is not definitive for cancer and further testing is needed.
Rationale: A Class III Pap test is indicative of an abnormality but does not confirm a diagnosis of cancer. Further testing is needed.
Instruct the client about vena cava syndrome and measures she can take to prevent it.
Rationale: This is the typical sign of vena cava syndrome, or hypotension that occurs in pregnant clients upon assuming a supine position. It is caused by compression of the inferior vena cava by the gravid uterus with a consequent reduction in venous return.
may prolong labor.
Rationale: Clients who are given anesthesia before the active phase of labor will usually find the progress of their labor to slow. The medication depresses the central nervous system and therefore, it will take longer for the cervix to dilate and efface.
No voiding since surgery
Rationale: If the client has not voided within 6 hr of surgery, the provider should be notified. There may have been some injury to the ureters or bladder, or the client may just have difficulty voiding postoperatively.
ask the client when she last voided.
Rationale: Because the muscles supporting the uterus have been stretched over pregnancy, it is easily displaced when the bladder is full. Normally, the fundus should be found firm at midline. A deviated, firm fundus usually indicates a full bladder.
Rationale: Magnesium sulfate will cause CNS depression in the neonate. Therefore, this neonate needs to be monitored carefully for signs of respiratory depression.
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