Kegel exercises encourage healing, o During first 2 weeks abdominal wall remains relaxed Which of the following feelings is shown in a client experiencing PP blues? Patient Examination: Review the orders and patient data in the EHR Perform nursing interventions as needed, in response to a changing situation Interview and examine Ms. Hernandez to gather subjective and objective patient data Gather a history of the current pregnancy and full health history Use the Question tab in the Communication Focused Exam_ Postpartum Care _ Completed _ Shadow Health - Patient-Gloria Hernandez - Care Plan - N. 6. shadow health uncomplicated delivery.docx. Cross), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Give Me Liberty! You anticipate which of the following orders? Painful? If not immune, vaccinate against rubella post-partum as she has very low chance of pregnancy A G3P2 client presents at 38 weeks gestation with a transverse lie. At 0900 hours, Ms. Hernandez gave birth to a healthy baby girl, via uncomplicated vaginal delivery. In preparation for discharge, the nurse discusses sexual issues with a primiparious client who had a vag delivery with a midline episiotomy. C10H14. When performing your initial assessment, you note that she has an oral temperature of 102.4 degrees. communication between members of the health care team about a patient's condition. Asked about lochia. Common clinical manifestations associated with UTI in the postpartum client include? Students rated as "proficient" demonstrate entry-level expertise in nursing competencies and clinical reasoning skills. You receive the following info: v/s are stable, breastfeeding well, has positive bowel sounds, tolerated clear liquids well, and ambulated twice today. Mom was planning on staying another day so she could. o Differentiate depression (10-15%), Approximately 10% of mothers A primipara with a history of depression and lack of supportive relationship. and acetaminophen (1 hour prior). Which would the nurse , https://quizlet.com/603413741/shadow-health-maternal-health-post-test-flash-cards/, Health (6 days ago) WebHealth 346 GLoria Hernandez Postpartum CP.pdf - 10/22/21 8:33 AM Shadow Health 346 Maternity Your Results Turn In /assignm Lab Pass /assignment , https://www.coursehero.com/file/112525517/GLoria-Hernandez-Postpartum-CPpdf/, Health (2 days ago) WebShadow Health Gloria Hernandez Reflection Journal.docx. o Headache requires careful assessment GLoria Hernandez Postpartum CP.pdf. What criteria must be met to consider forceps? Questions for shadow health- respiratory for tina History of Present Illness Finding: Established chief complaint Finding: Reports increased breathing problems (Found) Pro Tip: Foundational questions about general well-being are important in assessing how a patient feels at the current moment. Which of the following would be included in discharge planning for contraception for a PP client? If your instructor provides individual feedback on this assignment, it will appear here. In breastfeeding women return of ovulation depends on breastfeeding patterns a. You are receiving report on Mrs. Hernandez, a PP client. 5. shadow health preeclampsia.docx. Assessment for prolapse of umbilical cord, assessment of the amount of amniotic fluid, assessment of the amniotic fluid color, assessment of fetal heart rate. which is an appropriate statement to include? managed with medication, onset 4 weeks after birth, affects 19 percent of PP women, Rare and serious, managed with hospitalization, psychiatric emergency, occurs second week postpartum. o Made from eggs: allergies Assessment PP depression should begin prenatally. Weight, reflexes, vital signs, nutritional status. Gloria mentioned that the baby was not really settling and fussier than she remembered with her first baby. Our https://evolve.elsevier.com/education/simulations/shadow-health/ Category: Health Show Health Fever of 100.4 or greater occurring on 2 days within the first 10 days post-childbirth. Postpartum Care SBAR 6.5.2020.docx. Shadow Health Gloria Hernandez Reflection Journal.docx. Gather the. o Up to 20,000 OK, o Pregnancy-induced neurologic discomforts abate after birth continue to be monitored after her post-partum hemorrhage after delivery. Professional Application in Service Learning I (LDR-461) Professional Capstone Project (PSY-495) Theology (104) Advanced Anatomy & Physiology for Health Professions (NUR 4904) Pharmacology (RNSG 1301) Principles Of Environmental Science (ENV 100) Microeconomics (C718) Operating Systems 2 (proctored course) (CS 3307) Entrepreneurship 1 (Bus 3303) What is the correct response? The nurse determines that the client has understanding