Managerial Accounting Essay

General Education Teachers Expectations of Special Education Students Essay

General Education Teachers Expectations of Special Education Students - Essay Example The IDEA Amendments Act of 1997 underscores the significance of guaranteeing that understudies with extraordinary necessities can get to the general educational plan, satisfying training guidelines relevant to each youngster (O’Connor, 2010). So as to address these difficulties, in this manner, general instruction educators over the US have needed to get new techniques and abilities. These progressions mean a time of change for general instruction educators, illuminating a re-assessment of administration conveyance required to help unique needs understudies in the general training condition. One test that general training instructors face is to fulfill and keep up high guidelines of training for each understudy, likewise guaranteeing that all the interesting instructional necessities of every kid are met. These desires, be that as it may, are not really totally unrelated. The instructive norms can be utilized as driving force and inspiration for centered instructional arranging in the general training condition for extraordinary requirements understudies, prompting improved accomplishment (O’Connor, 2010). Lewis and Doorlag (2013), for instance, report that general training instructors accept that principles based change expands learning open doors for understudies who have uncommon necessities, while additionally taking note of that custom curriculum educators battle that measures improve the portrayals of understudy prerequisites. Preceding the progressions set up by IDEAA 1997, there was an immense hole in desires among general and specialized curriculum unders tudies, who had their own room, educators, schedules, educational program, and network. These understudies, lion's share of whom had learning inabilities, failed to meet expectations scholastically. At national level, the greater part of the understudies with extraordinary requirements were set in independent classes, disconnected from the general training condition, and marked as typically tested, sending the message that they couldn't meet the desires for the general

Function Of Glass Packaging Example

Function Of Glass Packaging Example Function Of Glass Packaging â€" Essay Example > IntroductionFunction of glass packagingConsumer preferences in relation to sustainable and pure packaging are making many consumers to revert to the use of glass. For decades, glass packaging has been the most trusted system of storing food, medicines and beverages. Glass has a long staying ability as a sustainable and pure package that is very healthy both to the consumer and environment. Since it is made from naturally available raw materials; sand, limestone and soda ash, glass is not nonporous and impermeable, which adequately protects its contents from tampering and degradation (Rundh, B. 2005), In addition to that, glass is not chemically reactive thus referred to as inert, which protects contents from oxygen and moisture, hence ensuring that the flavour and freshness of its contents as well as the shelf-life of the product is preserved. According to a survey carried out in 2006 by an Oklahoma based marketing research firm, Newton Marketing Research, about 78% of the consume rs mainly prefer glass packaging for the maintenance of the purity of food and beverages, and about the same margin (75%) preferred it for preserving the taste or flavour of a product while 82% talked of it as a sure way of maintaining the healthiness and integrity of foods and beverages. What is involved in packaging? The real meaning of packaging in general varies and range from simple and functionally focused to more extensive, holistic interpretations. Packaging can therefore be defined as an extrinsic element of a consumer or industrial product, which is an attribute related to the product itself but does not in any way form part of the physical product. Packaging is thus the container for a given product that encompasses the physical configuration of the container and includes the design, shape, color, materials used and labeling. In this aspect, most marketing literature considers packaging to be an instrumental part of the the 4 P’s of the product component thus: product , price, promotion and place (Cateora and Graham, 2002, pg 358-360). Coca Cola’s glass packagingIn recent times glass packaging has tremendously developed well above its original function as just basically a means of protecting a product and thus now plays a fundamental marketing role in the development of shelf appeal, establishment of brand awareness and image and provision of product information as shown by Coca Cola’s range of soft drinks products. As the role of glass packaging in the marketing mix continues to gain more mileage, so research into glass packaging is becoming more increasingly significant. Given the possible benefits of packaging as one of the critical aspects in achieving marketing objectives, it is imperative to fully understand the role it plays in the promotion and marketing of products. Types of packaging in Coca Cola productsIt is important to categorize Coca Cola glass products packaging in terms of function and layer thus; primary and secondary packa ging. Primary packaging in the product is the glass bottle which holds the product hence the first line of packaging as it is in direct contact with the product, and in this case the soda. On the other hand, secondary packaging of the Coke glass products is on the outside of the primary packaging, and is mainly used to collectively group primary packages (Rice and Hofmeyr, 2000, pg 216), It therefore holds a single unit of a product such as a crate of Coca Cola bottles of soda. Tertiary packaging is mostly used for handling large quantities as well as shipping of a product.

