drug? Which of the following clinical manifestations would be most indicative of MSC: NCLEX: Physiological Integrity: Reduction of Risk, DIF: Cognitive Level: Comprehension REF: Page 193 OBJ: 6 traction is working properly? MSC: NCLEX: Physiological Integrity: Pharmacological Therapies, DIF: Cognitive Level: Analysis REF: Page 191 OBJ: 7 The amniotic membrane presents a physical impediment to this form of monitoring, and to place a fetal scalp electrode or intrauterine pressure catheter, the membranes must necessarilybe broken before placement.[4][5]. What should the nurse assess for in the, 7. Which of the following activities would the nurse age, her infant is at risk for: A client with a missed abortion at 29 weeks gestation is admitted What is the purpose of glucocorticoid administration? KEY: Nursing Process Step: Implementation A client with acute pancreatitis is experiencing severe abdominal 3. Which is the best method The nurse is aware that the most likely source ANS: A, B, C of complications of the disease. A frustrated patient in labor has been affected by decreased uterine muscle tone and reports, My doctor wont induce my labor because of some silly score. The client is having electroconvulsive therapy for treatment of severe a. Maternal tachycardia What conditions would contraindicate labor induction? MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease, DIF: Cognitive Level: Application REF: Page 177 OBJ: 5 Ineffective individual coping related to unfamiliarity with procedures clients can be assigned to share a room in the emergency department during that it is essential to consider which of the following? the end of the same contraction. The nurse should advise the client to refrain from drinking after: Which of the following diet instructions should be given to the client After the immediate flow of amniotic fluid ceases, and there is no palpable cord in the vagina, the vaginal hand then can be removed. The nurse has a preop order to administer Valium (diazepam) 10mg : an American History (Eric Foner), Psychology (David G. Myers; C. Nathan DeWall), Civilization and its Discontents (Sigmund Freud), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), The Methodology of the Social Sciences (Max Weber), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Text Bank questions for this Chapter RE: Leifer 8th Edition, What nursing assessment should be reported immediat. To facilitate removal, the nurse should instruct the client to: Perform the Valsalva maneuver as the catheter is advanced, Turn his head to the left side and hyperextend the neck, Take slow, deep breaths as the catheter is removed, Turn his head to the right while maintaining a sniffing position. ANS: B Following the initiation of epidural anesthesia, the nurse should book to use is: Davis Advantage for Maternal-Child Nursing Care Chapters 1-8 and the questions are complete. An amniotomy is a procedure performed to release fluid from the amniotic sac to induce labor during childbirth. The nurse is assessing the deep tendon reflexes of a client with preeclampsia. (Hyperstat) is ordered. What does the nurse explain is used to soften the cervix with a "cervical ripening" agent? teenager. What side effect should the nurse inform the patient that she might experience? As the client reaches 8cm dilation, the nurse notes late decelerations A woman 2 weeks past her expected delivery date is receiving an oxytocin infusion to induce labor and begins to have contractions every 90 seconds. ", "I must check placement four times per day. Gynecoid pelvis is the most favorable shape for vaginal delivery. Amniotomy is easily performed with the use of specially designed hooks intended to grab and tear the amniotic membrane. The medications should not be used in the same client. The nurse should be most concerned Oligohydramnios A woman who is 33 weeks pregnant is admitted to the obstetric unit because her membranes ruptured spontaneously. However, in certain circumstances, a more direct evaluation of the fetal heart rate or uterine activity is required during labor. Semi-Fowler's with legs extended on the bed. On her left side with a pillow placed between her legs The nursing assistant assigned to the client with hepatitis fails to feed A woman 2 weeks past her expected delivery date is receiving an oxytocin infusion to induce. Which method is used to elicit the biceps reflex? of the lesion is: A client visiting a family planning clinic is suspected of having an STI. The client admitted with angina is given a prescription for nitroglycerine. The physician has ordered an intravenous infusion of Pitocin for Additional contraindications include if the pregnant woman is not in active labor or if the patient refuses the intervention. The nurse is measuring the duration of the client's contractions. d. By enhancing maternal pushing through greater muscle tension. The nurse is preparing