Question

A nurse is collecting data on a client during the first prenatal visit. What three (3) manifestations would indicate that the client may have gonorrhea?  

A nurse is performing Leopold maneuvers on a pregnant client presenting to the labor and delivery unit in active labor. The nurse notes the following findings: PMI right upper quadrant above maternal umbilicus. The nurse suspects the infant is in what presenting position

A nurse is collecting data on a pregnant client who is 12-weeks of gestation. What three (3) findings should be reported to the provider

A nurse is checking in the client at 36-weeks for her prenatal visit. What four (4) findings would indicate the client is developing a complication during the pregnancy

Answer 1

Ans1=gonorrhea manifestation

1. Burning
2. Frequent, and/or painful urination
3. Yellowish vaginal discharge
4. Redness and swelling of the genitals
5. Burning or itching of the vaginal area
6. Sore throat

Ans2 In vertex presentation, PMI is either in the right- or left-lower quadrant or below the maternal umbilicus. ... In breech presentation, PMI is either in the right- or left-upper quadrant above the maternal umbilicus.

So in this case pmi in right upper quadrant above maternal umbilical so pt is in breech presentation.

Ans3=12 week of gestation

• weight gain.
• increased skin pigmentation, also known as melasma.
• darker areolas around the nipple.
• tender or sore breasts.

• Bleeding and sensitive gums. As your blood volume increases and hormone levels change, you may find that your gums start to swell and are more sensitive; they may even bleed when you brush or floss. Although this can be disconcerting, it can be completely normal. Continue to brush and floss regularly, and speak to your dentist, if needed, to check that everything is OK. Using a softer toothbrush and rinsing with salt water (a teaspoon of salt dissolved into a cup of warm water) can be helpful.

• Feeling lightheaded. During pregnancy, your body produces more blood vessels, and your hormone levels change. This can leave you feeling dizzy or lightheaded from time to time. Wearing loose clothing, keeping hydrated, avoiding long periods of standing, and remembering to eat regularly can help you feel better. Also, try to stand up slowly after sitting and avoid changing positions abruptly. Be sure to call your healthcare provider if you also have abdominal pain or vaginal bleeding, or if your feelings of lightheadedness persist.

• Sensitivity to smells. Your sense of smell can be particularly sensitive during this phase of pregnancy. If certain odors bother you, try eating cold or room-temperature food to avoid strong odors, using a fan when cooking, and having someone else in your household take out the trash.

• Bloating. Hormonal changes and your growing uterus might leave you feeling bloated. Eating slowly helps prevent you from swallowing air, and this may help relieve some of the bloating.

• Spotting or bleeding. At 12 weeks pregnant, or anytime during pregnancy, if you notice bleeding other than light spot

Ans4=Cephalo‐pelvic disproportion (CPD) is one of the leading indications for an emergency caesarean section. CPD occurs when there is a mismatch between the fetal head and the maternal pelvis (when the fetal head is too big for the pelvis), resulting in obstructed labour.

Placenta praevia is graded into 4 categories from minor to major. If you have grade 1 or 2 it may still be possible to have a vaginal birth, but grade 3 or 4 will require a caesarean section. Any grade of placenta praevia will require you to live near or have easy access to the hospital in case you start bleeding.

The first twin in a nonvertex presentation is an indication for a cesarean delivery, as are higher order multiples (triplets or greater). A large body of literature supports both outright cesarean delivery as well as spontaneous breech delivery or extraction of the second twin

DANGER SIGNS DURING PREGNANCY

If any of the following signs occur, the woman should be taken immediately to the hospital or health centre.

• vaginal bleeding
• convulsions/fits
• severe headaches with blurred vision
• fever and too weak to get out of bed
• severe abdominal pain
• fast or difficult breathing.

If she has any of these signs she should go to the health centre as soon as possible:

• Fever
• Abdominal pain
• Feels ill
• Swelling of fingers, face and legs

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