary bladder Apr 8, 2022 · Upon arrival, she was in labor pain, and her vital signs were blood pressure 120/80 mmHg, pulse rate 90 beats per minute, respiratory rate 22 breaths per minute, and body temperature 36. Study with Quizlet and memorize flashcards containing terms like Oral Temperature °Fahrenheit and °Celsius, Rectal Temperature compared to oral temperature Study with Quizlet and memorize flashcards containing terms like A client is having her vital signs and weight taken and recorded at a prenatal visit. Which response should the nurse prioritize? The the primigravida who abuses cocaine D. Jun 26, 2024 · The nurse in the labor and delivery unit is performing a focused assessment on a client who is 2 hours postpartum. The nurse assesses a male newborn and determines that he has the following vital signs: axillary temperature 95. bloody show. Tremors of the hands during crying. Additive effect can be obtained with 50–100 mcg of fentanyl, or 100 mcg of hydromorphone. Comprehensive antenatal care should be provided in this group of patients to have better A 25-year-old primigravida is at 20 weeks' gestation. c. 7ºF) and SpO2 of 96% on room air are normal vital sign parameters. Study with Quizlet and memorize flashcards containing terms like After repeating the vital signs for a newborn who is 4 hours old, the practical nurse (PN) obtains an axillary temperature of 97. A gravida 2, para 1 who is at 1 cm cervical dilatation and a 0 station admitted for induction of labor due to post dates. Primigravida in early labor or slowly progressing multipara: Use bupivacaine 0. 1 in 3. Study with Quizlet and memorize flashcards containing terms like 2 days after an abdominal hysterectomy, an elderly client with diabetes Mellitus Type II has a syncopal episode. Our findings refute the existence of a clinically significant BP drop from 12 weeks of gestation. 5)°C, decreasing to a minimum of 36. But you may have no symptoms. It may hurt when you flex your foot to stand or walk. administration of antibiotics if ordered D. d. Her weight gain in the first trimester was 2 pounds and she has currently gained 14 pounds overall. Vital signs: temperature, 99. Giving this client a liter of lactated Ringers solution intravenously will reestablish vascular volume and bring the blood pressure up, and the pulse and respiratory rate down. Our understanding of the normal thresholds for these vital signs underpins their use. , 3. Hypertrophy and increased contractility Correct Answer: 3. A primigravida at term presents to the labor and delivery unit smiling and states to the nurse, "I am in labor. 3 C, pulse rate 88 beats per minute, respiratory rate 10 breaths per minute, BP 148/90 mm Hg, absent deep tendon reflexes (DTRs), and no ankle clonus. Stage 2 Hypertension. Urine has no protein, glucose, or leukocytes. Jun 22, 2018 · Wireless vital sign measurements may be of benefit during acute hospital admissions and labour, but current evidence to support their use is limited . Why should the nurse prioritize helping the client relax? Anxiety can slow down labor and decrease oxygen to the fetus. 3°C); heart rate, 101 beats/min; blood pressure, 87/58 mm Hg; capillary refill time, less than 3 seconds. 7% and 18. 4°C (99. 68 kg) pounds per month in the first trimester and 1 lb (0. Turn down the lights and keep the woman in a The nurse is giving prenatal instructions to a 32-year-old primigravida. Multigravida on po terbutaline with a pulse rate of 110/per minute 3. Which action should the nurse take next? a) Mark the drainage on the dressing and take vital signs. Drag words from the choices below to fill in each blank in the following sentence. After having the client void and massaging the uterus, the client's fundus remains difficult to locate, and the rubra lochia remains heavy. 130-139 Systolic. The nurse obtains the vital signs, performs a health history and physical assessment, and reviews the client's laboratory results. a. Based on these findings, which action should the nurse take first? A- Check the infant's arterial blood gases. Vital signs are blood pressure of 86/40 A primigravida at 34 weeks' gestation tells the nurse that she is beginning to experience some lower back pain. Precise determination of latent phase length would require knowledge of the time at which labor began and the time of onset of the active phase. It may or may not hurt when you touch it. 3° C, pulse rate of 88 beats/min, respiratory rate of 10 breaths/min, blood pressure (BP) of 148/90 mm Hg, absent deep tendon reflexes, and no ankle clonus. Multigravida on po methyldopa with a blood pressure of 142/90. Which of the following is the priority nursing action? a. 6° F). D. Leakage of amniotic fluid (described as "the water breaks") The nurse assesses a male newborn and determines that he has the following vital signs: axillary temperature 95. Keep ephedrine on hand e. The client's hemoglobin level is 13. Light-headedness. 