Your Answer: Tachycardia, respiratory distress, hyperbilirubinemia
Rationale: The following are documented symptoms of polycythemia: Tachycardia and congestive heart failure due to the increase in blood volume; Respiratory distress with grunting, tachypnea, and cyanosis, increased oxygen need, or respiratory hemorrhage due to pulmonary venous congestion, edema, and hypoxemia; Hyperbilirubinemia due to increased numbers of red blood cells breaking down, and a decrease in peripheral pulses, discoloration of extremities, alteration in activity or neurologic depression, renal vein thrombosis with decreased urine output, hematuria, or proteinuria due to thromboembolism.
Calculation of due date
The menstrual history is taken and used to determine the patient's estimated date of delivery based on 40 weeks' gestation.
Prenatal lab panel with blood draw
Prenatal lab panels, including complete blood count [CBC], rapid plasma regain [RPR], hemoglobin and hematocrit [H&H], human immunodeficiency virus [HIV], hepatitis B [Hep B], and Rubella, are drawn at the initial prenatal visit.
Identification of potential risk factors
Risk
factors are determined from a thorough history conducted at the initial prenatal visit.
Evaluation of the condition of the reproductive organs
A bimanual pelvic exam is performed on initial visit to assess the internal genitalia including the uterus and ovaries.
The antepartum nurse is caring for a patient with a history of one cesarean birth via low transverse incision. The patient asks the nurse what her chances are of a successful vaginal birth for the current pregnancy. Which is the appropriate nursing education for this patient?
"Because of the risk of cervical laceration with low transverse incisions, vaginal birth after cesarean is not recommended."
"With low transverse incisions, vaginal birth after cesarean is a possibility, because of a decreased risk of incision rupture."
"Because of the increased risk of infection, vaginal birth after cesarean is not indicated for patients with a history of low transverse incision."
"Vaginal birth after cesarean is not a possibility for patients with a history of low vertical incision, because the uterine incision may lead to lots of scar tissue."