The client at 40 weeks' gestation reports to the nurse that she ...

[armygirl]

The client at 40 weeks' gestation reports to the nurse that she has had increased pelvic pressure and increased urinary frequency. Which response by the nurse is best?
 
  1. Unless you have pain with urination, we don't need to worry about it.
  2. These symptoms usually mean the baby's head has descended further.
  3. Come in for an appointment today and we'll check everything out.
  4. This might indicate that the baby is no longer in a head-down position.

Question 2

When providing anticipatory guidance to a new mother, what information does the nurse convey about the newborn's neurologic and sensory/perceptual functioning? Note: Credit will be given only if all correct and no incorrect choices are
 
  selected. Select all that apply. 1. Newborns respond to and interact with the environment in a predictable pattern of behavior, reacting differently to a variety of stresses.
  2. The usual position of the newborn is with extremities partially flexed, legs near the abdomen.
  3. Newborns do not react to bright light, and their eye movements do not permit them to fixate on faces or objects until they are 3 months of age.
  4. Newborns have the capacity to utilize self-quieting behaviors to quiet and comfort themselves.
  5. The newborn is very sensitive to being touched, cuddled, and held.

[kjohnson]

Answer to Question 1

2
Explanation: 2. This is the best response because it most directly addresses what the client has reported.

Answer to Question 2

1,2,4,5
Rationale 1: Newborns respond and interact with the environment in a predictable pattern of behavior that is shaped by their intrauterine experience.
Rationale 2: This is the common position of the newborn.
Rationale 3: Eye movements are observable during the first few days of life. A bright light shining in the newborn's eyes elicits the blinking reflex.
Rationale 4: Newborns have several behavioral capacities that assist in their adaptation to extrauterine life, such as fist sucking and staring at an external stimulus.
Rationale 5: A mother's first response to an upset or crying newborn is touching or holding.