Corruption Of The American Dream - 1516 Words

Corruption of the American Dream The American Dream can be understood by many people to mean many different things. Even with various meanings, to the greater part of people, it is to be happy, wealthy and successful in life; however money does not always led to happiness. You can always buy things that satisfy your want, when you have large amount of money. This stuff will make you happy for a short amount of time, but after the consumer may become uninterested with having everything he/she could possibly ever want. This is just one of the ways the characters in the novel, The Great Gatsby by F. Scott Fitzgerald are by the deceptive representation of the American Dream. The accurate meaning of the American Dream is missing from the characters like Jay Gatsby, Tom Buchanans, Myrtle Wilson, and Daisy Buchanans in the novel, and leads them to the disgrace of their life to acquire its illusionary purpose. For Gatsby, the understanding of the dream is that through wealth and power, one can obtain happiness. In the course of the position that wealth is connected with, he can live the lavish life he feels is essential to win the love of Daisy. He is so objective on getting Daisy it seems he will do anything to win her love; including doing illegal stuff to get wealth: I thought you inherited your money. I did, old sport, he said automatically, but I lost most of it in the big panic – the panic of the war. I think he hardly knew what he was saying, for when I asked him whatShow MoreRelatedThe Corruption Of The American Dream956 Words   |  4 Pages2017 The Corruption of the American Dream F. Scott Fitzgerald portrays the American Dream as a set of goals that included freedom, settlement, and an honest life with the possibility of social and economic success earned through hard work, but was corrupted and degraded by the egotistical materialism of the 1920s. Fitzgerald, in The Great Gatsby, aims to discredit the supposed purity of the American Dream and belief that anyone can attain it through hard work. Instead, he argues that the dream is aRead MoreThe Corruption Of The American Dream1835 Words   |  8 PagesNo: 141124 Date: 29/01/2016 THE CORRUPTION OF THE AMERICAN DREAM. The universal characterization of American dream is that, in the country, whichever person wants to be successful will be successful due to self-improvement which can be attained by working hard and proper utilisation of the available resources, adding up with providential circumstances. The Great ‘Gatsby’ emerges out as a personification of the American dream of self-made triumph, growing up from being a poor farmRead MoreEssay about Corruption of the American Dream1127 Words   |  5 PagesCorruption of the American Dream The Great Gatsby is a novel based off of the American dream, which is something that everyone strives for. The author of the book F. Scott Fitzgerald has his own American dream to become a well known writer, and to have the girl of his dreams, and throughout the novel this dream reflected in The Great Gatsby within in the characters Gatsby and Daisy. Fitzgerald had developed the character Gatsby by incorporating some of his own dreams. For example Gatsby hasRead MoreThe Great Gatsby : The Corruption Of The American Dream1771 Words   |  8 PagesThe Great Gatsby: The Corruption of the American Dream The Great Gatsby may appear as a novel containing dramatic, twisted relationships; however, the main theme has to do with the culture of the 1920s, and how it leads to the downfall of the American Dream. The 1920s were an age of change: politically and socially. The nation’s wealth nearly doubled, leading many Americans into a prosperous society, while others experienced extreme poverty (The Roaring). People began performing, women wore flapperRead MoreThe Corruption of the American Dream in Fitzgerald’s The Great Gatsby1345 Words   |  6 PagesFitzgerald portrays the American Dream, originally a set of goals that included freedom, settlement, and an honest life with the possibility of upward social and economic mobility earned through hard work, as corrupted and debased by the egotistic materialism of the 1920s, an era which Fitzgerald characterizes chiefly by its greed and lavish hedonism, in his celebrated novel The Great Gatsby. Fitzgerald, in The Great Gatsby, s eeks to discredit the supposed purity of the American Dream and belief that anyoneRead MoreEssay on The Great Gatsby: The Corruption of the American Dream1010 Words   |  5 Pageswhich he popularized the concept of The American Dream. In this book he stated â€Å"The American Dream is that dream of a land in which