Author Question: The charge nurse is looking at the charts of laboring clients. Which client is in greatest need of ... (Read 51 times)

Mr. Wonderful · **on:** Jun 27, 2018

The charge nurse is looking at the charts of laboring clients. Which client is in greatest need of further intervention?

1. Woman at 7 cm, fetal heart tones auscultated every 90 minutes
2. Woman at 10 cm and pushing, external fetal monitor applied
3. Woman with meconium-stained fluid, internal fetal scalp electrode in use
4. Woman in preterm labor, external monitor in place

Question 2

A client at 20 weeks' gestation has not decided on a feeding method for her infant. She asks the nurse for advice. The nurse presents information about the advantages and disadvantages of formula-feeding and breastfeeding.

Which statements by the client indicate that the teaching was successful? 1. Formula-feeding gives the baby protection from infections.
2. Breast milk cannot be stored; it has to be thrown away after pumping.
3. Breastfeeding is more expensive than formula-feeding.
4. My baby will have a lower risk of food allergies if I breastfeed.

amcvicar · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

1
Explanation: 1. During active labor, the fetal heart tones should be auscultated every 30 minutes; every 90 minutes is not frequent enough.

Answer to Question 2

4
Explanation: 4. Secretory IgA, an immunoglobulin present in colostrum and mature breast milk, has antiviral, antibacterial, and antigenic-inhibiting properties and plays a role in decreasing the permeability of the small intestine to help prevent large protein molecules from triggering an allergic response.