Obstetrics and Nurse free essay sample

At 0600 Jennie is brought to the Labor and Delivery triage area by her sister. The client complains of a pounding headache for the last 12 hours unrelieved by acetaminophen (Tylenol), swollen hands and face for 2 days, and epigastric pain described as bad heartburn. Her sister tells the nurse, I felt like that when I had toxemia during my pregnancy. Admission assessment by the nurse reveals: todays weight 182 pounds, T 99.1 ° F, P 76, R 22, BP 138/88, 4+ pitting edema, and 3+ protein in the urine. Heart rate is regular, and lung sounds are clear. Deep tendon reflexes (DTRs) are 3+ biceps and triceps and 4+ patellar with 1 beat of ankle clonus. The nurse applies the external fetal monitor, which shows a baseline fetal heart rate of 130, absent variability, positive for accelerations, no decelerations, and no contractions. The nurse also performs a vaginal examination and finds that the cervix is 1 cm dilated and 50% effaced, with the fetal head at a -2 station. We will write a custom essay sample on Obstetrics and Nurse or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page 1. In reviewing Jennies history, the nurse is correct in concluding that Jennie is in jeopardy of developing a hypertensive disorder because of her age (15). Which other factor(s) add to Jennies risk of developing preeclampsia? (Select all that apply.) A) Molar pregnancy and history of preeclampsia in previous pregnancy. B) Familial history. C) History of pounding headache, low socioeconomic status. D) Preexisting medical or genetic condition, like Factor V Leiden. E) Nulliparity 2. To accurately assess this clients condition, what information from the prenatal record is most important for the nurse to obtain? A) Pattern and number of prenatal visits. B) Prenatal blood pressure readings. C) Prepregnancy weight. D) Jennies Rh factor. Pathophysiology of Preeclampsia There is no definitive cause of preeclampsia, but the pathophysiology is  distinct. The main pathogenic factor is poor perfusion as a result of arteriolar vasospasm. Function in organs such as the placenta, liver, brain, and kidneys can be depressed as much as 40 to 60%. As fluid shifts out of the intravascular compartment, a decrease in plasma volume and subsequent increase in hematocrit is seen. The edema of preeclampsia is generalized. Virtually all organ systems are affected by this disease, and the mother and fetus suffer increasing risk as the disease progresses. Preeclampsia develops after 20 weeks gestation in a previously normotensive woman. Elevated blood pressure is frequently the first sign of preeclampsia. The client also develops proteinuria. While no longer considered a diagnostic measurement of preeclampsia, generalized edema of the face, hands, and abdomen that is not responsive to 12 hours of bedrest is often present. Preeclampsia progresses along a continuum from mild to severe preeclampsia, HELLP syndrome, or eclampsia. A client may present to the labor unit anywhere along that continuum. 3. What is the pathophysiology responsible for Jennies complaint of a pounding headache and the elevated DTRs? A) Cerebral edema. B) Increased perfusion to the brain. C) Severe anxiety. D) Retinal arteriolar spasms. Jennies sister is very concerned about the swelling (edema) in her sisters face and hands because it seems to be worsening rapidly. She asks the nurse if the healthcare provider will prescribe some of those water pills (diuretics) to help get rid of the excess fluid. 