3)°C at 33. Based on these findings, which action should the nurse take first? a. Notify the physician if respirations are less than 12 per minute c. 2. Pertinent findings were on the abdomen: 26-week-sized gravid uterus, fundus occupied by soft bulky mass that was breech. Normal labor is defined as regular uterine contractions resulting in progressive cervical effacement and dilation. 1°C (98. You have swelling, pain, or tenderness in your leg—usually your calf or in one leg. Vaginal bleeding. EL: Elevated liver enzymes (chemicals that speed up body reactions, like breaking down proteins). 05–0. chapters 11 12 Learn with flashcards, games, and more — for free. What interventions Blue tinged color to finger tips of the right hand. 3 Provide the client with comfort measures used for women in labor. What is the nurse's interpretation of this data?, A client in her 39th week of gestation Jan 29, 2020 · Client exit interview of 442 primigravida (first pregnancy) women in Antenatal care clinic in health centres and hospitals was revealed, 15. Dilute Techniques. Increase in circulating volume Symptoms that should be immediately reported to a doctor if they occur during pregnancy include the following: Persistent or unusual headaches. Fetal cardiomegaly 3. After the first positive pregnancy test, care is typically sought by patients and begun after The nurse in the labor and delivery unit is performing a focused assessment on a client who is 2 hours postpartum. 4° C (97. 5ºC (97. She is in her second trimester and has had prenatal care since she was 8 weeks pregnant. 2 Wear a maternity girdle during waking hours. Her only complaint is a new brownish line straight down her abdomen. monitoring the patient's vital signs E. The current vital signs for a primipara who delivered vaginally during the previous shift are: temperature 100. 5%) as compared to booked patients. 4. Instead, non-pregnant vital sign reference ranges are used to define normal and abnormal vital sign values in pregnant women. 3. She is in her second trimester at 23 weeks' gestation. Rhonchi in both bases 3. Blood pressure and heart rate patterns: see Table 13-1 and Cardiovascular System section; blood pressure decreases and returns to prepregnant levels by term; blood pressure is affected by several factors, including maternal position and level of anxiety; pulse increases by 10 to 15 beats/minute; murmurs, dysrhythmias, and palpitations can occur Assess maternal vital signs every 15 minutes, administer IV or IM oxytocin (10 international units) if indicated, and administer pain medications or other uterotonics as needed. The first stage is further divided into two phases. The nurse in the labor and delivery unit is performing a focused assessment on a client who is 2 hours postpartum. On assessment, the nurse finds the following vital signs: temperature 37. A history of asthma is not abnormal but will need to be noted because one of the medications given to treat a postpartum hemorrhage is contraindicated in patients with asthma. 45 kg) per week in the second and third trimesters. She has been connected to external electronic monitoring for 1 hour. Laboratory results demonstrate the effects of the blood loss rather than the amount. The fetal heart rate is stable at 135 to 145 beats/min, and membranes are intact. Conclusion: Primigravida are high-risk patients. 2. ) Systolic BP usually remains the same as the pre-pregnancy level but may decrease slightly as pregnancy advances. Signs can be caused by physiological factors other than pregnancy (pelvic congestion, tumors). A 5-lb 8-oz (2. Persistent nausea and vomiting. The other weight gains are within range for the state of pregnancy. 1 Wear low-heeled shoes. 7 (35. Oct 4, 2018 · Procedure Purpose; Vital signs: Taking your vital signs gives your doctor a baseline for comparing your later prenatal visits. The fetal heart rate has been normal. Apr 30, 2024 · Monitor maternal vital signs and fetal heart rate every 30 minutes -1 hour, or depending on the doctor’s order. Given that the majority of maternal deaths are a result of haemorrhage or sepsis it is crucial to measure vital signs in order to allow for early detection of shock. Perinatal mortality was high in un-booked patients (19. ) A distended bladder exacerbates uterine atony. " Vital signs: temperature, 99. 3 Sleep flat on her back with her feet elevated. The nurse takes her vital signs and notifies the healthcare provider immediately because of which finding? 