of the procedure when the client makes which of the following statements? Company Registration Number: 61965243 The active vaginal bleeding is now controlled. o 300 mcg IM X 1 dose Increase the activity gradually, elevate the affected limb, apply moist heat to the affected area. Abnormally adherent placenta, history of leiomyomas, manual removal of the placenta. Lab data, perineum, breasts and nipples- remember BUBBLEHE (except the "E" which is emotional). Joints are completely stabilized by 6 to 8 weeks after birth -oxygen 8ml was applied. NUR 4130. Adequate amniotic fluid, singleton gestation, gestational age of 36-37 weeks. While making a home visit to a primiparous client and her 4 day old daughter, the nurse observes the mother changing the infant's diaper. What do you think might be the nursing diagnosis for Beatriz? o Touch o Episiotomies heal within 2 to 3 weeks Evaluation of the client with PP depression includes what? View The client says "I can't push any longer" the nurse notifies the HCP and anticipates what? Data/Information Analysis/Rationale (where applicable) (1) Provide the etiology and . One of the most prolific writers of England's Victorian Period (most of the nineteenth century) was Charles Dickens. G. H.'s vital Rating: 5/5. What exercise would be most appropriate to include in the nurse's instructions? Which of the following is a common side effect associated with the use of vacuum extraction? Shadow Health - Gloria Hernandez - Postpartum Care Health (2 days ago) WebFollowed up on postpartum hemorrhage. What should the nurse include in the plan of care for a client with PP depression ? could trigger endocytosis by a macrophage. A mother who is bottle feeding her newborn asks to be discharged 24 hours post delivery because she has a 3 year old at home. How many molecules of caffeine? A PP client recovering from a DVT is being discharged. Unformatted text preview: Status Student Response Model Answer Explanation exhibits exhibits The correct status for diagnosis is "exhibits" has shown clear signs volume, rather than a develop the condition. Some is normal; finger edema can be pre-eclampsia related, Slightly elevated with remaining increased volume Having a regular exercise regimen, eating a diet that is low in fats, carbohydrates, and alcohols, and not smoking can help this medication do its job. After checking the oximeter readings, how should the nurse follow up this assessment, A nurse is assessing a newborn immediately following a vaginal birth. o Pelvic muscular support Choose from 1,122 different sets of shadow health flashcards on Quizlet. Jersey College, School of Nursing . One hour after the uncomplicated delivery of her daughter, Beatriz, Ms. Hernandez had a postpartum hemorrhage resolved through fundal massage, oxytocin increase, and oxygen administration. B: bowel Once the external cephalic version is completed, what is your responsibility? There are many variations of passages of Lorem Ipsum available, but the majority have suffered alteration in some form, by injected humour, or randomised words which dont look even slightly believable. and left ankles and feet, symmetric bilaterally. If pt had epidural, may not feel the need to void Food with a low sodium content Food with a high zinc content Six to eight glasses of water per day Food with a low fiber content Four to five cups of coffee per day, Which is a . Estrogen and progesterone levels drop markedly, o Pituitary hormones and ovarian function, Lactating and nonlactating women differ in timing of first ovulation and menstruation What is the maximum length of time a vacuum extractor can be used without increasing the risk of injury to the fetal scalp? Luna Subjective Data.docx. During a home visit a client reports of a reddened, swollen, and tender breast 10 days after delivery. 6 months/ supportive care/ medications, o If woman is not immune, vaccination is recommended 45. Within 36-48 hours of discharge (If the mother and infant were discharged from the hospital before 48 hours after birth, the health care provider may have requested three home visits). Focused Exam: Postpartum Care | Completed | Shadow Health, Focused Exam: Postpartum Care Results | Completed, ICHS - Capstone Spring 2021 - June 2021, nur2811ug, (/site_notice_dismissals?from_flash=true&site_noti, Sales Tax Notification: Elsevier Inc. DBA Shadow Health charges applicable sales tax as required by state and local. Cookies are used by this site. Medications she received at the hosp : an American History - Chapters 1-5 summaries, ACCT 2301 Chapter 1 SB - Homework assignment, Entrepreneurship Multiple Choice Questions, Philippine Politics and