University:
Chaminade University of Honolulu
Course:
NUR 490 | NCLEX Seminar
Academic year:

2023
Views:

230

Pages:

2
Author:

skepkepkde

A) A nurse is caring for a client at 18-weeks’ gestation and will be assisting with a scheduled amniocentesis. Identify four (4) nursing actions associated with the procedure. a. Genetic testing i. Genetic amniocentesis involves taking a sample of amniotic fluid and testing it for certain conditions such as down syndrome b. Fetal lung testing i. Fetal lung maturity testing involves taking a sample of amniotic fluid and testing it to determine whether a baby’s lungs are mature enough for birth c. Diagnosis of fetal infection i. Occasionally, amniocentesis is used to evaluate a baby for infection or other illness. The procedure can also be done to evaluate the severity of anemia in babies who have Rh sensitization — an uncommon condition in which a mother's immune system produces antibodies against a specific protein on the surface of the baby's blood cells. d. Paternity testing i. Amniocentesis can collect DNA from the fetus that can then be compared to DNA from the potential father B) A client asks the nurse what are indications for a cesarean birth. Provide three (3) reasons a cesarean birth may be necessary. a. Indications for a cesarean birth would include: i. Prior cesarean birth ii. Placenta previa iii. Cephalopelvic disproportion C) A nurse is caring for a client experiencing postpartum hemorrhage. What interventions should be implemented? a. The most common cause of postpartum hemorrhage is when the uterus doesn't contract enough after delivery. The following interventions should be implemented when a nurse is caring for a client experiencing postpartum hemorrhage is massage the uterine fundus firmly, assess fundus for height, firmness and position, massage the fundus to increase muscle contractions if uterus boggy, asses source of bleeding, perform assessment of lochia for color, quantity, and clots. Assess bladder for distention, assess kidney function, urine output, maintain IV access for fluids, provide O2, and elevate legs.

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