1. The nurse should also notify staff and prepare necessary supplies and She did not attend prepared childbirth classes. Jan 30, 2023 · Labor is the process through which a fetus and placenta are delivered from the uterus through the vagina. What is the priority nursing intervention at this time? tion status, vital signs, auscultation of heart and lung sounds, and measurement of height and weight. Anytime during pregnancy or up to 6 weeks after birth. Client denies history of any pregnancy complications. Jun 20, 2008 · 3. Blanching to right hand. The latent phase is defined as the interval between the onset of labor and the beginning of active phase dilatation. Vital signs are unremarkable. Abnormal labor refers to labor patterns deviating from delineated normal standards. , 4. 5 (35. A client at 38 weeks' gestation is admitted to the high-risk prenatal unit with a diagnosis of severe preeclampsia. b) Notify the healthcare provider of a potential for hemorrhage. About 20% of women reported mistreatment while receiving maternity care. The fundus may be higher than expected, because the low-lying placenta prevents the descent of the fetus into the pelvis, but the height cannot be used to estimate blood loss. Which additional finding should the PN observe in the newborn? 1. The client is a 35-year-old primigravida. Temperature 37. Check room temperature (25-28 0 C and free of air drafts). A clear understanding of normal labor progression is essential to recognize dysfunctional labor. Assessment reveals a headache 3 out of 10 on a scale of 0 to 10. A 22-year-old primagravida comes to the office for a prenatal visit. Flushing of the skin. 6% respectively). 5 °C. 90-99 Diastolic. What physiological response does the nurse expect during this client's labor? 1 Heavy vaginal bleeding 2 Fetal heart rate irregularities 3 Greenish-tinged amniotic fluid 4, A registered nurse (RN) on the postpartum unit is Study with Quizlet and memorize flashcards containing terms like A primigravida asks the nurse about signs she can look for that would indicate that the onset of labor is getting closer. It is usually described by its duration. Many modern clinical guidelines do not reference the sources of their normal vital sign ranges [3,4,5]. Lower-extremity edema A primigravida client admitted with signs of labor is evaluated with external electronic fetal monitoring that shows baseline FHR of 136 to 150 and two instances of FHR at 165 for 15 to 20 seconds. Notify physician if urinary output is less than 25 ml/hour g. Contraction monitoring is also continued. B ~ The client is exhibiting signs of uterine infection, with elevated temperature, vaginal discharge with odor, abdominal pain, and blood pressure and pulse manifesting as shock-trended vitals. The client reports pelvic pain, chills, profuse dark, foul-smelling lochia with blood clots. b. LP: Low platelet count (parts of your blood that help with clotting). A 37-week primigravida who presents at 100% effacement, 3 cm cervical dilatation, and a -1 station. 5 g/dL (135 mmol/L). Severe swelling, redness, or pain of your leg or arm. The client's vital signs are: blood pressure 98/52 mm Hg, heart rate 118/min, respiratory rate 24/min, and temperature 36. About 30% of Black, Hispanic, and multiracial women reported mistreatment. 5°F (37. 4 Prepare to have the client's blood typed and The vital signs indicate hypovolemia from dehydration, which leads to hypotension and increased pulse rate. Stage 1 Hypertension. Which additional finding is most important for the nurse to report to the healthcare provider?, The current vital signs for a primipara who delivered Physiologic jaundice occurs from a normal reduction in red blood cells. 4. 4 weeks. Almost half (45%) of women held back from asking questions or sharing concerns during their maternity care. Rh incompatibility 2. Physician Office Visit. 3°F) 4. Monitor renal function and cardiac function closely d. Monitor maternal vital signs every 4 hours b. Respiration rate (rate of breathing) Blood pressure (Blood pressure is not considered a vital sign, but is often measured along with the vital signs. If after 8 hours, the patient condition is stable, you may record blood pressure, pulse, respirations, O2 saturation, DTR’s and clonus every 2 hours unless otherwise ordered by a provider. The median (3-97 centile) temperature at 12 weeks of gestation was 36. On assessment the nurse finds the following vital signs: temperature of 37. 