(HI NURSEKLDP, PLEASE CREATE A NURSING CARE PLAN. 2 NANDA nursing

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Question Answered step-by-step (HI NURSEKLDP, PLEASE CREATE A NURSING CARE PLAN. 2 NANDA nursingdiagnosis. It mustbe relevant to the woman/pregnant and the baby. Explain why that nursing diagnosis you made isrelevant to case scenario (mother and baby). Include also the goals and interventions with rationales.)Instruction: Make a Nursing Care Plan (NCP) with two Nursing Diagnosis. Prioritization ofNursing Diagnosis should be observed.A woman is admitted to the postpartum unit after delivery of an infant weighing 9 lb, 12 oz. She voids 600 mL. The fundus is difficult to locate, and lochia is heavy. Health Science Science Nursing Share QuestionEmailCopy link Comments (0)

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Question Answered step-by-step Please Help ME!!!! Question 18. What are the expected findings in a... Please Help ME!!!!  Question 18. What are the expected findings in a newborn at 43 weeks gestation Select all that apply Excessive Languo          HypotoniaDry cracked skinAbsent vernixLong hard nails Question 19A nurse is caring for a client who asks about the purpose of Papanicolaou test. Which of the following responses should the nurse make?"This test determines your ovulation status.""This test allows for the removal of uterine fibroids.""This test detects the presence of endometriosis.""This test detects the presence of cervical cancer." Question 20A nurse is collecting data from an adolescent who is postoperative following a cesarean birth and is receiving morphine for pain. Which of the following findings is the nurse's priority?BP 105/62 mm HgRespiratory rate 11 /minBlurred VisionUrinary retention Question 21A nurse is reinforcing teaching about home safety precautions with the guardian of a newborn. Which of the following instructions should the nurse include?Set the temperature on the water heater to 48.8 C (120 F)Wash the newborn's face with a warm soapy washclothPlace a small pillow under the newborn's head during naps.Ensure the crib has soft bumper pads on the inside. Question 22A nurse is preparing to administer the hepatitis B vaccine to a newborn. Which of the following actions should the nurse take?Use a 20-guage needle to administer the vaccine.Administer the vaccine into the dorsal gluteal muscle.Choose a 3/8 inch need to administer the vaccine.Administer a 0.5 mL of the vaccine.    Question 23A nurse is preparing to collect a specimen for newborn screening. Which of the following actions should the nurse take?Warm the newborn's heel for 5-10 minutes before puncture.Apply an antiseptic to the newborn's heel after collecting the specimen.Leave the newborn's heel open to the air after puncture.Use a lancet to puncture the inner aspect of the newborn's heel. Question 24A nurse is auscultating fetal heart tones with a Doppler device for a client who is at 12 weeks of gestation. Where should the nurse expect to auscultate the fetal heart tones?Umbilical areaAbove the let iliac crestSuprapubic areaBelow the liver border of the right abdomen Question 25A nurse is caring for a client who is pregnant and has a vaginal culture that is positive for chlamydia.  Which of the following medications should the nurse plan to administer?MetronidazoleAcyclovirTetracyclineAmoxicillin Question 26A nurse is collecting data from a client at a 6- week postpartum checkup. The client tells the nurse, "I am breastfeeding and would like to use a birth control pill." Which if the following statements should the nurse make?"You do not need birth control pills as long as you are lactating.""Birth control pills are contraindicated for the breastfeeding clients.""Progestin-only birth control pills are preferred for contraception during lactation.""Taking birth control pills while breastfeeding can increase your risk for breast cancer" Question 27A nurse if caring for a client who is at 34 weeks of gestation is preparing to undergo a nonstree test. Which of the following actions should the nurse take?Ensure the client has been NPO for 6hr prior to the procedure.Assist the client to a lateral tilt position prior to procedure.Inform the client that this procedure assists in indicating Down syndrome.Instruct the client that oxytocin is administered during the procedure.  Question 28A nurse is reinforcing teaching with a client who has gestational hypertension about collection 24-hr urine specimen for protein. Which of the following statements should the nurse include in the teaching?"You should record the time on the collection container of any missed urine specimens."Cleanse your perineum with povidone-iodine prior to collecting each urine specimen""You should start the 24-hr collection with your first urination.""Do not add a urine specimen to the collection container if it contains stool." Question 29A nurse is assisting a provider with a pelvic examination of a client during her first prenatal visit. Which of the following actions should the nurse take?Instruct the client to tighten her pelvic muscles during the procedure.Assist the client into a Sims' position prior to the procedure.Encourage the client to take rapid, shallow breaths during the procedure.Ask the client to empty her bladder prior to the procedure. Question 30A nurse is caring for a full-term newborn who is 1 day old. Which of the following laboratory finding should the nurse report to the provider?Platelets 225,000/mmGlucose 60 mg/dlWBC 10,000/mm3Hgb 9.5 g/dL Question 31A nurse is reinforcing teaching about car seat safety with a new parent. Which of the following statements should the nurse include in her teaching?"You should place the shoulder harness at the level of yo9ur baby's shoulders.""You should place the retainer clip at the level of your baby's abdomen.""You should position your baby in the car seat at a 30-degree angle.""You should keep the car seat rear facing until your baby is 6 months old." Question 32A nurse in a prenatal clinic is collecting data from four clients. Which of the following findings is in the nurse's priority to report to the provider?Varicose veinsLeucorrheaDysuriaGingivitis  Question 33A nurse on the postpartum unit is caring for a client who delivered vaginally 3 hrs ago. Which of the following manifestation is a possible indication of postpartum hemorrhage?Respiratory rate 32/minApical pulse 66/minTemperature 38.3 degree C (101 degree F)Blood Pressure 156/80 mm Hg Question 34A nurse is caring for a client who reports discomfort due to after pains following breastfeeding. Which of the following actions should the nurse take?Place the client in a side lying position.Administer ibuprofen to the client.Encourage the client to perform kegel exercises.Apply a cool compress to the client's abdomen. Question 35A nurse is reinforcing teaching about safety measures for preventing newborn abduction with a client who is postpartum. Which statements should the nurse make?"Place your baby in the bassinet in your room by the bed when you use the bathroom.""If your baby's identification band slips off, place it in the drawer of the bassinet.""Make sure anyone caring for or transporting your baby is wearing an identification badge.""Carry your baby in your arms when you go for a walk in the hallway."  Question 36A nurse is collecting data from a newborn who was born 2hrs ago. Which of the following findings should the nurse report to the provider?HypertoniaBlood glucose level 40 mg/dLAcrocyanosisOverlapping suture lines Question 37A nurse is collecting data from a client who is receiving epidural anesthesia. Which of the following findings indicates an adverse effect of this method of pain management?TachypneaTachycardiaHypertensionFever Health Science Science Nursing NUR 4410 Share QuestionEmailCopy link Comments (0)