The umbilical cord is clamped and cut

Reference no: EM133713396

Question

At 5 minutes, the APGAR score is 9 with acrocyanosis still present. The umbilical cord is clamped and cut. You placed the baby on Mom's chest and both mother and baby are bonding. You notice that a small bright red gush of blood from the birth canal occurs and it appears the umbilical cord is lengthening. The placenta is delivered and no placental fragments are noted. Within 10 minutes, you are preparing to assess Mom's vital signs and complete a fundal assessment. Vital signs are currently: BP 135/74 mmHg, HR 85 bpm, RR 16/min, Temperature 99F, O2 saturation 98% on room air. A lactation specialist is assisting Mom with her first breast feeding and you begin to assess the fundus. It is noted that the fundus is currently boggy and displaced to the right. What does this indicate and what would the nurse's next action be?

Reference no: EM133713396

Questions Cloud

Discuss medical directors order for labs : Sw has attempted to reach pcg to discuss medical directors order for labs. PCG Has not return phone call or messages.

The nurse needs to assess the visual-perceptual : The nurse needs to assess the visual, perceptual, and constructional ability of a client. Which of the following assessments should the nurse use?

Hepatic encephalopathy secondary to chronic alcohol abuse : A nurse is providing care for a client who has hepatic encephalopathy secondary to chronic alcohol abuse.

Describes potential differential diagnosis : Describes potential differential diagnosis and provide a rationale for inclusion/exclusion of diagnostic factors for a 12 year old male with a cough.

The umbilical cord is clamped and cut : 4. At 5 minutes, the APGAR score is 9 with acrocyanosis still present. The umbilical cord is clamped and cut.

Observing older adult client dress and groom : The nurse is observing an older adult client dress and groom as part of a mental health assessment.

Woman presents with expansive mood : A 54-year-old woman presents with an expansive mood. She exhibits increased energy and talkativeness and is increasingly distractible.

Cerebral vascular accident : Which finding indicates that the client may need further follow-up related to a cerebral vascular accident (CVA)?

Referred for evaluation of cyclothymic disorder : A patient presents to the outpatient psychiatric clinic after being referred for evaluation of cyclothymic disorder.

User Account

All Pages