Which statement about obstetric dating and assessment is correct

What is the best action for the nurse to take based on these findings? The client reports that she has regular menses that occur every 28 days and last 5 days. What would the clients estimated date of delivery (EDD) be if she is pregnant? Which of the following statements would best describe to the client why she needs to be seen by a physician today? The fundal height at 20-22 weeks should be about even with the umbilicus. | Nursing/Integrated Concepts: Nursing Process: Evaluation19) The nurse is explaining to a new prenatal client that the certified nurse-midwife will perform clinical pelvimetry as a part of the pelvic exam. | Nursing/Integrated Concepts: Nursing Process: Evaluation Standards: QSEN Competencies: I. | Nursing/Integrated Concepts: Nursing Process: Implementation Standards: QSEN Competencies: I. | Nursing/Integrated Concepts: Nursing Process: Planning Standards: QSEN Competencies: I. | Nursing/Integrated Concepts: Nursing Process: Assessment Standards: QSEN Competencies: I. | Nursing/Integrated Concepts: Nursing Process: Assessment Standards: QSEN Competencies: V. | Nursing/Integrated Concepts: Nursing Process: Evaluation Standards: QSEN Competencies: V. | Nursing/Integrated Concepts: Nursing Process: Assessment26) A client comes into the prenatal clinic accompanied by her boyfriend. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches. Create a safe environment that results in high quality patient outcomes. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally, and culturally appropriate approaches. Create a safe environment that results in high quality patient outcomes. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care.

At 22 weeks gestation, a fundal height below the umbilicus and the size of the uterus that is inconsistent with length of gestation could indicate fetal demise. The nurse knows that teaching has been successful when the client makes which statement about the reason for the exam? By performing a series of assessments and measurements, the examiner assesses the pelvis vaginally to determine whether the size and shape are adequate for a vaginal birth; this procedure is called clinical pelvimetry. When asked by the nurse why she is there, the client looks down, and the boyfriend states, She says she is pregnant. Value seeing health care situations through patients eyes. | NLN Competencies: Relationship-Centered Care: Respect the patients dignity, uniqueness, integrity, and self-determination, and his or her own power and self-healing process. Communicate observations or concerns related to hazards and errors to patients, families, and the health care team. | NLN Competencies: Quality and Safety: Communicate effectively with different individuals (team members, other care providers, patients, families, etc.) so as to minimize risks associated with handoffs among providers and across transitions in care. Elicit patient values, preferences, and expressed needs as part of clinical interview, implementation of care plan, and evaluation of care. | NLN Competencies: Relationship-Centered Care: Appreciate the patient as a whole person with his or her life story and ideas about the meaning of health or illness. Communicate observations or concerns related to hazards and errors to patients. | NLN Competencies: Quality and Safety: Communicate potential risk factors and errors. Engage patients or designated surrogates in active partnerships that promote health, safety and well-being, and self-care management. | NLN Competencies: Relationship-centered Care: Communicate information effectively; listen openly and cooperatively. Value the patients expertise with own health and symptoms. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches.

They apply primarily to newly born infants undergoing transition from intrauterine to extrauterine life, but the recommendations are also applicable to neonates who have completed perinatal transition and require resuscitation during the first few weeks to months following birth.

Practitioners who resuscitate infants at birth or at any time during the initial hospital admission should consider following these guidelines.

We reviewed the literature on obstetric failed tracheal intubation from 1970 onwards.

Although the vast majority of newly born infants do not require intervention to make the transition from intrauterine to extrauterine life, because of the large total number of births, a sizable number will require some degree of resuscitation.

Once positive pressure ventilation or supplementary oxygen administration is begun, assessment should consist of simultaneous evaluation of 3 vital characteristics: heart rate, respirations, and the state of oxygenation, the latter optimally determined by a pulse oximeter as discussed under “Assessment of Oxygen Need and Administration of Oxygen” below.

The most sensitive indicator of a successful response to each step is an increase in heart rate.

For the purposes of these guidelines, the terms is intended to apply specifically to an infant at the time of birth.

Approximately 10% of newborns require some assistance to begin breathing at birth.

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