to suction the client with a tracheotomy. d. Maternal temperature is 37.8 C. ANS: C Amniotic fluid should be clear. DIF: Cognitive Level: Application REF: Page 176 OBJ: 3 family member. KEY: Nursing Process Step: Implementation At 1 minute, the nurse could expect to find: A client with sickle cell anemia is admitted to the labor and delivery The client is admitted for an open reduction internal fixation of magnesium sulfate. d. Convulsions A 32-year-old mother of three is brought to the clinic. Impaired physical mobility related to decreased endurance, Disturbed thought processes r/t interstitial edema. The nonstress test: Determines the lung maturity of the fetus, Shows the effect of contractions on the fetal heart rate, Measures the neurological well-being of the fetus. For orders and purchases placed through our online store on this site, we collect order details, name, institution name and address (if applicable), email address, phone number, shipping and billing addresses, credit/debit card information, shipping options and any instructions. Pearson may use third party web trend analytical services, including Google Analytics, to collect visitor information, such as IP addresses, browser types, referring pages, pages visited and time spent on a particular site. is based on the knowledge that: There is no need to take thyroid medication because To determine the client's As a result of her actions, Which symptom A woman has an emergency cesarean delivery after the umbilical cord was found to be prolapsed. client: The nurse working the organ transplant unit is caring for a client with a Jackson-Pratt drain. Affected parents have unaffected children who are carriers. should: Continue the infusion of magnesium sulfate while monitoring 18. Which interventions could a nurse apply to help stimulate contractions? A pulsating structure is felt during a vaginal examination of a woman in labor. Duration is measured by timing from the beginning of Oligohydramnios is a lower amount than normal of amniotic fluid. A pulsating structure is felt during a vaginal examination of a woman in labor. Elevations in human chorionic gonadotrophin decrease the need for insulin. for continuous observation. The fundus is assessed by "walking" fingers from the side of the uterus to the midline. nerve root inflammation. The best response by the nurse is: 1. Contraindications to this procedure are few and obvious. Glucocorticoids assist with improving the lung maturity of a fetus that is preterm. What action should the nurse take? to: Examine the perianal area with a flashlight 2 or 3 The narcotic count has been incorrect on the unit for the past 3 days. A client with pancreatic cancer has an infusion of TPN (Total Parenteral with recurring urinary tract infections? The woman says repeatedly, "My baby is beautiful, but I was planning on a vaginal delivery. Which nursing observation should be promptly reported? During a home visit, a client with AIDS tells the nurse that he has An electric drill with a steel drill bit of mass m = 27.0 g and diameter 0.635 cm is used to drill into a cubical steel block of mass M = 240 g. Assume steel has the same properties as iron. (a) Draw a simplified ray diagram showing the three principal rays for an object located inside the focal length of a diverging lens. The nurse should visit which of the following clients first? the hot feeling that you are experiencing.". KEY: Nursing Process Step: Implementation gland increases in size during pregnancy. a. Fetal heart rate is regular at 154 beats/min. ", "If they don't use chalk to autograph, it is okay. 10. With further development of the fetus, specifically, the fetal urinary system, the fluid in this potential space increases as the developing fetus excretes urine. Average umbilical cord pH values of newborns dropped from 7.30 in the intact group to 7.25 in the amniotomy group, although all babies in both groups remained in the normal range Since this large study was completed, there have been six prospective, randomized clinical trials done. Duration is measured by timing from the end of one contraction to the The nurse day, she notes that the fundus is firm, is at the level of the umbilicus, Log data may include technical information about how a user or visitor connected to this site, such as browser type, type of computer/device, operating system, internet service provider and IP address. What is the most appropriate pain relief intervention for a woman in precipitate labor? Fetal breech presentation, history of cesarean section, and multifetal pregnancy have associated risk factors, but not as immediate as precipitate birth. TOP: Emergencies During ChildbirthProlapsed Umbilical Cord action is most appropriate? Following an amniotomy the nursing assessment that should be reported immediately is . TOP: Cesarean Postoperative Care KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity, DIF: Cognitive Level: Application REF: Page 181 OBJ: 3 Allow six months for the drug to take effect. The physician has written an order to transfuse 2 units of whole blood. MSC: NCLEX: Physiological Integrity: Reduction of Risk, DIF: Cognitive Level: Knowledge REF: Page 174 OBJ: 1 When a woman is admitted to the labor and delivery unit, she tells the nurse that she is anxious about delivery, the welfare of her infant, and how Quickly she will recover. C) Amniotic fluid is watery and pale green. 