During labor, the fetus was in a brow presentation, but after a prolonged labor, the fetus converted to face presentation and was delivered vaginally with forceps assist. What should the nurse explain to the parents?
1. The infant will need to be observed for meconium aspiration.
2. Facial edema and head molding will subside in a few days.
3. The infant will be given prophylactic antibiotics.
4. Breastfeeding will need to be delayed for a day or two.
2
Explanation: 2. Any facial edema and head molding that result from the use of forceps at birth will subside in a few days.
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When talking with the family of a critical care patient, the nurse needs to
A) be gentle and indirect. B) have a futuristic approach. C) show interest and empathy. D) be distant and professional.
A nurse is caring for a client with venous stasis whose lower extremities have a brown pigmentation appearance. Which is this pigmentation appearance best attributed to?
A) The necrosis of subcutaneous fat due to tissue hypoxia B) Breakdown of red blood cells in the congested tissues C) The inflammatory and immune response from congested circulation D) Skin atrophy caused by lack of circulation
What is the priority nursing diagnosis for a client with complex regional pain syndrome?
A. Chronic Pain B. Self-care Deficit C. Activity Intolerance D. Impaired Physical Mobility
As the occupational health nurse in a factory finds that five employees out of 30 have positive tuberculin skin test results. One employee on the 3-to-11 shift has been diagnosed with active tuberculosis (TB)
She asks if this means that the whole factory has been exposed. The nurse replies that the probability of infection depends upon: (Select all that apply.) A) Concentration of infectious droplet nuclei in the air B) Duration of exposure to the infected person C) Proximity to the infected person D) The use of safety gloves by employees E) Physical exertion required in the job