4. Which response by the nurse is correct? A) That is a very good idea. I will relay it to the healthcare provider when I call. B) Im sorry, but it is not the familys place to make suggestions about medical treatment. C) Let me explain to you about the effect of diuretics on pregnancy. D) Have you by any chance given your sister water pills that belong to someone else? Admission to the Labor and Delivery Unit At 0630 the nurse calls to report to the healthcare provider, who prescribes the following: admit to labor and delivery, bedrest with bathroom privileges (BRP), IV D5LR at 125 ml/hr, oxytocin (Pitocin) 2 mu/min, CBC with platelets, clotting studies, liver enzymes, chemistry panel, 24-hour urine collection for protein and uric acid, ice chips only by mouth, nonstress test, hourly vital signs, and DTRs. 5. After the nurse establishes IV placement, she collects a bag of D5LR for the oxytocin (Pitocin), which is available in 20 units in 1000 cc D5LR. The order from the health care provider is oxytocin (Pitocin) 2 mu/min to augment labor. Calculate the following drip rate for the oxytocin (Pitocin). (Enter the numerical value only. If rounding is required, round to the whole number.) 6. While the nurse is awaiting the lab results, which nursing intervention has the highest priority? A) Teach Jennie the rationale for bedrest. B) Monitor Jennie for signs of dehydration. C) Educate the client about dietary restrictions. D) Observe Jennie for CNS changes. 7. Which technique should the nurse use when evaluating Jennies blood pressure while she is on bedrest? A) Have Jennie lay supine and take the blood pressure on the left arm. B) Have Jennie lie in a lateral position and take the blood pressure on the dependent arm. C) Have the client sit in a chair at the bedside, and take the blood pressure with her left arm at waist level. D) Have Jennie stand briefly and take the blood pressure on the right arm. The nurse performs a nonstress test to evaluate fetal well-being. 8. When performing a nonstress test (NST), the nurse will be assessing for which parameters? A) Accelerations of the fetal heart rate in response to fetal movement. B) Late decelerations of the fetal heart rate in response to fetal movement. C) Accelerations of the fetal heart rate in response to uterine contractions. D) Late decelerations of the fetal heart rate in response to uterine contractions. HELLP Syndrome At 0800, physical assessment and labs reveal the following: the client is still complaining of a headache but the epigastric pain has slightly  decreased. While the client is resting in a left lateral position, the vital signs are BP 146/94, P 75, R 18. Hyperreflexia continues with one beat of clonus. The baseline fetal heart rate is 140 with moderate variability and no decelerations. Since completion of a reactive nonstress test, no further accelerations have occurred. Lab results include: hemoglobin 13.1 g/dl, hematocrit 40.5 g/dl, platelets 120,000 mm3, aspartate aminotransferase (AST) slightly elevated, alanine aminotransferase (ALT) normal for pregnancy, 0 burr cells on slide, clotting studies normal for pregnancy. The healthcare provider diagnoses Jennie with preeclampsia rather than HELLP syndrome, a variant of severe preeclampsia. 9. If Jennie had HELLP syndrome, which lab results would the nurse expect her to exhibit? A) Elevated hemoglobin and hematocrit (HH) without burr cells, elevated liver enzymes, platelet count 150,000 mm3. B) Decreased hemoglobin and hematocrit (HH) with burr cells, elevated liver enzymes, platelet count

