The normal newborn nursery nurse is preparing to receive four term newborns who delivered a few minutes ago. What labor characteristic will most likely require action by the nurse?
1. Multip experienced a precipitous delivery of a 7 pound, 3 ounce female.
2. Mother received IV narcotics 30 minutes prior to birth.
3. Maternal temperature of 99.0°F at time of delivery
4. Infant delivered in a face presentation mentum anterior
2
Rationale 1: Precipitous delivery can lead to an infant with an ecchymotic face, but the infant is not likely to require additional action.
Rationale 2: Narcotics within one hour of birth can cause respiratory depression in the neonate. This infant will require close observation.
Rationale 3: This temperature is not high enough to cause problems with the neonate.
Rationale 4: Although this infant will have an ecchymotic and edematous face, and parents will need to be taught that these findings will resolve in a few days, this infant is not at risk for other complications.
You might also like to view...
While auscultating the heart of a 5-year-old child, the nurse notes a murmur that is soft and quiet and heard each time the heart is auscultated. The nurse documents this finding as which of the following?
A) Grade 1 B) Grade 2 C) Grade 3 D) Grade 4
When assessing a newborn, the nurse finds areas at the base of the spine that look like bruises. The nurse knows that these areas are most common in infants of which of the following ethnic backgrounds?
A) Pacific Islanders B) Italian American C) African American D) Irish American
A psychiatric–mental health nurse working in the community is planning an educational program for fifth- and sixth-grade teachers. Which of the following would the nurse include?
A) Discussion of strategies the teachers can use to counteract the role media plays in encouraging eating disorders B) Emphasis on the need for teachers to focus their prevention efforts on female students C) Stressing the need to allow students to eat without undue attention or supervision in order to prevent inadvertently influencing eating patterns D) Clarification that peer pressure is not typically problematic in children who are in the fifth and sixth grades
_____ denotes the ability of cardiac cells to conduct electrical impulses from one cell to another.
A. Automaticity B. Excitability C. Conductivity