A nurse is caring for a client who is at 42 weeks of gestation and is in labor.
The client asked the nurse what to expect because the baby is postmature.
Which of the following statements should the nurse make?
Your baby will have excess body fat
Your baby will have flat areola without breast buds
Your babies heels will easily move to his ears
Your baby skin will have a leathery appearance.
The Correct Answer is D
This is because postmature babies lose the protective vernix that covers their skin in utero, and their skin becomes dry and cracked. Postmature babies also have less subcutaneous fat, which makes them look thin and wrinkled.
Choice A is wrong because postmature babies have less body fat than term babies, not more. They use up their fat stores to survive in the womb beyond 42 weeks of gestation.
Choice B is wrong because postmature babies have well-developed breast buds and areola, not flat ones. Breast development is a sign of fetal maturity that occurs around 36 weeks of gestation.
Choice C is wrong because postmature babies have less flexibility in their joints and muscles, not more. They have less amniotic fluid to cushion their movements, and their bones become more ossified as they grow older.
Normal ranges for gestational age are 37 to 42 weeks. Babies born before 37 weeks are considered preterm, and babies born after 42 weeks are considered postmature.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Encouraging frequent breastfeeding.
This is because breastfeeding provides glucose to the newborn baby, which can help prevent or treat hypoglycemia (low blood sugar).Hypoglycemia can cause problems such as shakiness, blue tint to the skin, and breathing and feeding problems.
Choice A is wrong because administering IV insulin would lower the blood sugar level even more, which could be dangerous for the baby.
Choice C is wrong because monitoring blood pressure is not directly related to hypoglycemia.
Blood pressure may be affected by other factors such as stress, infection, or dehydration.
Choice D is wrong because administering a hypertonic saline solution would increase the sodium level in the blood, which could cause dehydration and electrolyte imbalance.
A hypertonic saline solution is not a source of glucose for the baby.
Normal ranges for blood glucose levels in newborns are between 47 to 85 mg/dL.Hypoglycemia is defined as blood glucose below 47 mg/dL.
Correct Answer is C
Explanation
Corn tortillas.
Celiac disease is a condition that causes damage to the small intestine when gluten is ingested.
Gluten is a protein found in wheat, barley, rye and oats.
Corn tortillas are made from corn flour, which does not contain gluten and is safe for people with celiac disease.
Choice A is wrong because whole wheat bread contains gluten, which can trigger an immune response and damage the small intestine in people with celiac disease.
Choice B is wrong because oatmeal cookies also contain gluten, either from the oats themselves or from cross-contamination with other grains.
Choice D is wrong because barley soup contains barley, which is another source of gluten that can harm people with celiac disease.
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