Banana Oil Lab Report Essays

Banana Oil Lab Report Essays Banana Oil Lab Report Paper Banana Oil Lab Report Paper Once all the needed chemicals were added we waited for about 70-minutes for the reaction to take place. The desired temperature for the reaction was ICC. We also had the solution at a constant stir. After the reaction was done taking place, we began to purification process. We used a pipette to remove the excess water and impurities that were underneath the banana oil. We removed all that was available and then began to add sodium carbonate to help wash and dry the mixture. Slowly shaking the banana oil inside the ml side to side, allowing CO to escape the ml vial. We did this twice aging sure all the excess impurities were removed. As we had our final solution of banana oil, we used the I. R. Spectra to conclude our results. The I. R. Spectra showed us that the compound we produced had no peak at comic-1. The banana oil peaked at roughly comic-1. We concluded from these results that all the alcohol was extracted and the final product was banana oil. Purpose The purpose of our lab was to reflux an isopleths alcohol with carboxylic acid (acetic acid), adding three drops of sulfuric acid acting as a catalyst to produce an ester (isopleths acetate) and water. We verified our answers using infrared spectroscopy. Calculations for Percent Yield To find the percent yield we had to first find moles of our limiting reagent. 1) Weight of ml vial + cap =28. Egg 2) Weight of ml vial + cap +1. Ml of isopleths alcohol= 28. Egg 3) Weight of ml vial + cap + 1. Ml of isopleths alcohol + 1. Ml acetic acid= 30. Egg First we calculated the difference of the 1 and 2 (2-1= difference)= 0. Egg. Then, we found the difference of 1 and 3, =1. Egg. Using the molecular weight of the molecules of isopleths alcohol and acetic acid we found the moles of each molecule. For isopleths alcohol we calculated, (0. Egg/1) / (88. G/mom=). 0083 moles of isopleths alcohol. The moles for acetic acid were calculated at 0. 0255 mol= (1. Egg/1) / (60. G/mol). Once we found that isopleths alcohol was the limiting reagent, we found how many grams of banana oil were possible to produce. This number came out to be, (O,moll) x 1. 08066g= theoretical yield. Our final product (actual yield) we produce 0. 41 egg of banana oil. We then took this number to find our percent yield, x 100= 38. 2% Purification Process For the purification process we needed to rid the solution of any excess Heimlich besides the banana oil. To do this, we needed to understand a little about what makes a solution. Two factors that affect the ability of a solution to form are: 1) the natural tendency of substances to mix and spread into larger volumes when not restrained in some way 2) the types of intermolecular forces in the solution. In the case of the alcohol and the carbonyl acid, the two molecules reacted to form isopleths acetate and water. All of the isopleths alcohol was reacted with acetic acid and due to the solubility between the two molecules we were able to extract the water and acetic acid. This was done using a pipette to remove the bottom layer of the solution and it was possible because the alcohol was not soluble in the water. The second extraction required the use of one ml of sodium carbonate to wash the mixture by slowly shaking it until the bubbling stopped. We then removed the cap to allow the release of carbon dioxide out of the mixture, this was done two times. Finally, we began drying the mixture with sodium sulfate. Results from Infrared Spectroscopy After completing the washing a drying of our mixture, we then took our final product to be tested using infrared spectroscopy. Only items needed for this was the I. R. Spectra, a pipette, and a computer. We placed a drop on the eye of the spectrograph and waiting for our results. We noticed from our finding that at comic-1 our mixture had no peak. This meant that we successfully removed all the excess alcohol from our mixture. Furthermore, we notice a distinct peak at 1750 CM-l . This confirmed that we in fact had banana oil as our final product. Conclusion In this experiment we ended up with a percent yield of 38. 2%. The reasons for a lower percent yield could be attributed to factor not all isopleths alcohol reacting ND extracting some of the product out with the excess water. The isopleths alcohol is a hydrophobic molecule with a hydrophilic head end. This allows the molecule to react with the carboxylic acid which is a hydrophilic molecule. We know this by the bonds associated with both molecules. The alcohol is a non polar By using the IR. Spectra, we first noticed that there was no peak at comic-1. This is significant because if there was any excess alcohol within the mixture we would see a peak. At 1739. CACM-1, we see a noticeable peak showing us that for our final product we did in fact have banana oil.

Art presentation Essay Example | Topics and Well Written Essays - 750 words - 2

Art presentation - Essay Example The Baroque period incorporates artistic works that is based upon catholic and protestant lines. On the other hand, Rococo art mainly focused on the pleasures and interests of the artists rather than events happening around them. Bernini is a renowned artist during this Baroque era and bases his works across Italy. He dominated the art world of Rome in the seventeenth century and received special treatments from the popes, as well as cardinals. He also confronted the contemporary artistic traditions that existed during the era. One of his most creative artwork is The Ecstasy of Saint Theresa. This work involves intense Christian art and is one of the most illustrated artwork that exemplifies spiritual aspects of the Catholic faith. The sculpture has two figures; Teresa and an angel, standing slightly above her pointing a golden spear towards Teresa’s heart. Bernini uses a very rare form to illustrate Teresa’s religious ecstasy when the angel appeared to her with a golden spear. He uses this to illustrate the intense satisfaction and desire in which God had favored her. He also expresses pain that accompanies her favor and intense desire for God’s consent. Bernini emphasizes on her erotic euphoria by displaying her open mouth and closed eyes. He also does this by hanging her limbs. The movement and drama of the sculpture is illustrated by the heavy and tangled fabric of her clothes even though the purity portrayed in her face largely contrasts with the fabric texture. The angel seems to be happily staring at Teresa as he waits to pierce her heart using the spear of divine love. This sculpture illustrates the spiritual pleasure that the saints experience in serving Christ. The imagery employed by Bernini in The Ecstasy of Saint Theresaillustrates the sensual pleasure in a way that conveys the perceptible nature of Teresa’s experience. Baroque art era also dominated across Flanders and Spain. This period is characterized by the breaking of the Lowland