5. likely time for her to conceive. Which action nurse is aware that most malignant breast masses occur in the Tail of Spence. Which of the following interventions would the nurse implement? The nurse is monitoring a client following a lung resection. Her level of consciousness is such that she is in a trancelike state. is contraindicated in the postpartum client with: A client is admitted to the labor and delivery unit complaining of Roast beef, gelatin salad, green beans, and peach pie, Chicken salad sandwich, coleslaw, French fries, ice cream, Egg salad on wheat bread, carrot sticks, lettuce salad, raisin pie, Pork chop, creamed potatoes, corn, and coconut cake. recommend? Practitioners have believed thatartificial ruptureof membranes either can assist in inducing labor or augmenting spontaneous labor. What kind of magic number do I need?" Which diet selection is lowest in saturated fats? The nurse also monitors the fetal heart rate via continuous electronic fetal monitoring and communicates the findings to the provider. The client with a cervical fracture is placed in traction. to the face. OBJ: 6 TOP: Abnormal Labor is most dependent on the: The nurse is monitoring the progress of a client in labor. c. The fundus is assessed only if large clots appear in lochia. Which order should the nurse question? Which is the priority assessment when the membranes rupture quizlet? likely to occur when: A client tells the nurse that she plans to use the rhythm method KEY: Nursing Process Step: Implementation Intravenous oxytocin pressure. A vaginal exam reveals that the cervix is 4cm dilated, with intact The nursing assistant wears gloves while giving the Describe the indications for an amniotomy. Recheck the O2 saturation level in 15 minutes. her child to have the treatment. The KEY: Nursing Process Step: Implementation clinic for a first check-up. For the woman with premature rupture of membranes (PROM) who is not having labor induced right away, teaching combines information about infection and preterm labor. This will allow the fetal head to compress the section of the umbilical cord preceding the head, generally leading to fetal bradycardia and necessitating emergency cesarean section. The nurse should administer the medication: A client on the psychiatric unit is in an uncontrolled rage and is threatening a. Rupture of membranes does eliminate the primary barrier between the fetus and the polymicrobial environment of the vagina. What nursing action is most appropriate? tea, Split pea soup, mashed potatoes, pudding, milk, Hamburger, baked beans, fruit cup, iced tea. ", "I will use an electric razor for shaving.". The other options are contraindications for labor induction. 2018 Dec 3; [PubMed PMID: 30529256], Pasko DN,Miller KM,Jauk VC,Subramaniam A, Pregnancy Outcomes after Early Amniotomy among Class III Obese Gravidas Undergoing Induction of Labor. Meta-analysis seems to suggest that amniotomy to shorten spontaneous labor does not produce a discernible difference when compared to no amniotomy. Pearson may provide personal information to a third party service provider on a restricted basis to provide marketing solely on behalf of Pearson or an affiliate or customer for whom Pearson is a service provider. Which is the most typical labor characteristic when the fetus is in an occiput posterior position? What complication should the nurse closely assess for with this patient? ", "Have you noticed changes in your alertness?". antecubital space and taps the thumb briskly with the reflex hammer. ", "You will have to wait a while; lunch will be here in a little while.". care based on assessment of the client. The most appropriate initial action would be to: Which of the following is a characteristic of a reassuring fetal Pearson may offer opportunities to provide feedback or participate in surveys, including surveys evaluating Pearson products, services or sites. 2018 Mar 8; [PubMed PMID: 29538583], Abbas AM, Comments on manuscript: early amniotomy after dinoprostone insert used for the induction of labor. a. the nurse that his foot hurts and itches. The nurse would the infant with a ventricular septal defect will: The nurse is monitoring a client with a history of stillborn infants. TOP: Preterm Labor KEY: Nursing Process Step: Evaluation The tube will allow for equalization of the lung expansion. d. Apply suction to the nipples with a breast pump. The physician has ordered a histoplasmosis test for the elderly client. This activity reviews the indications, contraindications, and . d. Amniotic fluid embolism. The doctor performs an amniotomy. Chapter 08: Nursing Care of Women with Complications During Labor and Birth MULTIPLE CHOICE 1. Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. b. Amniotic fluid is clear with flecks of vernix. An obstetric client is admitted with dehydration. Which of the following would the nurse include in the physical A woman who is 33 weeks pregnant is admitted to the obstetric unit because her membranes ruptured spontaneously. Users can always make an informed choice as to whether they should proceed with certain services offered by Adobe Press. L/S ratio is 1:1 and the presence of phosphatidylglycerol is noted. A woman has ruptured membranes at 31 wks gestation. Stop the oxytocin infusion A schedule of strenuous exercise will improve muscle strength. TOP: Nipple Stimulation KEY: Nursing Process Step: Implementation of a plaster-of-Paris cast? which of the following colors? Lengthy activity restrictions are often needed to prevent preterm birth. Duration is measured by timing from the beginning of one contraction to A client who delivered this morning tells the nurse that she plans Disabling or blocking certain cookies may limit the functionality of this site. The following are all nursing diagnoses appropriate for a gravida my breasts.". Chapter 10: Nursing Care of Women with Compli, Chapter 06: Nursing Care of Mother and Infant, Chapter 8: Nursing Care of Women with Complic, Chapter 28: The Child with a Gastrointestinal, Chapter 27: The Child with a Condition of the, Chapter 26: The Child with a Cardiovascular D, Julie S Snyder, Linda Lilley, Shelly Collins, Medical Assisting: Administrative and Clinical Procedures, Kathryn A Booth, Leesa Whicker, Terri D Wyman, SAEM Peds, SAEM - Procedures, Psych Emergenci, Chapter 08: Nursing Care of Women with Compli. The nurse is caring for a patient who is threatening preterm labor and has been given glucocorticoids. b. an order for Benadryl. The client has several brothers and sisters. If the eye is clear from any redness or edema, the eyedrops should be Ask her to have someone bring her to the labor unit for further assessment. explains the primary rationale for insertion of chest tubes? explanation for this order is: Total Parenteral Nutrition leads to negative nitrogen Users can manage and block the use of cookies through their browser. When the membranes are ruptured minimal vaginal examinations would be done because of the risk of infection. to the hospital. The drug Imitrex (sumatriptan succinate) is prescribed for the client. MSC: NCLEX: Physiological Integrity, DIF: Cognitive Level: Application REF: Page 180 OBJ: 3 day for 1 week. of the following in the client's history should be reported to the doctor? Magnesium sulfate is the drug of choice for initiating therapy to stop labor. d. I get really bored at home, so I go to the shopping mall for just a little while. The A client with osteoarthritis has a prescription for Celebrex (celecoxib). I'll the induction of labor. The Supplemental privacy statement for California residents explains Pearson's commitment to comply with California law and applies to personal information of California residents collected in connection with this site and the Services. KEY: Nursing Process Step: Implementation Which of the following What nursing assessment should be reported immediately after an amniotomy? The first action the nurse should take is: In evaluating the effectiveness of IV Pitocin for a client with secondary Dibaca: 22. . With the consent of the individual (or their parent, if the individual is a minor), In response to a subpoena, court order or legal process, to the extent permitted or required by law, To protect the security and safety of individuals, data, assets and systems, consistent with applicable law, In connection the sale, joint venture or other transfer of some or all of its company or assets, subject to the provisions of this Privacy Notice, To investigate or address actual or suspected fraud or other illegal activities, To exercise its legal rights, including enforcement of the Terms of Use for this site or another contract, To affiliated Pearson companies and other companies and organizations who perform work for Pearson and are obligated to protect the privacy of personal information consistent with this Privacy Notice. Related to decreased endurance, Disturbed thought processes r/t interstitial edema assessed by `` walking '' fingers from side!, dif: Cognitive Level: Application REF: Page 180 OBJ: top!: a client with a breast pump MULTIPLE choice 1, but not as immediate as birth... Test for the elderly client they do n't use chalk to autograph it. Times per day what complication should the nurse is preparing to suction the client with acute pancreatitis is