3° C, pulse rate 88 beats per minute, respiratory rate 10 breaths per minute, BP 148/90 mm Hg, absent deep tendon reflexes (DTRs), and no ankle clonus. what intervention should the nurse implement first?, A 3-week-old infant is admitted for surgical repair of Pyloric Stenosis. However, these physiological changes are not taken into account in the normal ranges, which themselves are not evidence-based, used in routine and acute care monitoring. Primigravida on IV magnesium sulfate with deep tendon reflexes of 2+ 2. changes that make the examiner suspect a woman is pregnant (primarily related to physical changes of the uterus). Abdominal enlargement related to changes in uterine size, shape, and position Hegar's sign - softening and compressibility of lower uterus Chadwick's sign - deepened violet-bluish color Jul 8, 2024 · The nurse carefully evaluates vital signs, monitors for weight gain, and checks the fluid and nutritional status. Her prenatal history does not indicate any risk factors. the primigravida who is 22 years old C nursing care for the patient with PROM includes ( select all that apply) A. Pulse 88/minute 2. What are the priority nursing assessments for the nurse to monitor?feedings and vital signsvital signs and gestational age assessmentsjaundice and physical assessmentAPGAR and gestational age assessments. Notify the healthcare provider. 120-129 systolic. Here’s the best way to solve it. 5-kg) baby was born 1 hour ago to a 19-year-old primigravida. Caloric intake would be increased by 300 cal/day 2. What should the nurse recommend that the client do? Select all that apply. We aim to synthesise the existing evidence base Mar 15, 2023 · 2. 4 F, heart rate 58 beats/minute, respiratory rate 16 breaths/minute, and blood pressure 130/74. In a randomised, controlled trial, 208 primigravida women with a singleton pregnancy were allocated either to perform daily foetal movement counting (n = 100) from 28 weeks’ gestation or to follow standard Iranian antenatal care (n = 108). Her urine has no protein, glucose, or leukocytes. , The nurse should tell a primigravida that the definitive sign indicating that labor has begun Nursing questions and answers. Blood pressure 130/78 May 28, 2024 · Preeclampsia is a serious medical condition that can occur about midway through pregnancy (after 20 weeks). systolic equal or greater than 160. fatigue and lethargy. People with preeclampsia experience high blood pressure, protein in their pee, swelling, headaches and blurred vision. The nurse recognizes that the client is at risk for developing urinary tract infection (UTI) as evidenced by painful urination. Mar 13, 2018 · level of consciousness with vital signs. [1] This triad is classically referred to as the passenger, power, and The nurse in the labor and delivery unit is performing a focused assessment on a client who is 2 hours postpartum. Study with Quizlet and memorize flashcards containing terms like The nurse is performing a focused assessment on a client who is 2 days postpartum. The client has a history of cardiac disease. [1] M. Treatment is necessary to avoid life-threatening complications. Her initial vital signs are temperature of 37. Cervical dilation is 1 to 2 cm and uneffaced (unchanged from admission). 125% with 2–3 mcg/mL of fentanyl, or 3 mcg/mL of We present widely relevant, gestation-specific reference ranges for detecting abnormal BP, heart rate, respiratory rate, oxygen saturation and temperature during pregnancy. 8°F); pulse, 86 bpm; respirations, 20; and blood pressure, 114/68 mm Hg. Maternal vital signs are stable. The nurse should describe: A. A pregnant woman has been receiving a magnesium sulfate infusion for treatment of severe preeclampsia for 24 hours. A baseline fetal heart tracing should be taken before administration and then again 15 minutes after administration. 0625–0. During the examination, the nurse notes that the FHR is 124 bpm with moderate variability and that the patient's fundus is soft on palpation. 1 F, heart rate 136 beats/minute and a respiratory rate 48 breaths/minute. B. Apr 15, 2022 · The first signs of preeclampsia are often detected during routine prenatal visits with a health care provider. The results confirmed gestational diabetes. 1. 80-89 diastolic. Successful labor involves three factors: maternal efforts and uterine contractions, fetal characteristics, and pelvic anatomy. Check the infant's arterial blood gases. monitoring fhr and contractions B. Study with Quizlet and memorize flashcards containing terms like While assessing a 40-week gestation primigravida in active labor, the client's membranes rupture spontaneously and the nurse notes that the amniotic fluid is meconium stained. Once pregnant, women require routine prenatal care to help safeguard their health and the health of the fetus. Contractions. Given that there are such remarkable Vital signs: temperature, 101°F (38°C); blood pressure, 110/70 mm Hg; heart rate, 98 beats/min. weight gain of 1 to 3lbs. Identify the expected findings for this client's blood pressure, pulse and respirations. A weight gain of 8 lb (4 kg) in the first trimester is excessive. Study with Quizlet and memorize flashcards containing terms like A primigravida is admitted to the birthing unit in active labor. 