Karl Marx Essay Example | Topics and Well Written Essays - 750 words

Karl Marx - Essay Example Karl Marx saw religion as being used to console the poor and to give them false promises thus making them forget the challenges that they were going through in life. The bourgeois was using religion in this consolatory manner so as to make the proletariat not to rise against them in protest for the injustices that they were undergoing. Karl Marx, therefore, saw religion as the opiate of the masses that was making the poor to have a passive approach to the challenges that they were going through in life. The second idea that I love about Karl Marx is his idea of human history and class conflict. Karl Marx claimed that in the history of human beings, every historical epoch is marked by two classes of people, i.e. the bourgeois and the proletarians. The bourgeois is the rich and the owners of the means of production. The proletariats, on the other hand, are the poor people who provide labor to the bourgeois. Karl Marx said that besides the bourgeois being the owners of the means of production, they also constitute the ruling class, political power and authority reside with them. Carl Marx claimed that because of this glaring inequality between these two classes of people, conflict is bound to arise in such a society. This is because the proletariat will always feel short changed and as a result, they will strive to overthrow the bourgeois from power so that they would also have an opportunity to be rich and to own the means of production. The bourgeois, on the other hand, will strive t o ward off the resistance of the proletariat.... The new proletariats will in turn start protesting against the bourgeois and this will lead to a new conflict in an attempt to overthrow the bourgeois from the reins of power. This process will continue on and on, in a dialectic way, till when it will come such a time when classes in the society will be completely abolished, i.e., when all the people in a society will be able to communally own the means of production. This kind of society will be a socialist or a communist society. Karl Marx believed that through this theory of class struggle he had explained the history of humanity and the law behind the history. Karl Marx was strongly convinced that without equal distribution of resources in a society, conflict is bound to arise. For Karl Marx material is the ultimate reality and the history of human beings can be explained as a constant and dialectic struggle for the material resources. Karl Marx envisioned a time when there will be equality in the distribution of resources and wh en the means of production of a society will be communally owned. He envisioned a time when the resources of a country will be divided not according to one’s ability but according to one’s needs. But this is not possible in a capitalist society; it is possible only in a socialist or communist society. This is because in a capitalist society, the distribution of resources is not based on one’s needs, but rather on one’s ability to acquire the resources. I really love this idea of Karl Marx because a critical look at the many conflicts in our societies and the world at large can be attributed to class struggle. Our capitalist economies have created a wide economic

Role of the nurse Essay Example for Free

Role of the nurse Essay According to the American Nurses Association the role of the professional nurse is held to a high standard. Nurses have a guideline of professionalism that is upheld to match the level of care given to each and every patient and held accountable for their actions towards clients and peers (Perry/Potter, 7). Nurses are expected to critical think as a way to solve any problem or ailment presented to them by patients. Nurses are to implement the nursing process which delegates a step by step process to think critically in solving patients problems. The steps are assessment, diagnosis, outcomes identification and planning, implementation and evaluation (Perry/Pottery, 7). 2. I see nurses fulfilling these roles and many more. The nurse is a caregiver when attending to patients needs and going the extra mile in providing care that is not asked for, such as when providing a bath and massaging the legs to provide stimulation in circulation in the legs. Nurses are the patient’s advocate we speak on the patients behalf to the doctors as well as administration. Educating the patient on prevention of illness and health practices on current ailments. We communicate to the patients on a daily bases nurses are on the forefront dealing with the patients at the bedside we communicate all needs and care for the patient to the doctors. Nurses are in charge of managing the care of our patients how the patient is responding to treatment, their fluid intake and output, tracking of nutritional status. Nurses practice autonomy and accountability on a daily basis. We encourage ambulation to a patient after giving birth to stimulate circulation and urinary functions. 3. When I think of a nurse I think of a caregiver. Someone who will help a patient on their road to recovery. Someone who will listen to a patients concerns and reassure the patient that they are receiving the best care possible. Someone who will care. In my opinion some people think that nurses are assists to doctors. I have heard this many times. Yes we do assist doctors but today nurses are so much more and are responsible for much more in the medical field. Mostly the media presents nurses in a positive light showcasing the diverse and important role of the nurse in the hospital. But sadly there are still some that negatively show nurses as a sex symbol with no real input in patient care.

