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Fetal heart rate changes in labor
Renee is a 22 year old G2 P0 at 42 weeks of gestation in active spontaneous labor. Her pregnancy has been complicated by mild hypertension, but no medications were needed. She is 4 cm/100/0 station, vertez
position. Her membranes have just ruptured, and there is thick meconium staining. She is comfortable and using epidural anesthesia.
1. What risk factors are present that may impact the way this fetus tolerates labor?
2. The fetal heart rate shows a rate of 140, moderate variability, no accelererations, and decelerations to 120 beginning after the peak of most contractions and recovering to baseline 30 seconds after the contraction ends. Contractions are every 4 minutes. How should the nurse describe this pattern?
3. What should the nurse do at this point?
4. Renee is now 8/100/0. She has the above actions that you put in place. The fetal heart rate is 145. There is moderate variability. Accelerations are not present. There are decelerations in the fetal heart rate beginning at the onset of a contraction, descending to 120 with recovery by the end of a contraction. The contractions are every 3 minutes now. How would the nurse describe the fetal heart reate pattern now?
5. Renee is now completely dilated and +1 station. She has been instructed to push with every contraction. The fetal heart rate is now 164. There is absen variability and decelerations to 120 are occurring with maternal pushing, which do not resolve until 30 seconds after the contraction. The contractions are every 1 1/2 minute. How should the nurse describe this pattern?
6. What should the nurse do in this situation?

Write a 2 page paper about the changes in we have had to make due to the changes from COVID 19

List 5 interventions and rationales for communicating with a person who has dementia.

nurse providing education about ART therapy discuss the emotional, financial and religious factors that may affect this technology. Develop an educational plan to assist these families.

Discuss the systemic changes, manifestation and client teaching for the following Geriatric patient areas:

• Integumentary.
• Gastro- Intestinal.
• Musculoskeletal.
• Urinary.
• Endocrine.

How can diet effect the formation of plaques in atherosclerosis? doc.

1. What are the characteristics of an effective leader? Give an example of an effective leader you know, and explain why and how s(he) is effective.

Discussion Topic: Minimum 250 words, Questions are on the bottom and are in bold letters.

Mr. Antieau, 47 years of age, was playing basketball in a driveway with friends one summer evening when he suddenly felt nauseated and light-headed.

“I sat out a few on the porch, thinking things would get better,” he says, “but then I got a sharp pain in my chest and shoulder.” This pain, predictably, became severe enough that his friends rushed Mr. Antieau to the emergency department. Mr. Antieau was subsequently diagnosed with, and treated for, myocardial infarction (heart attack).

“It has been a slow and difficult recovery,” Mr. Antieau says, “but I’m determined to make big changes.” Today, as part of his recovery plan, he is meeting with Doug, a dietitian’s nurse, who will help him establish healthy eating patterns in compliance with the lifestyle changes outlined for him by his cardiologist and the dietitian Doug works for.

Doug begins with an intake interview to find out not only Mr. Antieau’s physical needs, but also his attitudes toward food in general.

“I’ve always told my friends that if I have to die young, let me do it with a bucket of spicy fried chicken wings and a chocolate shake,” he says now, “but the day I had my first heart attack, it scared that attitude right out of me. I had my first heart attack at 47 years, and I don’t want another.”

Mr. Antieau’s recovery plan focuses on a graduated exercise program and a healthy eating plan to lower his triglyceride level, his sodium intake, and his blood cholesterol level and keep them low.

“I’m nervous,” he smiles, “especially because the guys at work, we all go to our favorite Chicago pizza place for lunch maybe three times a week, and eat those famous Chicago red hots at least once a week. And since my wife and I both work, we always joke that we know dinner is almost ready if we see that the first one home has already opened the telephone book to our favorite Chinese delivery joints, and know that the crab Rangoon with sweet-and-sour pork is on its way!”

He laughs, then shakes his head. “But yeah. I’m ready. Really.”

1. “My wife’s sister is skinny as a rail,” Mr. Antieau says, “and she says she always has great low blood cholesterol. She says it’s from eating salmon twice a week, plus spinach and walnuts every day. Will this work for me? I mean, will it prevent another heart attack?” How should Doug answer?
2. Mr. Antieau arrives at his next visit with a big smile on his face. “I finally figured it out, Doug!” he says. “All I have to do is eat just the unsaturated and monounsaturated fats, right?” What does Doug need to explain?
3. Mr. Antieau says, “I can give up the pizza—sort of—and the hot dogs, but my wife and I really enjoy our ‘Chinese food nights.’ For us, it’s more than just stuffing our faces. Rather, we always make a whole event of it. We rent a movie and then curl up together eating right out of the cartons with chopsticks. It’s sort of the romantic appeal of the whole event that I’m really going to miss.” How might Doug help Mr. Antieau and his wife keep their “Chinese food nights.”

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A review of the scholarly literature will uncover a prevalence of risky sexual behaviors and a high rate of sexually transmitted infections in individuals over 60 years of age.

For this assignment, it is your responsibility to investigate the phenomenon of increased sexually transmitted infections, and you must provide at least 3 well-researched reasons why the elderly are at an increased risk of contracting an STI than their younger counterparts. And finally, provide at least 2 possible solutions to quell this problem.

Case Study A 43 year old Male patient is brought to the OR for a total hip arthroplasty. His chart shows that he HIV+; he is in the early stages of Aids. He has kaposi's sarcoma skin lesions, painfully swollen lymph nodes in the groin and axilla, and is underweight.

                           Question
1. what important principles should you consider while positioning the patient to protect him from pain and injury?

2. what are some special considerations concerning an AIDS patient when placing the ESU grounding pad?

3. what complications could be encountered during the case that the CST should be prepared to assist the OR team in resolving?

4. Discuss the concept of standard precautions. Do you treat this patient any differently because he is HIV+?