The pitocin drip was started at 0900. The time is now 1100. The pitocin drip is currently set at 8 milliunits per minute. Cindy is having contractions every 3 minutes, lasting 60 seconds. The contractions are moderate on palpation. She is having a difficult time coping with the contractions and is requesting something for pain. You assess the fetal heart tones and note that the fetal heart rate (FHR) is 130-140 with accelerations and occasional mild variables. You perform a vaginal exam and note that Cindy is 3-4 cm’s dilated and 100% effaced, with the fetus at a 0 station. […]
A vaginal exam reveals that Cindy is 10cms, 100% effaced and the fetus is at a +3 station. What actions do you as the nurse need to take? What preparations need to be made for the anticipated delivery? Cindy delivered a 7lb 4oz baby girl. Initial assessment of the infant reveals the following: Heart rate Respiratory rate Muscle tone Reflex irritability Color 125 Slow, weak cry Some flexion Cry Body pink, extremities blue Determine the 1 minute Apgar score based on the above information. What actions should you as the nurse take? What factors may have influenced the infant having […]
You are an injury prevention official for the local public health department, and you have received a call from a group of parents who are concerned about the pedestrian safety around their kids’ school. Describe how you would use the public health approach to address this issue. Be sure to describe each stage of the public health response and how you would approach each for this particular issue.
Adolescent pregnancy is viewed as a high-risk situation due to the serious health risks that this creates for the mother, the baby, and society at large. Describe various risk factors or precursors to adolescent pregnancy. Research community and state resources devoted in adolescent pregnancy and describe at least two of these resources. Research the teen pregnancy rates for the last 10 years for your state and community. Has this rate increased or decreased? Discuss possible reasons for an increase or decrease.
Analyze the evolution of U.S. healthcare reform. Your analysis should include the following How has the evolution of healthcare impacted the delivery of healthcare services to date? Does healthcare reform advance the continuum of patient care? Why or why not?
An 87-year female, with a 3-day history of intermittent abdominal pain, abdominal bloating, and nausea and vomiting, came to the emergency department. She moved from Puerto Rico to join her grandson and his family only 2 months ago and speaks very little English. All information was obtained through her grandson. PMH includes an abdominal hysterectomy 12 years ago and an inguinal hernia repair 2- years ago. She has nod history of coronary artery disease, diabetes or pulmonary disease. She takes only ibuprofen occasionally for mild arthritis. She has no known drug allergies (NKDA). Vital signs are: Blood Pressure 134/84, Pulse […]
Besides contracting with HMO’s, explain in 2 pages what are some of the managed care steps that employers can take to constrain health care costs and promote wellness? Identify at least 2 areas and provide a resource for your answer
Identify and explain the roles of committees within medical management. How are they integrated to ensure optimal system performance and quality health care? Your assignment should be 2-3 pages in length with a minimum of four resources that support your findings.