Governance W1 _ Grade 11/12 Modules SY. A client is in the recovery room following a c section. After the PP follow up visit with HC provider, A primiparous client who is bottle feeding her infant asks the nurse "when will menstrual cycle return?" She is 3 cm dilated and doctor performs an amniotomy to release her amniotic fluid. As you begin to, View o Return to normal tidal volume, Blood volume increase eliminated within first 2 weeks after birth, with return to nonpregnancy values by 6 months after delivery Adequate maternal anesthesia should be provided, membranes must be ruptured, cervix must be fully dilated. o Hemorrhoids (dilated blood vessels averting out of the rectum) and anal varicosities are common and decrease within 6 weeks of childbirth The doctor has attempted a vacuum extraction twice, but the suction cup has popped off twice. Expressing milk, anti-inflammatory meds, warm compresses. Ms. Hernandez reporte, she is starting to regain sensation in her legs and feet, though sh, -oxytocin dosage was increased from 90ml/hr to 125ml/hr, Patient had no visible abnormalities. A puerperal (postpartum) infection is defined as which of the following? From this, find the apsidal angle for motion in an inverse-square force field, V(r)=k/rV(r)=-k / rV(r)=k/r. L: lochia You anticipate what order? 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In comparable nursing programs, the top 25% of students perform at the level of a proficient nurse. You inquire and ask how Beatriz has been doing in the last few hours. 1. empathy anxiety.pdf. Monitor for uterine contractions, observe for excessive fetal movement. o Joy & well being clear in all areas with no adventitious sounds. We use AI to automatically extract content from documents in our library to display, so you can study better. According to the special theory of relativity, a particle moving in a central field with potential energy V(r) describes the same orbit that a particle with a potential energy V(r)[EV(r)]22m0c2V(r)-\frac{[E-V(r)]^{2}}{2 m_{0} c^{2}}V(r)2m0c2[EV(r)]2 would describe according to nonrelativistic mechanics. The hospital provides a complimentary visit from the home care nurse for a follow up. check, Ms. Hernandez was feeling <much better= and wanted to r "Wait until you meet Annie oh, Annie, there you are," said Tom. Sharon is a 36 yo client who is 4 days post normal vaginal delivery of a healthy 8 lb 4 oz female infant. "I'll wipe the area from front to back using a blotting motion". Edema is present in the righ, and left ankles and feet, symmetric bilaterally, clear in all areas with no adventitious sounds. Which signs of thrombophlebitis must the nurse educate the client to assess? Which strategy would the nurse suggest to promote bonding b/w the postpartum c/s client and her newborn? Which statement about breastfeeding requires further education? Observe for hypotension from blood volume loss (normal is < 500ml), o No significant change in rate o Talking/ communication The "mask of pregnancy" include: oxytocin (4 hours prior), methylergonovine (4 hours prior You enter into the room and you begin your head to toe assessment on Beatriz. A client at 37 weeks gestation is discharged after a successful external cephalic version. At my last For each of the following sentences, write the The most common cause for these symptoms is what? The client about to have a forceps delivery asks about what complications can occur. Of the following clients, which one would be at risk for PP depression? How many milliliters of 0.45M HCl will neutralize 25.0 mL of 1.00M KOH? You are assisting a with a birth. No. The nurse is caring for a client who had a classical uterine incision for her c section. SHADOW HEALTH Focused Exam, Long Bone Fracture: Patient: Landon Smith - Docmerit. 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The nurse is assessing a pp client and finds the client's uterus to be boggy. (review sheet 4) Unit conversion gizmo h hw h h hw h sh wybywbhwyhwuhuwhw wbwbe s. W w w; Environmental Principles AND LAWS NSTP; Destroying Altering Tables and Views Expert Answer. What position for the infant would the nurse suggest to provide maximum comfort for the mother? Some women will have permanent darker pigmentation of those areas The nurse is evaluating the nursing care provided to a client with PP hemorrhage. The nurse is making follow up calls to several pp clients. Which of the following are at risk for pp hemorrhage? She asks for assistance from the home care nurse. Which of the following pieces of information would you use to determine how favorable the cervix is for induction? regular rate and rhythm, with S1 and S2 audible and no extra sou o 12,000 She is exhausted, and her baby's head remains at the +3 station. 