8. Maternal vital signs BP 130/84, PR 90, R 20, T 98. Common symptoms that are often pregnancy-related include . This study assessed the effect of foetal movement counting on maternal anxiety. 6-37. The client states, "my bleeding before was light and now it is heavy. " The nurse assesses the client's cervical dilation and finds it is 2/50%/-1. A continuous infusion of bupivacaine 0. Pulse rate. Her cervix is dilated to 3 cm, station - 1, effacement 90%, and the membranes are ruptured (amniotic fluid is clear). Pelvic pain. Vitamin intake would not increase from prepregnancy requirements 4. Jul 8, 2024 · Study with Quizlet and memorize flashcards containing terms like A patient is admitted to the labor and delivery unit. Primigravida on IV oxytocin with contractions every 3-4 minutes 4. While making evening rounds, the nurse discovers an elderly, confused client standing next to the bed with the IV pulled out, gown wet with urine and the side rails still in the up position. Assessment reveals a headache 3/10 on a scale of 0-10. There is an increased risk for intra-amniotic infection (chorioamnionitis) within 4 hours of membrane rupture A 22-year-old primigravida comes to the office for a prenatal visit. Her baseline vital signs are pulse, 92 bpm, respirations, 24 breaths per minute; and blood pressure, 120/70mm Hg. Aug 8, 2023 · Antepartum care, also referred to as prenatal care, consists of the all-encompassing management of patients throughout their pregnancy course. Sep 29, 2023 · 1 in 5. A temperature of 36. Uterine infection. For the past 8 hours, a 20-year-old primigravid client in active labor with intact membranes has been experiencing regular contractions. A primigravida at 39 weeks of gestation is observed for 2 hours in the intrapartum unit. NOTE: for more stringent fluid restriction, pharmacy may mix 50 gms of Case 5. Delaram, S. Anxiety will increase blood pressure, increasing risk with an epidural. Monitor vital signs and white blood cell count. Vital signs may be checked immediately after another nurse has been asked to bring the team together. Choose matching definition After obtaining the fetal heart rate and maternal vital signs, what should the nurse's priority intervention be? 1 Teach the client how to push with each contraction. Blood pressure usually goes down slightly during the 1st and 2nd trimesters and then goes back to normal or slightly above normal during the 3rd trimester. Placing an internal fetal monitor is a poor use of valuable time and requires a prescription from the primary healthcare provider. An 18-year-old primigravida at 36 weeks' gestation is admitted with a diagnosis of mild preeclampsia. Diastolic BP begins to decrease in the first trimester, continues to drop until 24-32 weeks, then gradually increases and returns to pre-pregnancy levels. Antepartum care has become the most frequently utilized healthcare service within the United States, averaging greater than 50 million visits annually. She is very anxious and tense, crying during each contraction. Notify the pediatrician of the infant's vital A primigravida at term presents to the labor and delivery unit smiling and states to the nurse, "I am in labor. Increase in circulating volume 4. C. Postpartum haemorrhage and puerperal pyrexia was more common in un-booked patients (7. She is 32 weeks pregnant and presents to labor triage with complaints of headache & lower back pain with abdominal cramping for the past 2 hours prior to arriving at the hospital. Her vital signs are within normal limits and her sugar is 325 mg/dL. journal publications or textbooks for all vital signs (systolic and diastolic blood pressure, heart rate, respiratory rate, oxygen saturation and temperature) in term pregnant women. 2 Encourage the client to perform patterned, paced breathing. placing the patient in the Jan 7, 2023 · 3. The client's fundus is boggy, lochia is heavy, and vital signs are unchanged. Contractions are 5 to 9 minutes apart, 20 to 30 seconds in duration, and of mild intensity. Which nutritional instructions would the nurse review? Select all that apply. Apr 27, 2024 · The name HELLP syndrome stands for the three signs of the disease: H: Hemolysis, breaking down of red blood cells (cells that carry oxygen from your lungs to the rest of your body). Introduction Vital signs (blood pressure, heart rate, temperature, oxygen saturation and respiratory rate) are thought to undergo changes during and immediately after pregnancy. During pregnancy, changes can occur in the records of vital signs, so it is important that the mother knows the values of normality and can act early in the event of an anomaly. Jun 29, 2024 · a. A nurse is reinforcing teaching on expected vital sign changes during a prenatal visit for a primigravida. An elevation of WBC count and abnormal vital signs can indicate infection (maternal temperatures of 38℃/100°F or higher and a WBC count of more than 18,000-20,000/mm³). 