Benefits of immediate skin to skin contact include (Select all that apply):
Delayed bonding with maternal newborn dyad
Decreased breastfeeding exclusivity
Regulation of blood sugar
Stabilization of temperature
Transfer of good bacteria from amniotic fluid and vernix
Improvement of lung and heart function
Correct Answer : C,D,E,F
Choice A: Delayed bonding with maternal newborn dyad is not a benefit of immediate skin to skin contact. On the contrary, immediate skin to skin contact promotes bonding and attachment between the mother and the newborn by stimulating the release of oxytocin and enhancing the maternal-infant interaction.
Choice B: Decreased breastfeeding exclusivity is not a benefit of immediate skin to skin contact. On the contrary, immediate skin to skin contact facilitates breastfeeding initiation and duration by supporting the newborn's innate feeding behaviors and increasing the mother's confidence and milk production.
Choice C: Regulation of blood sugar is a benefit of immediate skin to skin contact. Immediate skin to skin contact helps prevent hypoglycemia in the newborn by increasing the glucose uptake from the mother's skin and reducing the stress hormone levels that inhibit insulin secretion.
Choice D: Stabilization of temperature is a benefit of immediate skin to skin contact. Immediate skin to skin contact helps maintain the newborn's body temperature by providing a warm and insulated environment and reducing heat loss through convection, radiation, and evaporation.
Choice E: Transfer of good bacteria from amniotic fluid and vernix is a benefit of immediate skin to skin contact. Immediate skin to skin contact helps colonize the newborn's skin and gut with beneficial microorganisms from the mother's amniotic fluid and vernix, which can protect the newborn from infections and enhance the immune system development.
Choice F: Improvement of lung and heart function is a benefit of immediate skin to skin contact. Immediate skin to skin contact helps improve the newborn's respiratory and cardiovascular status by stimulating the vagal nerve and increasing the oxygen saturation and blood pressurE.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice B. Report the client's temperature elevation is incorrect. The client's temperature is within the normal range for a postpartum woman, which can be slightly elevated due to dehydration, increased metabolism, or breast engorgement. A fever of 38°C (100.4°F. or higher could indicate an infection and should be reporteD.
Choice C. Increase IV fluids is incorrect. The client does not have signs of hypovolemia or dehydration that would require increased IV fluids. Excessive fluid administration can cause fluid overload and pulmonary edema in postpartum women.
Choice D. Encourage the client to nurse more frequently so her milk will come in is incorrect. The client's breasts are soft, which indicates that her milk has not come in yet. Nursing more frequently will stimulate milk production, but it will not help with the current problem of uterine atony and hemorrhagE. The nurse should massage the fundus and administer oxytocin as prescribed to enhance uterine contraction.
Correct Answer is B
Explanation
Choice A: Maternal pelvis is gynecoid is not a contributing factor of difficult, prolonged labor. On the contrary, a gynecoid pelvis is the most favorable shape for vaginal delivery, as it has a round inlet and a wide outlet that can accommodate the fetal heaD.
Choice B: Fetal position is persistent occiput posterior is a contributing factor of difficult, prolonged labor. In this position, the back of the fetal head is against the mother's sacrum, which can cause a poor fit in the pelvis and increase the resistance and the pressure on the maternal tissues. This can result in a longer and more painful labor, often associated with a severe backachE.
Choice C: Fetal attitude is in general flexion is not a contributing factor of difficult, prolonged labor. On the contrary, a general flexion attitude is the most optimal for vaginal delivery, as it allows the smallest diameter of the fetal head to pass through the birth canal.
Choice D: Fetal lie is longitudinal is not a contributing factor of difficult, prolonged labor. On the contrary, a longitudinal lie is the most common and favorable for vaginal delivery, as it means that the long axis of the fetus is parallel to the long axis of the mother.
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