Contemporary Social Theory Essay -- essays research papers

Two major approaches to contemporary social theory are the Marxian materialist approach and the structural functionalist approach. The materialist approach was developed from the work of Karl Marx, who believed that the economic order shapes society. The functionalist approach was developed from the work of Comte and Durkheim, stating that is the combination of all of society’s institutions that shapes society. An organic analogy is most often used to explain structural functionalism. The analogy represents society with the human body and social structures and institutions are represented by the body’s organs. For a human being to survive, the body must perform certain functions to solve problems and meet needs. For example, we must circulate blood, remove waste, and biologically reproduce. Survival depends on the individual organs and how they perform together. Each organ does something to keep the system going. In order for society to survive and keep order, individual institutions must effectively perform together. The institutions must perform specific functions to meet problems or satisfy needs. This is achieved by institutions such as the family, economic, educational, and religious orders. It is the make up of the interrelated institutions that form society, as the interrelated organs make up the human body.   Ã‚  Ã‚  Ã‚  Ã‚   The materialist approach argues that humans are unique because we can produce solutions for material wants and needs; that materi...

On Making Friends

As a human being, one can hardly do without a friend, for life without friends will be a lonely voyage in the vast dark sea or one in the barren desert. Traly, a friend gives out light and warmth like a lamp. For this reason, I have always felt it a blessing if a friend comes to console me in my sadness, cheer me up in my low spirits, or heartedly share with me my happiness. It is wonderful, too, to feel that someone is standing by me and ready to provide help and encouragement in my pursuit of a noble and glorious cause. For millions of years, people have heaped beautiful verses and essays upon friendship.Yet, they, too, have mercilessly accused false friendship, for there are always some mean characters who approach you and act as dear friends when you are wealthy or influential, but desert or even betray you the instant you come down in the world or are entrapped by unfortunate things. Therefore, people all attach great importance to the recognition of true friendship. And a faith ful friend is considered even more precious than a priceless pearl or a precious stone. The old saying â€Å"A friend in need is a friend indeed† has become the teaching and standard for true friends.Still, it is natural that different people observe different principles in making friends. Some view it important to make friends with whom they may share similar interests or hobbies with. Others are liable to befriend VIPs so as to gain some favors or privileges. And I am of those who think very little of similarity or position or power. So long as a person has a heart of gold, being warm-hearted, selfless, honest, open-minded, but not brutal, cold, shortsighted nor narrow~minded, I am willing to make friends with him or her, give my due support and help, and remain faithful to him or her all my life. On Making Friends As a human being, one can hardly do without a friend, for life without friends will be a lonely voyage in the vast dark sea or one in the barren desert. Traly, a friend gives out light and warmth like a lamp. For this reason, I have always felt it a blessing if a friend comes to console me in my sadness, cheer me up in my low spirits, or heartedly share with me my happiness. It is wonderful, too, to feel that someone is standing by me and ready to provide help and encouragement in my pursuit of a noble and glorious cause. For millions of years, people have heaped beautiful verses and essays upon friendship.Yet, they, too, have mercilessly accused false friendship, for there are always some mean characters who approach you and act as dear friends when you are wealthy or influential, but desert or even betray you the instant you come down in the world or are entrapped by unfortunate things. Therefore, people all attach great importance to the recognition of true friendship. And a faith ful friend is considered even more precious than a priceless pearl or a precious stone. The old saying â€Å"A friend in need is a friend indeed† has become the teaching and standard for true friends.Still, it is natural that different people observe different principles in making friends. Some view it important to make friends with whom they may share similar interests or hobbies with. Others are liable to befriend VIPs so as to gain some favors or privileges. And I am of those who think very little of similarity or position or power. So long as a person has a heart of gold, being warm-hearted, selfless, honest, open-minded, but not brutal, cold, shortsighted nor narrow~minded, I am willing to make friends with him or her, give my due support and help, and remain faithful to him or her all my life.