1. A primipara has delivered a stillborn fetus at 30-weeks gestation. To assist the parents with the grieving process, which intervention is most
... [Show More] important for the nurse to implement?
A. Provide an opportunity for the parents to hold their infant in privacy.
B. Assist the couple in completing a request for autopsy
C. Encourage the couple to seek family counseling within the next few weeks
D. Explain the possible causes of the fetal demise
Answer:
A .
Step-by-Step explanation
The correct answer is A. Provide time for parents to hold their infant in privacy.
By doing so the parents will be convinced that the infant is actually gone and will
help them in their grieving process and thus can heal.
2. What is the priority nursing assessment immediately following the birth of an infant with esophageal atresia and a tracheoesophageal (TE) fistula?
A. Body temperature
B. Level of pain
C. Time of first void
D. Number of vessels in the cord
Answer:
A .
Step-by-Step explanation
As there is already deformity in the baby so the nusre need to check other body
systems.
Respiratory stress increases body temperature, it should be the priority assessment.
3. What is the most important assessment for the nurse to conduct following the administration of epidural anesthesia to a client who is at 40-weeks gestation?
A. Maternal blood pressure
B. Level of pain sensation
C. Station of presenting part
D. Variability of fetal heart rate
Answer:
A .
Step-by-Step explanation
The answer is A - Maternal blood pressure.
Epidural anesthesia is used as a pain reliever during child labor. This will paralyze
the area where the anesthesia is conducted, and it will create a senseless feeling from
the mother's belly to the upper legs.
The nurse should check the blood pressure of the mother because one of the side
effects of taking epidural anesthesia is the decrease in blood pressure. Because of
that, the heart rate of the baby may be slow.
Source (for further reading):
Epidurals. (n.d.). American Society of Anesthesiologists. Retrieved April 15, 2021,
from https://www.asahq.org/madeforthismoment/pain-
management/techniques/epidural/ [Show Less]