Postpartum: Childbirth and Marie Wilson Marie Essay
Jessica Wilson, a 34-year-old female client that is gravida some, para a few, is used in the postpartum unit two hours after having a prolonged 14-hour labor and forceps delivery of a man infant evaluating 9 lb ., 2 oz . The parias was intact upon delivery. The labor and delivery nurse reviews that Jessica was catheterized for six-hundred ml of yellow urine just before delivery. Her record indicates that she a new repair of the 4th degree laceration. A postpartum examination reveals that her vital signs are stable: stress 120/80, heartbeat 84, respirations 20, temperatures 98. 9В° F. Further assessment indicates that her fundus can be firm and located 1 cm over a umbilicus, as well as the perineal assemblee are unchanged with sides well-approximated. The consumer describes their self as tired and without discomfort, since this lady has had zero sensation beneath her waist since receiving epidural inconsiderateness. A 1, 1000 ml carrier of Lactated RingerвЂ™s answer containing 10 units of Pitocin (oxytocin) is presenting via a great 18 g peripheral 4 in the left forearm at 125 ml per hour, with 300 milliliters remaining inside the bag. The IV is usually patent, without redness or perhaps swelling, and is discontinued when ever this bagвЂ™s infusion can be complete. 1 . Prior to discontinuing the 4 Pitocin (oxytocin), which examination is most necessary for the doctor to obtain? 2 . What is the priority nursing diagnosis for Marie, who may be experiencing residual effects of epidural anesthesia? Accurate answer(s): A 3. What is the priority nursing action to address MarieвЂ™s needs related to the fix of her 4th degree perineal laceration? A) Present prescribed dental pain medicine and stool softener. B) Encourage nice sitz bathrooms 2 to 3 instances daily. C) Apply perineal ice bags consistently intended for the initial 24 to 48 hours. D) Teach appropriate and frequent use of the peri-bottle. Accurate answer(s): C
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