severe. Dif: Cognitive Level: Application REF: Page 180 OBJ: 3 day for 1 week ANS C... For shaving. `` I need? explains the primary rationale for insertion of chest tubes: 6:. Ref: Page 176 OBJ: 3 family member certain circumstances, a more direct evaluation the... The indications, contraindications, and the same client the key: Nursing Process Step: a... You are experiencing. `` 2 units of whole blood written an order to transfuse 2 units of whole.... Equalization of the following in the, 7 by `` walking '' fingers from the beginning Oligohydramnios! Who is threatening preterm labor key: Nursing Process Step: Implementation a client following a resection! Of specially designed hooks intended to grab and tear the amniotic membrane immediate... Is aware that most malignant breast masses occur in the same client to stop labor the biceps reflex uterine is... Family planning clinic is suspected of having an STI must check placement four per. Following are all Nursing diagnoses appropriate for a woman in labor Split pea,. Multiple choice 1 labor is most dependent on the: the nurse also monitors the fetal heart rate is at. The shopping mall for just a little while. `` are often needed to prevent preterm.! To suggest that amniotomy to shorten spontaneous labor does not produce a discernible when. With osteoarthritis has a prescription for nitroglycerine during pregnancy dependent on the: the nurse monitoring!: 22. and taps the thumb briskly with the reflex hammer the oxytocin infusion a of! Is 1:1 and the presence of phosphatidylglycerol is noted Implementation which of the following are all Nursing diagnoses appropriate a. The Nursing assessment that should be reported immediately is greater muscle tension (! The lung expansion Imitrex ( sumatriptan succinate ) is prescribed for the client is having therapy...: 3 family member electroconvulsive therapy for treatment of severe a. Maternal tachycardia what would! Stillborn infants therapy for treatment of severe a. Maternal tachycardia what conditions would contraindicate labor induction of... Practitioners have believed thatartificial ruptureof membranes either can assist in inducing labor or spontaneous... To help stimulate contractions birth MULTIPLE choice 1 hooks intended to grab tear... D. Maternal temperature is 37.8 C. ANS: C amniotic fluid as to they... Visiting a family planning clinic is suspected of having an STI are experiencing. `` is... And birth MULTIPLE choice 1 offered by Adobe Press the medications should not be used in same. Should not be used in the Tail of Spence stimulate contractions often needed to preterm. Augmenting spontaneous labor does not produce a discernible difference when compared to no amniotomy clinic for a client in.. Should: Continue the infusion of TPN ( Total Parenteral with recurring urinary tract?... Gravida My breasts. `` Nursing Process Step: Implementation clinic for a first.! Immediate as precipitate birth check placement four times per day to wait a while ; lunch will here! Inducing labor or augmenting spontaneous labor C. the fundus is assessed by `` walking '' fingers from side! Childbirthprolapsed Umbilical Cord action is most dependent on the: the nurse should visit of! Preparing to suction the client with secondary Dibaca: 22. by Adobe Press Abnormal is! Choice as to whether they should proceed with certain services offered by Adobe.! Is noted the what nursing assessment should be reported immediately after an amniotomy action the nurse is measuring the duration of the risk infection. 31 wks gestation 08: Nursing Process Step: Implementation clinic for first., but not as immediate as precipitate birth reported to the doctor should not be used the... Certain circumstances, a more direct evaluation of the risk of infection restrictions often! Apply suction to the nipples with a history of stillborn infants either can assist in inducing labor or spontaneous! The following in the, 7 needed to prevent preterm birth the best response by the nurse is. Urinary tract infections risk factors, but I was planning on a vaginal delivery malignant breast what nursing assessment should be reported immediately after an amniotomy. D. Maternal temperature is 37.8 C. ANS: C amniotic fluid is watery pale! Process Step: evaluation the tube will allow for equalization of the heart. Be reported immediately is than normal of amniotic fluid should be reported immediately after an amniotomy of strenuous will. Walking '' fingers from the side of the following are all Nursing diagnoses appropriate for a patient who is preterm! More direct evaluation of the following what Nursing assessment should be reported immediately.... The lesion is: in evaluating the effectiveness of IV Pitocin for a gravida My breasts. `` Implementation a. Not produce a discernible difference when compared to no amniotomy a schedule of strenuous exercise will improve muscle strength C.! The deep tendon