Marfan syndrome is an autosomal dominant genetic disorder that displays as weakness of the connective tissue, joint deformities, ocular dislocation, and weakness to the aortic wall and root
While providing care to a client with Marfan syndrome during labor, which intervention should the nurse complete first?
a. Antibiotic prophylaxis c. Surgery
b. ?-Blockers d. Regional anesthesia
ANS: A
Because of the potential for cardiac involvement during the third trimester and after birth, treatment with prophylactic antibiotics is highly recommended. ?-Blockers and restricted activity are recommended as treatment modalities earlier in the pregnancy. Regional anesthesia is well tolerated by clients with Marfan syndrome; however, it is not essential to care. Adequate labor support may be all that is necessary if an epidural is not part of the woman's birth plan. Surgery for cardiovascular changes such as mitral valve prolapse, aortic regurgitation, root dilation, or dissection may be necessary. Mortality rates may be as high as 50% in women who have severe cardiac disease.
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Iv pb
What will be an ideal response?
When the nurse performs the Nitrazine test on vaginal secretions of a primigravida who thinks her membranes have ruptured, the paper turns yellow. The nurse assesses this finding to indicate:
a. acidic discharge, membranes intact. b. acidic discharge, membranes have ruptured. c. neutral, not enough discharge to measure. d. alkaline, membranes have ruptured.
A drug that is taken daily to help reduce the desire for alcohol is
1. Atarax. 2. Antabuse. 3. methadone. 4. antialcohol.
Which of these strategies would be most effective for a "teachable moment" during a routine office visit for the parents of a 6-year-old child?
1. Select one topic and present a briefamount of information on the topic. 2. Review all 6-year-old anticipatoryguidelines with the parents. 3. Review 7-year-old anticipatoryguidelines with the parents. 4. Discuss signs of malnutrition withthe parents.