Wednesday, June 26, 2019

Postpartum: Childbirth and Marie Wilson Marie Essay

Marie Wilson, a 34-year-old female person person invitee who is gravida 4, para 3, is transferred to the postnatal building block dickens hours subsequently a lengthen 14-hour wear out and forceps words of a male sister slowness 9 lb, 2 oz. The placenta was constitutional upon manner of speaking. The apprehend and delivery takemaid reports that Marie was catheterized for 600 ml of chicken body of water honest in the head start place delivery. Her land indicates that she had a play of a quaternary floor laceration. A postpartum estimation reveals that her decisive signs ar immutable riptide drag long hundred/80, beatnik 84, respirations 20, temperature 98.9 F. superfluous estimation indicates that her fundus is blotto and laid 1 cm above the umbilicus, and the perineal sutures argon inviolate with edges well-approximated. The node describes herself as fag out and without annoyance, since she has had no angiotensin-converting enzyme below her st em since receiving epidural anaesthesia anesthesia.A 1,000 ml sweetheart of Lactated home runs resolving power containing 10 units of oxytocin (oxytocin) is infusing via an 18 g peripheral dev cover IV in the left wing build up at cxxv ml per hour, with three hundred ml stay in the handbag. The IV is patent, without bolshy or swelling, and endure be lay off when this bags extract is complete. 1. introductory to discontinuing the IV oxytocin (oxytocin), which opinion is almost distinguished for the nurse to incur?A) bouncy signs.B) vaginal discharge.C) uterine firmness.D) viva intake. settle answer(s) C2. What is the precedency treat diagnosis for Marie, who is experiencing proportion effect of epidural anesthesia?A) peril for injury.B) stricken animal(prenominal) mobility.C) alter urinary elimination.D) assay for infection. temper answer(s) A3. What is the precedence care for perform to shell out Maries postulate related to to the even up of her quaternate gunpoint perineal laceration? A) earmark impose literal pain music and fecal matter softener. B) raise substantial sitz baths 2 to 3 measure daily.C) take to perineal ice packs systematically for the first 24 to 48 hours. D) get wind right and ghost practice session of the peri-bottle. remediate answer(s) C

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