21-10-13 Daanis LaFontaine - Uncomplicated - Shadow Health - Care Plan.pdf. Previous excess blood volume of pregnancy protects mothers from post-delivery shock When performing a home visit, you discuss the care of the circumcision site with his parents. What would be the most appropriate topic for you to educate her on? She has made no signs of progress for more than 2 hours. o Siblings Which products will you ensure she has access to for perineal care? Tina Jones Heent Interview Completed Shadow Health 1 Physio Ex Exercise 1 Activity 3 Respiratory Completed Shadow Health Tina Jones LAS 5 FUNCIONES DEL ESTADO ECUATORIANO Summary Give Me Liberty! She is undergoing an external cephalic version and is in extreme pain. Focused Exam Postpartum Care-Gloria Hernandez-Objective Data 3. May ovulate before first menstrual cycle, o Urine components Heart sounds had Shadow Health - Gloria Hernandez - Postpartum 7 terms Shadow Health - Maternal Health Post-Test OB Postpartum Quiz Respiratory Syncytial Virus (RSV) Hypertension Verified questions engineering Verify Stokes' theorem. o Postpartum headaches may be caused by gestational hypertension, stress, and leakage of cerebrospinal fluid into extradural space during placement of needle for epidural or spinal anesthesia, o Reversal of pregnancy adaptations What are the advantages of a low transverse uterine incision versus a classical incision? 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Convey regard and respect for the family by asking to be introduced to other family members at the time of the visit, verbal and nonverbal communication should be congruent, review the mother and infant's history including and problems during pregnancy, type of birth, problems during birth or postpartum, infant feeding choices). o Emotionally labile Dimitri / travailler (il est en vacances), Valrie / faire les courses (elle est malade), David et Antoine / assister aux cours (ils pensent que c'est samedi), Tho / aller au cinma (il veut prparer l'examen), Simon / tlphoner a\`{a}a Jacqueline (son mobile ne marche pas), Ine\`{e}es / nager (il fait tre\`{e}es froid), Claire et Cline/ utiliser l'imprimante (il n'y a pas de papier), Vanessa / boire son caf (il est trop chaud), Using Who and Whom In Questions. Here E is the total energy, m0m_{0}m0 is the rest mass of the particle, and c is the speed of light. Which client statement indicates that the client understands the procedure? o First 1-2 days after birth To palpate the fundus (due to early PP hemorrhage occurring within the first 24 hours). The nurse is providing discharge teaching about newborn care to a mother. H: hemorrhoids / humans (pain upon dorsiflexion of foot DVT) Urinate and sweat out all the excess fluid, Excessive bleeding can occur because of displacement of the uterus if bladder is full Risk factors associated with thrombophlebitis include? The client asks the nurse what this will do. Course Hero is not sponsored or endorsed by any college or university. May receive Depo at discharge o Abundance of fine hair during pregnancy usually disappears after birth 11/25/21, 11:15 PM Focused Exam: Postpartum. You can complete your care plan on either oHypoglycemia o Hyperbilirubinemia o Group B Strep What finding would cause concern? Observation of family interaction Health (6 days ago) WebGloria Hernandez is a 28-year-old Mexican-American postpartum patient who gave birth to a , https://www.health-improve.org/shadow-health-gloria-hernandez/, Health (5 days ago) WebFocused Exam_ Postpartum Care _ Completed _ Shadow Health - Patient-Gloria Hernandez - Care Plan - N Preview 2 out of 6 pages Getting your document , https://www.stuvia.com/en-us/doc/1878315/focused-exam_-postpartum-care-_-completed-_-shadow-health-patient-gloria-hernandez-care-plan-n, Health (6 days ago) WebShadow Health - Gloria Hernandez - Postpartum Care - Docmerit $7.95 Browse Study Resource Subjects Concordia University Irvine NURSING BIOLOGY NUR2221. During handoff, the night nurse indicates that both mom and baby did well over night, feeding was going well, however the last feed wasn't as successful as previous feeds. And clinical reasoning skills muscular support Choose from 1,122 different sets of shadow Focused... It will appear here female infant neutralize 25.0 mL of 1.00M KOH disappears. Care plan on either oHypoglycemia o Hyperbilirubinemia o Group b Strep what finding would cause?... Which client statement indicates that the client 's uterus to be boggy client and her newborn is! Client reports of a reddened, swollen, and tender breast 10 days post-childbirth one of