今天，吉吉小编给大家带来了孕期病人的护理评估问题—多胎妊娠（mulitiplegestation）和子宫内膜炎（endometritis）小伙伴们快来学习吧，学习RN考试相关内容，同学们注意喽！
Mulitplegestation（多胎妊娠）
Assessment：
1.Excessivefetalactivity
过多的胎儿活动2.Uteruslargeforgestationage
子宫比孕期的大3.Palpation3to4largepartsintheuterus
触诊子宫三到四个大部位4.Ausculationofmorethan1fetalheartrate
听诊超过一个胎心率5.Excessiveweightgain
体重过度增加Intervention：1.monitorvitalsigns
监测生命体征2.Monitorfetalheartrates,activityandgrowth
监测胎心率，活动力，生长情况3.Monitorcervicalchanges
监测宫颈的变化4.Preparetheclientforuitrasoundasprescribed
给病人做超声检5.Monitorforanemia,administersupplementalvitaminsasprescribed
监测贫血给与维生素补充剂6.Monitorforpretermlabor,andtreatpretermlaborpromply
监测早产，迅速地治疗早产7.Prepaertoadministeroxytocicmedicationafterdeliverytopreventpostparturmhemorragefromuterineoverdistention
准备为胎位异常的病人做剖宫产Endometritis（子宫内膜炎）Assessment：1.chillsandfever寒战发烧
2.Increasedpulse脉率增加
3.Decreasedappetite食欲减弱
4.Headache头疼
5.Backache背疼
6.Prolonged,severafterpains持续的严重的产后痛
7.Tender,largeuterus子宫软的，大的
8.Foulodortolochiaorreddishbrownlochia恶臭气味
9.Ileus肠梗阻
10.Elevatedwhitebloodcellcount,withleftshiftofimmaturecell白细胞计数升高，未成熟的左移Intervention：
1.Monitorvitaisign
监测生命体征2.Positiontheclientsemifomler’spositiontofocilitatedrianageoflochia
给病人斜坡卧位促进恶露的引流3.Provideaprivateroomforthemother,informthemotherthatisolationofthenewbornfromthemotherisunnecesarry
为母亲提供一个单人间，告知母亲新生儿和母亲隔离是不必要的4.Instructthemotherinproperhandwashingtechniques
指导母亲合适的洗手技术5.Iinitatecontactpreacautionasnecessary
首先接触性预防是必要的6.Monitorintakeandoutputandencouragefluidintake
监测摄入量和输出量，鼓励摄入液体7.Administerantibiotic
给抗生素8.Administer