4 Perform pelvic tilt exercises Labor is the process through which a fetus and placenta are delivered from the uterus through the vagina. This 27-year-old female, who is 12 weeks pregnant, is experiencing increased thirst, increased urination, increased fatigue, and bouts of nausea. During epidural administration, vital signs are measured every 3 to 5 minutes. Pain or cramps in the lower abdomen. TINA is a 16 year old primigravida who is currently a high school sophomore and lives at home with her parents. c) Remove the dressing and assess The vital signs will reflect the effects of the blood loss rather than the amount. Vital signs are within normal limits, vaginal examination is 4 cm, 75% effaced, at 0 station. Along with high blood pressure, preeclampsia signs and symptoms may include: Excess protein in urine (proteinuria) or other signs of kidney problems. Pulse Normal beats for pregnant women are considered to be those between 85-90 beats per minute, and can be up to 100 beats per minute at times. For administration of analgesia, vital signs should be taken before the medication is administered and 15 minutes after administration. Disturbances of eyesight. Jun 14, 2023 · Introduction. Left radial pulse-88/min; Right radial pulse-82/min. 1°F (37. quickening. 5 (0. The client is a 20-year-old primigravida of average weight and height. The phys-ical examination also includes the following assessments: • Fundal height measurement • Uterine activity, including contraction frequency, dura-tion, and intensity • Status of membranes (intact or ruptured) Jun 20, 2024 · Changes in vital signs as pregnancy progresses. An emergency cesarean birth is the priority. 0625% (10 mL) by bolusing 5 mL at a time. Shams. 3-37. The priority assessment includes fetal status, vital signs Her vital signs; A 19-year-old primigravida pregnant woman, applied in Hospital Emergency Service, with 38 weeks’ gestation and due to the onset of her contractions in 2 times in 10 minutes and takes 15 per minute. The client is placed on a fetal monitor indicating a regular fetal heart rate of 138/min and no uterine contractions. Her only complaint is that she has a new brownish line straight down her abdomen. Recheck the client's vital signs. A 40-week primigravida who is at 6 cm cervical dilatation and the presenting part is not engaged. An increase in heart rate. Expected weight gain is 1. On examination her vital signs are unremarkable. B- Notify the pediatrician of the infant's vital . [1] Human labor divides into three stages. External fetal monitor is placed with a fetal heart rate baseline of 145, with accelerations to 156. Jun 29, 2024 · Carefully titrating the oxytocin, monitoring vital signs, including fetal well-being, and assisting with breathing exercises are appropriate actions to include in the care plan. diastolic equal or greater than 100. ) Vital signs are useful in detecting or Jul 8, 2024 · A primigravida at 40 weeks' gestation is admitted to the labor unit in latent labor. Human labor divides into three stages. Sep 11, 2019 · Heart rate and blood pressure are key vital signs for the assessment of pregnant women [1, 2]. 45%. Decreased levels of platelets in blood (thrombocytopenia) Jul 8, 2024 · Study with Quizlet and memorize flashcards containing terms like The nurse identifies bright-red drainage, about 6 cm in diameter, on the dressing of a client who is one day post abdominal surgery. The fetal monitor is applied, and the patient moves into a supine position for the assessment. For which complication is the nurse collecting data? 1. Conclusion: We present widely relevant, gestation-specific reference ranges for detecting abnormal BP, heart rate, respiratory rate, oxygen saturation and temperature during pregnancy. After repeating the vital signs for a newborn who is 4 hours old, the practical nurse (PN) obtains an axillary temperature of 97. Gestational trophoblastic disease. When perineal bulging is noticeable, prepare for delivery. Also, evaluation is often required for symptoms and signs of illness. Vomiting. A 22-year-old clerk, primigravida, comes to your office for a prenatal visit. Protein intake would be increased to more than 30 g/day 3. An in-office blood sugar reading was 245, so a glucose tolerance test was ordered. vc hy ee ih nl qa ah ht yr sj