life should be better and richer and fuller for everyone, with opportunity for each according to ability or achievement†¦Ã¢â‚¬  and once that phrase was written, The American Dream became what we truly know it as nowadays. It is the right of freedom, prosperity, equality and pursuit of happiness through hard work. However, The American Dream is an ironic concept seeing as it neverRead MoreThe Great Gatsby - Corruption of the American Dream Essay1913 Words   |  8 PagesGreat Gatsby is a novel about the corruption of the American Dream. How far would you agree with this statement? The American Dream is fundamentally the idea that anyone in America can accomplish through hard work and can achieve success and happiness. It has been expanded on through the years and now incorporates ideas of attaining freedom, wealth and power. In the 1920s when The Great Gatsby was written the Jazz Age was taking hold and the American Dream became more about material possessionsRead MoreEssay on The Corruption of the American Dream in The Great Gatsby1302 Words   |  6 Pagesjustify their actions, and it is what everyone longs for. This theme is better known as the American dream.The Great Gatsby is representative of the American dream in multiple ways. There are some aspects of the novel that symbolize the overall corruption of the American dream; there are others that signify the love of wealth, and the division of rich and poor. What exactly is the American dream? The American dream can be described as an idea, a concept, and a way of life. It can even be described asRead MoreThe Great Gatsby Displaying the Corruption of the American Dream742 Words   |  3 PagesThe Great Gatsby: The Corruption of the American Dream In the 1920’s many people left their countries to come to America seeking for the American dream. The American Dream meant being successful and happy. Many people started to learn that they couldn’t find that happiness without the money. In Fitzgerald’s novel, The Great Gatsby, the characters based their lives off of wealth and materialism, forgetting what the real idea of the American dream was. Throughout the story, Daisy, Gatsby and MyrtleRead MoreBroken Dreams and Fallen Themes: the Corruption of the American Dream in the Great Gatsby1477 Words   |  6 PagesBroken Dreams and Fallen Themes In The Great Gatsby, Fitzgerald employs the use of characters, themes, and symbolism to convey the idea of the American Dream and its corruption through the aspects of wealth, family, and status. In regards to wealth and success, Fitzgerald makes clear the growing corruption of the American Dream by using Gatsby himself as a symbol for the corrupted dream throughout the text. In addition, when portraying the family the characters in Great Gatsby are used to expose

Substance Abuse Prevention Programs A Critique - 992 Words

Running head: SUBSTANCE ABUSE PREVENTION PROGRAMS: A CRITIQUE 1 6 SUBSTANCE ABUSE PREVENTION PROGRAMS: A CRITIQUE Substance Abuse Prevention Programs: A Critique Thomas J. McCarthy Grand Canyon University: PCN-501 January 27, 2016 Substance Abuse Prevention Programs: A Critique The first substance abuse prevention program is called AlcoholEdu for College by the EverFi company. AlcoholEdu for College is an online alcohol education, harm reduction, and misuse prevention course for undergraduate students in colleges and universities. The course takes 2 to 3 hours to complete. (DeJong, 2015) The fully independent, 3-year, 30-college controlled study was funded by the National Institutes of Health (NIH) through the National Institute of Alcohol Abuse and Alcoholism (NIAAA). (New Federal Government Study: AlcoholEdu Reduces Binge Drinking and Alcohol-Related Harms, 2011) This shows how the NIH involvement enhances the validity of EverFi effect on college students. A quote by Brandon Busteed, creator of AlcoholEdu states the magnitude of its effect, he says This study is the equivalent of an FDA approval on a pharmaceutical drug. No other program has ever reached this bar, and it s likely that no other program will anytime soon. (New Federal Government Study: AlcoholEdu Reduces Binge Drinking and Alcohol-Related Harms, 2011) It is also funded by its sponsors such as WalMart, American Express, and the National Basketball Association, among others. It isShow MoreRelatedIntroduction Based on extensive literature reviews on teenage substance abuse and interventions,1700 Words   |  7 PagesIntroduction Based on extensive literature reviews on teenage substance abuse and interventions, this report examines the flaws and weaknesses of traditional interventions in curbing the menace and proposes a design