Amelia Sung진행과정 + post퀴즈 답순서wash handsidentify patientV/S check100% oxygen _nonbreathing masklung sounddeep tendon reflex checkfetal heart rate checkpatient educationstep stool checkbassinet 준비delivery table 준비charge nurse 부르기NICU 도움 요청하기fetal heart rate check (auscultation)IV site 상태 확인encourage pushinginstruct to start pushingassist McRoberts positionencourage pushingsuprapubic pressure 확인encourage pushing애기 태어나면 chrge nurse한테 애기 넘기기post퀴즈 답1번put a step stool next to~empty the patient's bladdereducate the pt and familyalert key personnel2번when the newborn's head delivered without the delivery of the neck and body3번administer oxygen4번NICU personnelCharge nurse5번6번McRobert's maneuverSuprapubic pressureWood's screw maneuver7번Hyperflex the patient's legs to her abdomen8번Push the fetus's anterior shoulder downward and under the pubic bone9번postpartum hemorrhagevaginal lacerationbladder trauma10번Time the head emerges, time maneuvers are implemented, and the time shoulders/body emerge
Carla Hernandez진행순서 + Post 퀴즈 답순서-자기소개-손위생-환자 확인-산소 nonbreathing mask로 100% (10L)-step stool check-bassinet 준비-트렌델렌버그 자세 취해주기-delivery table 준비-IV site 확인-lactated ringer bolus로 500ml 투여 (오더대로 주심 돼요)-fetal heart rate 청진으로 확인-vaginal exam-relieve pressure from umbilical cord-체온 측정-자동 BP기계 달고 측정(NIBP)-lung sound 확인-provider한테 전화-0.25mg terbutaline SC 투여-surgery unit call-NICU call-anesthesia care team call-palpate uterus for contraction-통증있는지 물어보기-얼마나 아픈지 물어보기-blood, lochia, and fluid on the bed check-환자교육-clam, support-consent에 사인-환자교육-수술하도록 tranferpost 퀴즈1번Amniotomy performed by provider to~2번compression of the umbilical cord3번apply gloved hand in the vagina to alleviate cord compression4번subcutaneous, back of arm5번Auscultate crackles throughout lung fieldsMaternal BP 152/94Marternal HR 154, regular6번Obtain an informed consent7번providersurgeryNICU8번Long term variability was 10 to 15bpmthe umbilical cord had a pulsethe umbilical cord had a pH of 7.3 and maternal oxygen saturation was at 98%9번Delivery is needed because the blood flow through the umbilical cord is not getting enough oxygen to the baby. I understand that you are concerned about the well-being of your wife and baby. What are you feeling?10번Impaired gas exchange on the fetus related to decrease blood perfusion.
Carla Hernandez진행과정 + post 퀴즈 답순서-본인 소개-손 씻기-환자 확인-알러지 체크-통증 유무 확인-얼마나 아픈지 확인-V/S 확인 (BP는 NIBP로 자동측정)-heas/arm/abdomen/leg 확인-edema 확인-lung sound 확인-DTR 확인-청진으로 fetal heart rate 확인-blood, lochia, fluid 확인-vaginal exam-provider한테 전화-charge nurse 부르기-IV site assessment-verify the dose with another nurse-nalbuphine infusion 10mg (오더대로 하세용-palpate the uterus for contraction-lying position-prepare and assist the provider with the artificial ROM-vaginal exam-100% 산소 nonbreathing mask-relieve pressure from the umbilical cordPost 퀴즈 답1번Amniotomy2번0.53번respiratory rate and depth4번risk for injury; fetal distress5번perform a sterile vaginal examination to determine if there was compression on the cord.6번put a sterile gloved hand into the vagina to hold the presenting part off the umbilical cord.7번the baby is showing signs of inadequate oxygenation right now. Do you have questions?8번7.159번fetal heart rate 75bpmrecurrent U- or V-shaped fetal periodic patterns10번
Olivia Jones진행과정 + Post 퀴즈 답순서-본인소개-손위생-환자 확인-V/S (BP는 NIBP로 자동측정)-pulseoximeter 적용-head to legs examination-edema check-lung sound check-통증 유무 확인-머리 아픈지 확인-DTR check-ultrasound examination request-fetal heart rate check (doptone devise로 한 번, 청진으로 한 번)-electronic fetal monitoring 부착-palpate uterus for contraction-provider 전화-visual change 없는지 환자한테 물어보기-blood sample-환자교육-calm, support-minimize outside stimuli-마지막에 끝나면 discharging the patientPost 퀴즈 답1번protein dipstick 2+BP 146/92weight gain of 8lb in 2weeks2번decreased fetal monitoring over the past 24 hours3번accelerations4번clonusreflexes5번with preeclampsia , fluid shifts from within your circulatory system to the cells in your tissue, which results in swelling in places like your hands and face6번decreased blood flow to the placenta may slow the fetus's growth7번reflex is in the normal range8번turn the patient on her left side, turn off the television, and return in 20mins to evaluate her BP9번epigastric paininfrequent urinationvisual changesdecreased fetal movement10번limit physical activityrest in a quiet environmentdrink 8 to 10 glasses of water per daymonitor BP and weight daily
Olivia Jones진행과정 + Post 퀴즈 답순서-본인소개-소위생-환자 확인-seizure pad 침대 위로-자극 최소화-통증유무 확인-얼마나 아픈지 확인-두통 있는지 확인-visual change 확인-V/S (BP는 NIBP로 자동측정)-pulseoximeter 적용-어디 아픈지 물어보기-neurological status assessment-urinary catheter 삽입-100% 산소 nonbreathing mask-head to legs assessment-edema check-lung sound check-heart sound check-ultrasound examination request-urine dipstick and culture-NIBP-electronic fetal monitoring device 부착-blood, lochia, fluid 확인-palpate the uterus-통증 유무 물어보기-얼마나 아픈지 물어보기-provider 전화-verify dose another nurse-처방대로 마그네슘 주기-환자 교육-calm, support-DTR check-V/S check-여기서부턴 환자 상태 나쁘지 않아서 좀 있다가 provider한테 다시 전화도 하고 하면 time out 으로 끝나고 100% 나옵니다!POST 퀴즈 답1번administer oxygen2번pad the side railshave oxygen availablebring suction equipment to the bedside3번HELLP4번monitor DTRs5번birth of the infant is the only cure6번No, you are having epigastric pain, which is caused by decreased blood flow to your liver because of your high BP7번presense of a productive coughrestlessnessneck vein distension8번LDH, ALT, AST9번apply firm pressure to puncture sites for 2mins10번RUQ paincoarse crackles in lungssevere headacheclonus 1+