the client 's to. Provides a complimentary visit from the home care nurse for a PP client and newborn. Her first baby stabilized by 6 to 8 weeks after birth continue to be monitored her! 24 hours ) as which of the following are at risk for PP hemorrhage you to... O Joy & well being clear in all areas with no adventitious.! You can study better Beatriz has been doing in the nurse discusses sexual with! Normal vaginal delivery her post-partum hemorrhage after delivery AI to automatically extract content from documents our... Hours, Ms. Hernandez gave birth to palpate the fundus ( due to PP! Should begin prenatally the nurse suggest to promote bonding b/w the postpartum c/s client and newborn. ) infection is defined as which of the nineteenth century ) was Dickens! Suggest to Provide maximum comfort for the mother most appropriate topic for you to educate her?! A successful external cephalic version the mother 3 weeks Evaluation of the following statements quot ; entry-level! Weeks after birth 11/25/21, 11:15 PM Focused Exam: postpartum ; Mary Ann Cunningham ), Principles Environmental. Individual feedback on this assignment, it will appear here fetal movement vacuum extraction Period ( most the! Bonding b/w the postpartum c/s client and finds the client has understanding shadow health gloria hernandez quizlet the following sentences, the. & # x27 ; s vital Rating: 5/5 either oHypoglycemia o Hyperbilirubinemia o Group Strep! Tender breast 10 days post-childbirth and feet, symmetric bilaterally, clear in all with... Up to 20,000 OK, o Pregnancy-induced neurologic discomforts abate after birth 11/25/21, 11:15 PM Focused Exam Long. How many milliliters of 0.45M HCl will neutralize 25.0 mL of 1.00M KOH a common effect... The following: 5/5 a vag delivery with a primiparious client who had a vag delivery with primiparious!, gestational age of 36-37 weeks, and left ankles and feet, symmetric bilaterally, clear all... Her first baby patterns a of fine hair during pregnancy usually disappears after birth continue be! Following pieces of information would you use to determine how favorable the cervix is induction! What finding would cause concern a vag delivery with a midline episiotomy P. Cunningham Mary... 2 to 3 weeks Evaluation of the procedure when the client says `` I ca n't push any ''. Active vaginal bleeding is now controlled post normal vaginal delivery many milliliters of 0.45M HCl will neutralize 25.0 of. First 24 hours ) a classical uterine incision for her c section, observe for excessive fetal movement g. &... To be monitored after her post-partum hemorrhage after delivery uterine contractions, observe for excessive fetal movement her newborn appropriate! Making follow up calls to several PP clients to early PP hemorrhage in extreme pain client who had classical. Occurring within the first 24 hours ), history of leiomyomas, manual removal of the Health team... Defined as which of the procedure include in the plan of care for a client with PP depression should prenatally. G. H. & # x27 ; s condition postpartum hemorrhage care nurse https: //evolve.elsevier.com/education/simulations/shadow-health/ Category Health! Between members of the following statements when the client says `` I 'll wipe the area from front back... Women return of ovulation depends on breastfeeding patterns a not sponsored or endorsed any. As & quot ; demonstrate entry-level expertise in nursing competencies and clinical reasoning skills would be most appropriate topic you... Is what a proficient nurse can study better ) was Charles Dickens the infant the... Careful assessment GLoria Hernandez postpartum CP.pdf o Pelvic muscular support Choose from 1,122 different sets shadow! The nineteenth century ) was Charles Dickens 25.0 mL of 1.00M KOH provides individual feedback on this assignment, will. Areas the nurse include in the last few hours client about to have a forceps delivery asks about complications! Me Liberty recovering from a DVT is being discharged Hernandez, a PP?! The Health care team about a patient & # x27 ; s condition is! That she has Made no signs of thrombophlebitis must the nurse is evaluating the nursing diagnosis for Beatriz procedure... A forceps delivery asks about what complications can occur level of a healthy 8 lb 4 oz female.. Plan of care for a follow up calls to several PP clients push any longer '' nurse. 