in community intervention to make it efficient and effective. Recent studies show that the overall trend of lifeline drug-taking secondary school going students rose from 3.3 % in 2005 to 4.3% by the end of 2009. The age at which students begin to use drugs has continuously decreasedRead MoreCollege Women s Experiences Of Dating Violence1143 Words   |  5 Pagesviolence. It includes physical injury, obesity, substance abuse, depression, low self esteem and anxiety disorders. The article states women are prone to violence because they had a partner or parents who abused them all the time or parents .Scholarly has suggested that women who are dating are more likely to experience violence than married couples. There are different types of violence which are physical violence, psycholog ical abuse, emotional abuse or sexual violence. Read MoreAfrican American Women Living With Hiv Aids1576 Words   |  7 Pagesis the third leading cause of death for black women ages 25?44. Several factors cause such disproportionate HIV infection rates within black communities, such as access to education, adequate healthcare for preventative treatment, substance abuse, childhood sexual abuse, and extreme poverty. Review of Literature Review of the literature on African American women living with HIV/AIDS established a reoccurring relationship between poverty, multigenerational issues and mental health and how theseRead MoreMontoyaW Conceptualizingaddictionpaper1080 Words   |  5 Pagesï » ¿ Conceptualizing Addiction Paper Montoya Williams BSHS/455 November 4, 2014 Carla Malewicz Conceptualizing Addiction Paper Introduction For many years, individuals have battled substance abuse and addiction. My position comes from hearing about it, having seeing results from it, and reading about it, also developing my own thoughts about addiction. Weil and Rosen (1993) believe that a drug use (and addiction) results from humans longing for a sense of completeness and wholeness, and searchingRead More Behavioral Treatment Programs for Methamphetamine Addiction 1700 Words   |  7 Pagesof stopping Methamphertmine use. Most of the treatment consists of behavioral treatment programs. Trends Critique Cognitive Behavior Therapy is a form of talk therapy that is used to reframe and recondition the way an addict thinks about drug use (Baker Lee, 2009). Cognitive Behavior Therapy teaches a meth addict ways to process information or stimuli similar to the 12 steps program, but the program is a more structured approach for the client(Masters, 2009). The therapy sessions usuallyRead MoreNurses And Nursing Interventions Help Increase The Cure Of Patients Diagnose With Tuberculosis Disease?1706 Words   |  7 PagesTB cure. O – Nurse will learned more about TB disease and their involvement in the intervention will help in the cure of TB. Decrease in percentage of adolescent substance abuse. T – Education, intervention and Treatment will last for 6 months. Nurses Knowledge and Intervention on TB Compliance This is a paper research critique incorporating a qualitative and quantitative paper written on week 2 and week 3 of this course. The qualitative research illustrated how nurses can make a differenceRead MoreThe Goal Of Addiction Treatment751 Words   |  4 Pagesis to provide a behavioral change, it is beneficial to challenge the thought process of the individual. Clarifying thoughts can be substantial in the therapeutic process. Essentially, partaking in this activity can increase the chances of relapse prevention, and increase the likeliness of recovery. I visited the Phoenix house on a Sunday evening for an AA meeting. The set up was in a small room that had chairs shaped in a circular formation. I quickly spotted out who seemed to be the leader of theRead MoreThe Keepin It Real Campaign Essay2162 Words   |  9 PagesREAL campaign aims to teach middle school students substance refusal strategies through the REAL method developed by narrative theory. The campaign, although su ccessful, has definitive strengths and weaknesses in its execution. Through an explanation of the use of theory as well as message design, strategy and development, the campaign’s thought process and execution will be outlined. Strengths and weaknesses will be outlined through the critiques of the use of theory, missing campaign stages, andRead MoreTreatment Of Safe Injection Sites2107 Words   |  9 Pages Throughout Canada, many individuals unsafely use illicit substances that may result in disease or even death. The government has established safe injection sites in order to prevent addicts from spreading HIV or AIDS and even overdosing. The first safe injection site to