A nurse is planning care for a newborn who has spinal bifida. Which of the following actions should be included in the plan of care?
Obtain rectal temperatures.
Cover the lesion with a dry dressing
Apply snug, clean diapers.
Place the newborn in the prone position.
The Correct Answer is D
The newborn should be placed in prone position to prevent pressure to the lesion which may lead to damage to the contents of the sac. It should be covered with a sterile, wet gauze to maintain the integrity of the sac.
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Related Questions
Correct Answer is A
Explanation
Hypotension is a common complication associated with epidural anesthesia in labor. When the epidural anesthesia is administered, it can cause vasodilation, which can lead to a decrease in blood pressure. This decrease in blood pressure can result in hypotension. Measures such as administering intravenous fluids and positioning the client on her left side can help mitigate this complication. Vomiting, tachycardia, and respiratory depression are less common complications associated with epidural anesthesia in labor.
Correct Answer is C
Explanation
Insulin is the most commonly used medication for managing gestational diabetes because it does not cross the placenta and is considered safe for both the mother and the fetus. Other oral antidiabetic medications like repaglinide, glipizide, and acarbose are generally not recommended during pregnancy due to concerns about their safety for the fetus.
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