Question
nookl.cold multi-gravido evaluation, she had pelvis with vertex presentation. a) 14-year for eight dilated with 3 mild uterine contractions After four hours she has thehanged cervical dilation with two mild uterine contractions. a complaint of What is the most likely management for this mother? (C) Prepare the mother for CS A) Induction of labor (B) Start using partograph (D) Start augmentation protocol CODE: 011 95. A 19-year-old woman came to a hospital with vaginal bleeding and lower abdominal pain for has history of fall before 12 hours and she was amenorrhic for the past two month. Her blood pressure is 70/40mmHg and pulse rate 100/min She is in emergency unit priority nursing diagnosis is fluid volume deficit. What is the most appropriate outcome criterion for the identified nursing diagnosis? (A) Blood loss will by 500ml/day B) urine output will increase by 30ml/day C) Patient will walk safely for short distance D) Fluid volume will be maintainec at factional level mother visited a postnatal clinic on the fifth day of postpartum with a complaint of breast in for one day On evaluation, the left breast is tender, dry , swollen and red with wedge ped area. Her pulse rate is 88/min respiratory rate is 22/min and temperature is 38^circ C at is the most likely diagnosis of this mother? Superficial cellulites (C) Acute mastitis Breast engorgement (D) Breast abscess
Solution
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Resposta
1. The most likely management for this mother is (D) Start augmentation protocol. The patient is already in labor with cervical dilation of 6 cm and experiencing mild contractions. Augmentation protocol can be started to help progress labor.2. The most appropriate outcome criterion for the identified nursing diagnosis of fluid volume deficit is (D) Fluid volume will be maintained at fractional level. This criterion directly addresses the issue of fluid volume deficit and indicates that the patient's fluid balance is being maintained.3. The most likely diagnosis for this mother is (C) Acute mastitis. The symptoms of tenderness, swelling, redness, and wedge-shaped area in the breast, along with a mild fever, are indicative of acute mastitis.