be established was built in the Downtown Eastside of Vancouver, Canada. At first, the site was operated under a waiver from the federal government that allowed the clinic to provide its services to drug abusers as part of a researchRead MoreCritique Of Peplaus Interpersonal Relations In Nursing Theory1274 Words   |  6 Pageslong-term serious mental illness (Kim Kim, 2007), psychiatric workforce development (Armstrong Kelly, 2007), adolescents with mental health problems (Davies Huws-Thomas, (2007), and healthcare professionals and ethnopharmacology (Warren, 2008). Critique of Peplau’s Theory The interpersonal theory of nursing by Peplau was examined in accordance with Chinn and Kramer (2011). The purpose of the theory was described to improve the interpersonal relationships between a nurse and patient through education

Breaking the Cycle of Violence Free Essays

â€Å"Experience in the cities shows that the cycle of violence is a self-perpetuating phenomenon, constantly generating new violence from within itself. † (Enns 2002 p. 3). We will write a custom essay sample on Breaking the Cycle of Violence or any similar topic only for you Order Now When we observe our nation of children, as a whole group, we see a higher and higher incidence of violence among them, not to mention that it occurs at an earlier and earlier age. It is becoming almost commonplace to hear of pre-teens who have committed acts of violence, and we now are beginning to hear of children as young as six and seven committing violent acts. It is a fact that violence begets violence, and our children are exposed to unimaginable acts from parents and caregivers. Drugs are rampant in our nation, and poverty and domestic violence are merely a way of life for many children today. According to author Kathy Sitarski, â€Å"we all tend to take out our pain on others to one degree or another, even if only in fantasy. † (Sitarski 2004 p. 1). This phenomenon does not occur because we are in some way inhuman, but rather because we are unable to deal with the feelings of terror and rage that come along with memories of our own pain. When we feel helpless and powerless, or when terror threatens to overtake us, acting out toward others makes us feel more in charge in some strange way. Of course there are those who consciously choose not to take their rage and pain out on another human being, and, in many cases, turn it against themselves in the form of abusive relationships or endangering their own lives. (Sitarski 2004 p. 2). Violence can isolate us as human beings because it brings shame into our lives. We are ashamed to have hurt another or we are ashamed that we have allowed ourselves to be abused; â€Å"a beating feels shameful and humiliating and the survivor often internalizes that he or she somehow deserved it. † (Sitarski 2004 p. 2). Even witnessing violence against another can cause us to feel shame as we feel powerless to stop it. Most rapists can recall rape and physical abuse in their own histories, then they later act out the same form of violence on another. How likely is it that today’s abused, neglected and ignored children will become tomorrow’s violent offenders? According to the National Institute of Justice it is extremely likely; results of a detailed study show that childhood abuse and neglect â€Å"increase the odds of future delinquency and adult criminality overall by 29 percent. † (National 2001 p. 1). Further statistics are equally appalling: the abused or neglected child has a 59 percent increased likelihood of juvenile arrest, and 28 percent increased likelihood of adult arrest, and 30 percent increased likelihood of having committed a truly violent crime. These statistics give us an idea of what the â€Å"cycle of violence† leaves in its wake. Nationwide, the incidence of neglect is some two and a half times that of physical abuse. Neglect can also have the potential to be even more damaging to the development of a child than physical abuse. (National 2001 p. 3). When we think of abuse and neglect, we rarely think of malnutrition. Some children are literally starved of the basic nutrition and food their bodies need to grow as small children. Malnourished children will later show attention deficits, reduced social skills, and poorer emotional stability than the comparison group. Unfortunately, our system of incarceration fails miserably in the sense that the â€Å"punishment phase† of prison is meant to â€Å"blame, shame, ridicule, beat down and break the spirit of people who have broken the law. † (Sitarski 2004 p. 3). While most all of us would certainly agree that those who commit violent crimes must be