When membranes are ruptured, the fluid is green in color. The nurse knows that this meconium-stained fluid must be reported because at delivery
a. the baby will need prophylactic antibiotics
b. the mother will need prophylactic antibiotics
c. the baby will need double the amount of eye ointment
d. the baby will need suctioning prior to the delivery of the shoulders
D
As soon as the head delivers, the infant must have the nose and mouth suctioned prior to taking its first breath to prevent chance of further aspiration. The baby needing eye ointment refers to exposure to gonococcal infections, but the dose is not doubled in that event. Prophylactic antibiotics is not a standard of care, unless the neonate is symptomatic for aspiration. Remember, meconium stool is sterile. Also, prophylactic antibiotics for mother is not a standard of care.
You might also like to view...
A nurse interviews for a job in a hospital that advertises that it is "elderly friendly." The nurse would expect to see which of the following in place? (Select all that apply.)
a. An elder-assistance program to help pa-tients remember their appointments and navigate the hospital services. b. A long-term care facility that is affiliated with the hospital c. Rooms furnished with foldout beds for family members/caregivers d. An initiative to provide gerontological education for all nurses e. An initiative to increase the number of pa-tients referred to long-term care facilities upon discharge from the hospital
What should the nurse do during the evaluation phase of the nursing process?
A) Have patient provide input on quality of care B) Discontinue surgical sutures C) Provide follow-up appointment for postoperative patient D) Document improved gas exchange with incentive spirometry use
Thirst activates osmoreceptors by an increase in which blood plasma?
a. Antidiuretic hormone b. Aldosterone c. Hydrostatic pressure d. Osmotic pressure
In a family with four children, two of the children have been diagnosed with a mental illness
The other members of the family are highly accepting of their health challenges but need more information about counseling and medications. The nurse refers the family to the National Alliance on Mental Illness. What type of secondary prevention strategy is this? A) Support therapy B) Family education C) Family consultation D) Supportive education