Create nursing diagnoses for the following head-to-toe assessments
1a.) GI: Leopold’s maneuvers performed. The fetus is in the longitudinal lie, in vertex presentation. There is normal elasticity of the skin. Her skin is cool, and she is very sweaty.
1b.) GU: Proteinuria. Foley catheter inserted. Protein dipstick +4. Negative ketones. Negative glucose.
1c.) Integument: Moderate to severe pitting edema graded to +3. Normal elasticity of the skin. Patient’s skin is cool and sweaty. Facial puffiness present.
1a. Ans. Leopold's meneuver related to determine fetal position, presentation and engagement of normal labour.
The fetus is longitudinal lie ,vertex presentation indicated the best position of fetus in normal delivery , during normal delivery skin become elastic and cool because of increase the pressure.
1b. Ans. Proteinuria related to gestational diabetes mellitus during 2nd and 3rd trimester when pancreas can not repond to the demand for more insulin.
Foley's catheter inserted related cesarean delivery, protein present 4 g
1c.ans. moderate to severe pitting edema related compression of inferior venacava because of elevated fetus and compression of diaphragm.
Create nursing diagnoses for the following head-to-toe assessments 1a.) GI: Leopold’s maneuvers performed. The fetus is...
Create NANDA nursing diagnoses for the following assessments: 1a.) GI: Leopold’s maneuvers performed. The fetus is in the longitudinal lie, in vertex presentation. There is normal elasticity of the skin. Her skin is cool, and she is very sweaty. 1b.) GU: Proteinuria. Foley catheter inserted (less than 1 mL of clear urine). Protein dipstick +4. Negative ketones. Negative glucose. 1c.) Integument: Moderate to severe pitting edema graded to +3. Normal elasticity of the skin. Patient’s skin is cool and sweaty....