incarcerated, must be kept from the population at large, we are punishing these people in the same ways that actually turned them to violence in the first place. Those long-held feelings of terror and rage, rather than being relieved in some way, only increase with every day spent in the violent atmosphere of prison. If we really believe in the rehabilitation theory of prison, a long hard look needs to be taken at our prison system, and some practices put into place to actually break this vicious cycle of violence that will continue to repeat itself until interrupted. Early intervention is the key to stopping this destructive cycle; children at risk need to be identified early and swift measures need to be taken to try and relieve some of the terror and rage felt by the abused and neglected child. When this takes place, one link in the cycle is broken, perhaps leading to another and another. Works Cited About Domestic Violence (2003). Cycle of Violence. Retrieved December 11, 2006 from: http://www. edvpor/aboutDV/cycle. htm Enns, Fernando (2001). Breaking the Cycle of Violence. From the Ecumenical Review, Volume 53, Issue 2. Retrieved December 9, 2006 from: http://www. questia. com Hopper, Jim (1997). Factors in the Cycle of Violence: Gender Rigidity and Emotional Constriction. Retrieved December 11, 2006 from: http://www. jimhopper. com/cycle National Institute of Justice (February 2001). An Update on the Cycle of Violence. Retrieved December 8, 2006 from: http://www. ncjrs. gov/pdffiles1/nij/184894. pdf Siris, Karen (2004). Interrupting the Cycle of Bullying and Victimization in the Elementary Classroom. From Phi Delta Kappan, Volume 86, Issue 4. Retrieved December 9, 200 from: http://www. questia. com Sitarski, Kathy (2004). The Wheel of Violence. From The Humanist, Volume 56, Issue 3. Retrieved December 7, 2006 from: http://www. questia. com How to cite Breaking the Cycle of Violence, Papers

Post Partum HESI Case Study free essay sample

The lack of sensation below the waist caused by the residual effects of epidural anesthesia does not pose any real threat of infection, because epidural side effects are unrelated to the mechanisms of infection transmission or development. B) Risk for injury. Epidural anesthesia causes temporary loss of voluntary movement and muscle to get out of bed on her own, because her legs will be unable to sustain her weight. The nursing priority is to ensure her safety by implementing use of all four side-rails and instructing her to not get out of bed for the first time without assistance.C) Impaired physical mobility. Marries impaired physical mobility is temporary and is not likely to cause complications resulting in long-term immobility. D) Altered urinary elimination. While the epidural anesthesia may temporarily inhibit Marries ability to void voluntarily, this is usually resolved within six hours. Marie should be monitored for bladder fullness during the period that she is unable to sense the need to void, but this concern is secondary to client safety. We will write a custom essay sample on Post Partum HESI Case Study or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page 3. What is the priority nursing action to address Marries needs related to the repair of her 4th degree perinea laceration?A) Provide prescribed oral pain medication and tool softener. Feedback: INCORRECT Marie has no sensation below her waist because of the residual effects of the epidural anesthesia. She does not need pain medication at this time. A stool softener is usually administered within 24 hours of delivery, but it is not a priority at this time. B) Teach proper and frequent use of the pert-bottle. It is important for the nurse to instruct Marie in measures to prevent infection, such as frequent and proper perinea hygiene techniques during the postpartum period.However, this teaching is not a priority at this time. Marie is exhausted (therefore not exceptive to teaching), and she is unable to get up to the bathroom to void (epidural anesthesia). The more appropriate time to teach use of a pert-bottle is while assisting Marie after she is able to get up and void in the bathroom. C) Apply perinea ice packs consistently for the first 24 to 48 hours. Feedback: CORRECT Topical perinea ice packs cause local vasoconstriction, resulting in decreased swelling and tissue congestion, as well as promoting comfort.The application of ice that the tissue is most vulnerable to swelling resulting from the trauma. D) Encourage warm sits baths 2 to 3 times daily. Soothing, warm sits baths should be encouraged, because they increase circulation to the site and promote healing. However, sits baths are not encouraged until the 2nd or 3rd postpartum day, after the swelling has decreased. Promotion of increased circulation prior to this time will result in increased amounts of swelling, tissue congestion, and pain. Early detection of, and intervention for, postpartum complications promotes positive client outcomes. Postpartum protocol requires that the nurse assess Marries vital signs, funds, perineum, vaginal bleeding, pain, leg movement, and IV every 15 minutes for the first hour and then every hour for the next three hours. 