A client expresses concerns that her grandmothers had complicated pregnancies. What principle(s) should the nurse discuss to allay the fears of the client? Select all that apply.
"We support those at risk of having a preterm births with the goal of delaying early births."
"We will work with you to identify prenatal risk factors early and take actions to reduce their impact."
"We allow families to grieve the loss of a newborn, should it occur."
"We work to ensure care for mothers and infants to reduce infant illnesses, disabilities, and death."
"We work to ensure that birth of high-risk infants happens in settings where we are able to care for them."
Correct Answer : A,B,D,E
A. This principle aims to prevent or minimize the complications associated with preterm births, such as respiratory distress, bleeding, infection, and developmental delays.
B. Early identification of prenatal risk factors and taking actions to mitigate them can help reassure the client by demonstrating proactive care.
C. While important, this choice is more about addressing potential outcomes rather than preventing complications during pregnancy.
D. Ensuring care for mothers and infants to reduce adverse outcomes addresses the concerns about complicated pregnancies by emphasizing preventive measures.
E. This choice focuses on ensuring appropriate care for high-risk infants, which is relevant to addressing concerns about complicated pregnancies.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D","E"]
Explanation
A. Providing early feedings can help prevent hypoglycemia, a common complication of polycythemia.
B. Maintaining oxygen saturation parameters, which can indicate the adequacy of tissue oxygenation and perfusion.
C. Obtaining hemoglobin and hematocrit laboratory tests is essential for diagnosing and monitoring polycythemia.
D. Polycythemic neonates may have decreased urinary output due to reduced renal blood flow, dehydration, or increased risk of thrombosis. The nurse should monitor the urinary output and report any signs of oliguria, anuria, hematuria, or renal failure.
E. A peripheral IV is a catheter inserted into a vein to administer fluids, medications, or blood products. Polycythemic neonates may require a partial exchange transfusion, which is a procedure where some of the neonate's blood is removed and replaced with normal saline or donor blood. This can help lower the hematocrit and viscosity and improve oxygen delivery and tissue perfusion. The nurse should insert a peripheral IV and prepare for the transfusion as ordered by the physician.
Correct Answer is D
Explanation
A. Asphyxia would typically manifest differently on a chest X-ray, possibly showing signs of lung collapse or consolidation.
B. Persistent pulmonary hypertension may present with other radiographic findings, such as enlargement of the heart or signs of pulmonary edema.
C. Transient tachypnea of the newborn might not produce a distinct ground glass pattern on chest X-ray.
D. Ground glass appearance on a chest X-ray is commonly associated with respiratory distress syndrome, a condition characterized by inadequate surfactant production in premature infants.
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