managed care #2
Question 25 See full question 11m 36s The nurse assesses for complications in a newborn infant born with assistance of forceps. What findings would indicate a need for further assessment? Select all that apply. You Selected: reduction of movement in one of the infant's arms lifting causes the infant to cry loss of sensation in one the infant's arms Correct response: lifting causes the infant to cry reduction of movement in one of the infant's arms loss of sensation in one the infant's arms Explanation: A reported neonatal complication from use of forceps is Erb's palsy. Symptoms that would alert the nurse to Erb's palsy include paralysis and reduced sensation of the affected limb. Crying while lifting could indicate that the infant's clavicle is broken, another complication of a forceps birth. Redness, areas of ecchymosis, and edema are all expected after a forceps birth. Add a Note
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Question 24 See full question 1m 23s The nurse is providing follow-up care to a client 10 days after the birth. The nurse would anticipate what outcomes from the new mother? Select all that apply. You Selected: The client feels tired but can care for herself and her new infant. Lochia is changing from red to pink and is smaller in amount. The client has positive comments about her new infant. The family has adequate support from one another and others. Correct response: The client feels tired but can care for herself and her new infant. The family has adequate support from one another and others. Lochia is changing from red to pink and is smaller in amount. The client has positive comments about her new infant. Explanation: Outcome evaluation for a family about 7 days after childbirth would include a mother who is tired but is able to care for herself and her baby. Having adequate support systems enables the mother to care better for herself and family members, as they can provide the backup for situations that may arise and a resource for new families. The normal progression for lochia is to change from red to pink to off-white while decreasing in amount. This is within the usual time periods for a postpartum mother. The baby should be feeding more frequently than every 6 to 8 hours. It is expected that a 7-day old infant feeds every 3 to 4 hours if bottle-feeding and every 1½ to 3 hours if breastfeeding. Follow-up questions the nurse would ask to further evaluate this situation include, How many wet diapers the infant has daily? How alert the infant is? Did the infant gain any weight at the first checkup? It is expected that the mother has positive comments about the infant, but the nurse will evaluate to determine if there is at least one positive comment. Add a Note Bookmark this Question What's this?
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