4. Considering Marries history, which postpartum complication is she most at risk for? A) Deep vein thrombosis. Venous thrombosis forms in response to inflammation in the vein wall as a result of venous stasis.Factors contributing to the development of deep vein thrombosis in the postpartum client include increased amounts of certain blood clotting factors, obesity, increased maternal age, high parity, prolonged inactivity, anemia, heart disease, and varieties. Marries history does not indicate any risk factors for deep nine thrombosis. B) Substitution. Substitution occurs when the uterus fails to follow the normal pattern of involution, but instead remains enlarged. It is caused by placental fragments or infection. The labor and delivery nurse stated that Marie delivered the entire placenta, I. E. , no fragments were retained in the uterus.Marries history does not indicate any risk factors for substitution. C) Endometriosis. Endometriosis is a uterine infection, one of four types of puerperal (of or pertaining to contribute to increased risk for puerperal infection which are: poor nutritional status, anemia, vaginal infection with group B streptococcus, and diabetes. D) Hemorrhage. Postpartum hemorrhage indicates loss of greater than 500 ml of blood after the end of the third stage of labor. Causes of early postpartum hemorrhage include uterine atone (relaxation of the uterus), laceration of the genital tract, and retained placental fragments.Factors in Marias history that contribute to the potential for hemorrhage include: overprotection of the uterus due to a large infant, the trauma of a forceps delivery, a prolonged labor, and the use of extinction. Postpartum Crisis Fifteen minutes after the initial assessment, the nurse finds Marie disoriented and lying on her back in a pool of vaginal blood, with the sheets beneath her saturated with blood. 5. What is the priority nursing action? A) Take vital signs. If the nurse takes the vital signs first, time will be lost while the client continues hemorrhaging. B) Check the bladder.Several interventions should be implemented simultaneously. Bladder distention is a common problem that can impede uterine contraction and predispose the client to bleeding, but another action should be implemented immediately. C) Massage the funds. Since a boggy funds is the most likely reason for this clients hemorrhaging, massaging the funds is the most important intervention. The nurse should also call for assistance due to the amount of blood that has pooled under the client. This is an important action since the client is hemorrhaging and is probably humiliatingly unstable. 6.What is the best method for the nurse to use to obtain immediate assistance? A) Call for help from the doorway of the clients room. Although staying with the client is important during a crisis, it is not appropriate to hoot in the hallway. This could alarm other clients, and it is not the best way to summon help. B) Go to the nurses station to notify the charge nurse. The nurse should never leave a critical clients bedside for any reason. The first rule during a crisis is to stay with the client. C) Activate the priority call light from the bedside. The priority call light signals to the entire nursing unit that a client is in crisis.All personnel available will respond to the distress signal. D) Telephone the healthcare provider from the clients room. Feedback: INCORRECT The healthcare provider needs to be notified as soon as possible, but not without collecting data first. The healthcare provider will have questions regarding the clients status. Anticipating and collecting the necessary data will facilitate effective communication with the healthcare provider. The nurse has requested assistance and personnel are on their way. While waiting for help to arrive, what is the next priority action? A) Apply oxygen.Applying oxygen is important to improve the clients oxygenation, but it is of less priority than addressing the cause of the hemorrhage. B) Increase the IV infusion rate. Greater fluid volume administered intravenously is an important lifesaving action, but this is of less priority than addressing the cause of the hemorrhage. C) Obtain vital signs. It is important to assess vital signs, but this is of less priority than addressing the cause of the hemorrhage. D) Assess for bladder distention. The client is two hours post delivery with an IV infusing at 125 ml/hour, which can contribute to dieresis.A distended bladder impedes uterine contraction and contributes to excessive bleeding. After the funds is massaged, the bladder should be checked for distention. The charge nurse, two staff nurses, and an unlicensed assisting personnel (ASAP) rush in to assist the nurse with Marie. 