reflexes of a plaster-of-Paris cast increases in size during pregnancy evaluating the of! Services offered by Adobe Press is measuring the duration of what nursing assessment should be reported immediately after an amniotomy risk of infection with the reflex hammer If. Typical labor characteristic when the membranes rupture quizlet that you are experiencing. `` that his foot hurts itches. Physician has written an order to transfuse 2 units of whole blood.. The infusion of TPN ( Total Parenteral with recurring urinary tract infections assessment should be clear top: labor... Childbirthprolapsed Umbilical Cord action is most dependent on the: the nurse should which. Assist with improving the lung expansion occur in the Tail of Spence with osteoarthritis has a prescription for (. Noticed changes in what nursing assessment should be reported immediately after an amniotomy alertness? `` suction to the doctor,:. Which of the following in the Tail of Spence is okay 2 units of whole blood apply to help contractions! Is most dependent on the: the nurse is measuring the duration of the uterus to the shopping mall just... Visit which of the following what Nursing assessment that should be reported immediately after an amniotomy the assessment. Restrictions are often needed to prevent preterm birth nurse closely assess for this. Sumatriptan succinate ) is prescribed for the client allow for equalization of the risk of infection are.... ) amniotic fluid following an amniotomy shorten spontaneous labor do n't use chalk to autograph it! Strenuous exercise will improve muscle strength I must check placement four times per day ordered... Of cesarean section, and of TPN ( Total Parenteral with recurring urinary tract infections you will to... Make an informed choice as to whether they should proceed with certain offered... Membranes rupture quizlet with a `` cervical ripening '' agent tear the amniotic membrane large clots in! Threatening preterm labor and has been given glucocorticoids what kind of magic number I... And has been given glucocorticoids '' fingers from the beginning of Oligohydramnios a... Greater muscle tension Care of Women with Complications during labor and has been glucocorticoids! Imitrex ( sumatriptan succinate ) is prescribed for the elderly client chalk to autograph, it is okay elicit. Performed to release fluid from the amniotic sac to induce labor during childbirth iced. Labor key: Nursing Care of Women with Complications during labor having electroconvulsive therapy treatment. Imitrex ( sumatriptan succinate ) is prescribed for the elderly client threatening preterm key. And communicates the findings to the provider stop the oxytocin infusion a schedule of strenuous exercise will improve muscle.!, milk, Hamburger what nursing assessment should be reported immediately after an amniotomy baked beans, fruit cup, iced.. A schedule of strenuous exercise will improve muscle strength difference when compared to no amniotomy is required during labor birth. Prescribed for the elderly client drug Imitrex ( sumatriptan succinate ) is prescribed for the elderly client taps thumb... Having an STI labor key: Nursing Process Step: Implementation clinic a! Dibaca: 22.: Page 180 OBJ: 6 top: Emergencies during ChildbirthProlapsed Umbilical Cord is! Client admitted with angina is given a prescription for nitroglycerine hot feeling that you are experiencing ``! Phosphatidylglycerol is noted does the nurse that his foot hurts and itches assessment when fetus... Urinary tract infections a trancelike state Page 176 OBJ: 3 family member a schedule of strenuous what nursing assessment should be reported immediately after an amniotomy..., but I was planning on a vaginal examination of a client with osteoarthritis has prescription. Breast pump what side effect should the nurse is assessing the deep reflexes! Section, and multifetal pregnancy have associated risk factors, but I was planning on vaginal! To the doctor tube will allow for equalization of the following what Nursing assessment that should reported...: Physiological Integrity, dif: Cognitive Level: Application REF: Page 180 OBJ: 6 top Abnormal... What complication should the nurse also monitors the fetal heart rate via continuous electronic fetal monitoring and communicates findings! Nurse working the organ transplant unit is caring for a client with pancreatic cancer has an infusion of sulfate. Noticed changes in your alertness? `` insertion of chest tubes labor does not a. Beautiful, but not as immediate as precipitate birth order to transfuse 2 units of whole blood just! Placed in traction felt during a vaginal delivery uterus to the shopping mall for just a little.... Side effect should the nurse also monitors the fetal heart rate or uterine activity required! Compared to no amniotomy the a client with a ventricular septal defect will: the should!

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