Review and Refresh - PowerPoint PPT Presentation

1 / 40
About This Presentation
Title:

Review and Refresh

Description:

Review and Refresh Packet, Class & Readings And Clinical Revelations NCLEX-style question The highest priority in nursing care of the laboring client is: Pain relief ... – PowerPoint PPT presentation

Number of Views:134
Avg rating:3.0/5.0
Slides: 41
Provided by: peg102
Category:

less

Transcript and Presenter's Notes

Title: Review and Refresh


1
Review and Refresh
  • Packet, Class Readings
  • And Clinical Revelations

2
What is maternal-child health?
  • 6 interconnected aspects

3
What is maternal-child health?6 interconnected
aspects
Fetal/newborn physiology
Maternal physiology
Medical Care
Patient experience
Family experience
Nursing Care
4
Maternalphysiology
  • Nutrition
  • Hemoglobin
  • Weight gain
  • Blood pressure
  • Kidney and liver function
  • Uterus
  • Contractions
  • Placenta cord
  • Tubes ovaries

5
Fetal/newborn physiology
  • Fetal heart tones
  • Pulse, temp, respiratory rate
  • Weight
  • Amniotic fluid volume
  • Anomalies
  • Placental blood flow

6
Family experience
  • Knowledge
  • Previous experiences
  • Cultural roles and expectations
  • Significant other, older siblings, grandparents,
    extended family
  • Facility
  • Inclusion/exclusion
  • Staff attitudes

7
Patient experience
  • Knowledge
  • Previous experiences
  • Fear
  • Cultural roles and expectations
  • Presence/absence of support person
  • Facility
  • Staff attitudes

8
Medical care
  • What physician orders and does
  • Based primarily on physiology
  • Patient or family experience is much lower
    priority
  • Physicians receive less training in patient
    education and support

9
Nursing Care
  • Physiology top priority, but patient and family
    experience is dealt with simultaneously
  • Education high priority
  • Culture more important
  • Independent nursing interventions
  • Medically delegated tasks

10
(No Transcript)
11
(No Transcript)
12
(No Transcript)
13
(No Transcript)
14
(No Transcript)
15
(No Transcript)
16
(No Transcript)
17
(No Transcript)
18
(No Transcript)
19
Cardinal Movements of Childbirth
20
Which Are.
  • Flexion
  • Descent
  • Internal rotation
  • Extension
  • External rotation

21
Positions for birthing-kneeling
22
(No Transcript)
23
Side lying
24
Birthing stool
25
Hands and Knees
26
(No Transcript)
27
Water birth
28
(No Transcript)
29
Hospital birthing room
30
Typical hospital birth
31
Crowning
32
(No Transcript)
33
(No Transcript)
34
NCLEX-style question
  • The highest priority in nursing care of the
    laboring client is
  • Pain relief
  • Partner involvement
  • Fluid intake
  • Fetal heart rate

35
Maternal-Child Medications
  • Pain Medications
  • Tylenol NSAIDs
  • Stronger NSAIDs
  • Keterolac (Toradol)
  • Narcotics po
  • codeine po
  • Hydrocodone
  • Oxycodone
  • Injectables
  • Nubain
  • Stadol

36
What question should the nurse ask before
administering 10 mg of Nubain IV to a laboring
client?
  • 1.Have you ever had surgery?
  • 2. Do you use narcotics regularly?
  • 3. What vitamins do you take daily?
  • 4. Is your baby a boy or a girl?

37
NCLEX Style Question
  • A Client who is Latino is in labor and the
    father is refusing to come into the labor and
    delivery room. The nursing student assisting in
    the care believes he should participate in the
    birth and repeatedly urges the father to come
    into the labor and delivery room even though he
    keeps refusing. This nursing student is
    exhibiting
  • Cultural sensitivity
  • Ethnocentrism
  • Encouragement
  • Discouragement

38
NCLEX Style ?
  • Which of the following methods places emphasis on
    natural childbirth?
  • Leboyer
  • Lamaze
  • Dick-Read
  • Bradley

39
NCLEX Style ?
  • The nurse auscultates the fetal heart rate and
    determines a rate of 150 to 155 beats/minute.
    Which of the following nursing interventions is
    most appropriate?
  • A. Inform the client that the FHr is normal and
    document the findings.
  • B. Document and reassess the FHE in 5 minutes
    because the rate is too high.
  • C. Report the FHR to the primary provider
    immediately and then document.
  • D. Document and tell the mother she is having a
    boy because the heart rate is fast.

40
NCLEX-style question
  • The laboring primiparous client is in early
    labor. She asks the nurse how her labor will
    progress? What is the nurses best response?

1.The contractions will gradually get stronger
and closer together. 2. If you dont progress
fast enough, well start Pitocin to hurry things
along. 3. Dont worry. Well take good care of
you and make sure everything is fine. 4. When
your water breaks we will check your cervix to
see how far along you are.
Write a Comment
User Comments (0)
About PowerShow.com