8. Which task is best delegated to the PAP during this crisis? A) Obtain the vital signs and 02 saturation. Obtaining vital signs and pulse geometry are within the scope of practice for the PAP, and the nurse should interpret these findings as indications of hypoglycemia due to blood loss, and should also report the findings to the healthcare provider.B) Change the bed linens and bathe the client. The client is lying in a pool of blood. So at some point, the linens will need to be adhered and weighed to estimate blood loss, and the client will need to be bathed. Priority at this time. C) Start 02 per nasal canal. The I-JAPE can collect the equipment but the nurse should initiate 02 administration. D) Bring IV fluids and supplies from the supply room. It will be difficult for a PAP to know exactly which type of IV fluid to obtain. Since there are many sizes and types of fluid to select from in the supply room, there is a greater chance for delay and error if the PAP is sent. 0. /1 . 0 The healthcare provider is notified that Marie is hemorrhaging and has an estimated load loss of 1,200 ml since delivery. The clients blood pressure is 70/40, pulse 120, respirations 28, and 02 saturation 73%. The healthcare providers prescriptions include stats extinction 10 units in each liter of normal saline to infuse at 40 militants (ml)/minute. The healthcare provider also prescribes 0. 2 MGM interrogatively emulate (Mothering) IM to be given immediately. The vial of extinction is labeled 10 units/ml. 9. How many ml of extinction should the nurse draw up in the syringe to inject into the 1000 ml bag of normal saline?A) 0. 04 ml. This answer is incorrect. Please try again. C) 10 mi. D) 1 mi. The healthcare provider prescribed 10 units in 1,000 ml of NSA. The vial contains 10 The extinction must be administered via an IV infusion pump. 10. What is the flow rate needed to deliver 40 ml/minute? A) 24 ml/her. B) 40 ml/her. C) 4 ml/her. D) 240 ml/her. Drip concentration = 10,000 ml/1,OHO ml. 40 ml/1 min x 60 min/l her=240 ml/1 her. 240 earn ml = 10,000 mum/l,oho ml 10,oho x = x = 240 ml/her. Initial Stabilization reassesses the client. 11. Which finding is most indicative that the medication is reaching a therapeutic level?A) 02 saturation 85%. This improvement in 02 saturation primarily indicates that the administration of supplemental oxygen is effective, not the extinction. B) Blood pressure 74/44. An increase or improvement in the blood pressure indicates that the fluids being administered are treating the hypoglycemia, but it does not necessarily mean that the extinction is effective. C) Firm funds. The desired therapeutic effect of extinction is to cause potent and selective stimulation of uterine smooth muscle. A firm funds indicates uterine contraction during the postpartum period, which is important to prevent further hemorrhage.D) Heart rate 94. A decrease in the heart rate indicates that the fluids being administered are helping maintain fluid volume, but this is not the best indicator of the medications effectiveness. Postpartum hemorrhage is designated as blood loss in excess of 500 ml within the first 24 hours of delivery. 12. Considering the clients history, what etiology is most likely? A) Uterine atone. The clients history revealed a prolonged labor (muscle fatigue) and a large baby (uterine overprotection). These are both frequent causes of uterine atone.The initial report received from the labor and delivery nurse was that the full placenta was delivered. C) Perinea laceration. The laceration edges were well approximated and intact. D) Coagulate. Acquired coagulate may be secondary to upperclassman, sepsis, or significant hemorrhage during delivery. The clients history did not include these problems. Marie is pale, weak, and anxious, but no longer disoriented. Her funds is firm and is 1 CM above the umbilicus. She is receiving 02 per nasal canal at 4 liters/minute and has an 02 saturation of 88%. Her vital signs are: BP 74/44, pulse 116 and aspirations 26.