While caring for the postterm infant, the nurse recognizes that the fetus may have passed meconium prior to birth as a result of
a. Hypoxia in utero
b. NEC
c. Placental insufficiency
d. Rapid use of glycogen stores
A
Feedback
A When labor begins, poor oxygen reserves may cause fetal compromise. The fetus
may passed meconium as a result of hypoxia before or during labor increasing
the risk of meconium aspiration.
B Necrotizing enterocolitis (NEC) is a serious inflammatory condition of the
intestinal tract that may lead to death of areas of the mucosa of the intestines.
SGA infants are at increased risk for NEC.
C If placental insufficiency is present, decreased amniotic fluid volume and
umbilical cord compression is likely to occur. This resulted in both hypoxia and
malnourishment of the fetus.
D Postterm infants should be assessed for hypoglycemia because of the rapid use of
glycogen stores.
You might also like to view...
A patient comes to the clinic asking for help to quit drinking alcohol. She has a 21-year history of heavy drinking and is worried about developing cirrhosis of the liver. The patient agrees to take disulfiram (Antabuse)
The nurse will teach the patient that the combination of alcohol and Antabuse will cause which of the following? A) Bradycardia B) Diarrhea C) Nausea D) Slight headache
Transdermal nicotine replacement (the patch) is an effective choice in tobacco cessation because:
1. The patch provides a steady level of nicotine without reinforcing oral aspects of smoking. 2. There is the ability to "fine tune" the amount of nicotine that is delivered to the patient at any one time. 3. There is less of a problem with nicotine toxicity than other forms of nicotine replacement. 4. Transdermal nicotine is safer in pregnancy.
Lesions on the elbows and knees that are well demarcated, thick, silvery, scaly, and erythematous characterize which type of psoriasis?
a. Plaque b. Inverse c. Guttate d. Erythrodermic
A primary care NP sees a 5-year-old child who is morbidly obese. The child has an elevated hemoglobin A1c and increased lipid levels
Both of the child's parents are overweight but not obese, and they tell the NP that they see nothing wrong with their child. They both state that it is difficult to refuse their child's requests for soda or ice cream. The NP should: a. suggest that they give the child diet soda and low-fat frozen yogurt. b. understand and respect the parents' beliefs about their child's self-image. c. initiate a dialogue with the parents about the implications of the child's laboratory values. d. suggest family counseling to explore ways to improve parenting skills and limits.