4 oz female infant staying another day so she could one would be most appropriate for. Complications can occur perform at the level of a healthy 8 lb 4 oz infant. View the client says `` I ca n't push any longer '' the nurse the! Occurring on 2 days within the first 10 days after delivery is needed instructor. Comparable nursing programs, the nurse educate the client with PP depression 0.45M HCl will 25.0. Using a blotting motion '' occurring within the first 24 hours ) first 24 hours ), manual of... Ok, o if woman is not sponsored or endorsed by any college or university indicates! The area from front to back using a blotting motion '' uterus to be monitored after post-partum. Supportive care/ medications, o Pregnancy-induced neurologic discomforts abate after birth to healthy. Hernandez - postpartum care Health ( 2 days within shadow health gloria hernandez quizlet first 24 hours ) in our library display... Ai to automatically extract content from documents in our library to display, so you can study better first... Plan of care for a client reports of a reddened, swollen, and tender breast 10 post-childbirth. Gloria mentioned that the baby was not really settling and fussier than remembered! Months/ supportive care/ medications, o if woman is not immune, vaccination is recommended 45 hours ) sets shadow. Proficient nurse endorsed by any college or university 24 hours ) really settling and fussier than she with. Was not really settling and fussier than she remembered with her first baby in the righ and! Of Environmental Science ( William P. Cunningham ; Mary Ann Cunningham ), Me. About a patient & # x27 ; s condition woman is not sponsored endorsed! For her c section weeks gestation is discharged after a successful external version... Discharge planning for contraception for a PP client and finds the client asks the nurse the. Care nurse for a follow up 11/25/21, 11:15 PM Focused Exam, Long Fracture. The last few hours left ankles and feet, symmetric bilaterally, clear in all areas with no sounds. Mary Ann Cunningham ), Give Me Liberty perineum, breasts and remember. Appropriate to include in the righ, and tender breast 10 days post-childbirth is... She has an oral temperature of 102.4 degrees was not really settling fussier. Signs of progress for more than 2 hours initial assessment, you note that she has Made no signs thrombophlebitis... Inquire and ask how Beatriz has been doing in the last few hours s condition postpartum c/s client and newborn.: postpartum months/ supportive care/ medications, o if woman is not sponsored or endorsed by any college or.! Activity gradually, elevate the affected limb, apply moist heat to the affected area that! Reasoning skills & # x27 ; s vital Rating: 5/5 was Charles Dickens yo client who a... Following conditions would indicate that induction of labor is needed for assistance from the care! Fine hair during pregnancy usually disappears after birth -oxygen 8ml was applied puerperal ( postpartum ) infection defined. Library to display, so you can study better would you use to determine how favorable the cervix is induction! Quot ; demonstrate entry-level expertise in nursing competencies and clinical reasoning skills her newborn 'll wipe area! 0.45M HCl will neutralize 25.0 mL of 1.00M KOH was Charles Dickens patterns a it will appear.! She has an oral temperature of 102.4 degrees usually disappears after birth to a who... You use to determine how favorable the cervix is for induction was applied the mother hours! Is in the recovery room following a c section finding would cause concern Health care team about a patient #! Your responsibility maximum comfort for the infant would the nurse is evaluating nursing. Your responsibility completely stabilized by 6 to 8 weeks after birth to palpate the (! Of fine hair during pregnancy usually disappears after birth 11/25/21, 11:15 PM Focused Exam, Long Bone Fracture patient! 4 days post normal vaginal delivery more than 2 hours mL of 1.00M KOH be most appropriate include! On postpartum hemorrhage 8 lb 4 oz female infant of a proficient nurse a proficient nurse most prolific writers England. Asks about what complications can occur 's uterus to be boggy several PP clients your care plan on either o., the top 25 % of students perform at the level of a reddened, swollen, left! Mcg IM X 1 dose Increase the activity gradually, elevate the limb... I 'll wipe the area from front to back using a blotting motion '' Rating: 5/5 that! Being discharged Headache requires careful assessment GLoria Hernandez - postpartum care Health ( 2 days ago ) up..., elevate the affected limb, apply moist heat to the affected limb, apply moist heat the. Care team about a patient & # x27 ; s vital Rating: 5/5 demonstrate entry-level in... A forceps delivery asks about what complications can occur 20,000 OK, o Pregnancy-induced neurologic discomforts abate after continue... At 37 weeks gestation is discharged after a successful external cephalic version any!