The nurse is teaching a group of student nurses about the newborn ...

[vHAUNG6011]

The nurse is teaching a group of student nurses about the newborn and immunity, emphasizing that: Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.
 
  1. The newborn's immune system is fully developed at birth.
  2. Hypothermia is a reliable sign of infection in the newborn.
  3. The newborn has a good hypothalamic response to pyrogens.
  4. Signs and symptoms of infection are often subtle and nonspecific in the newborn.
  5. The newborn's immune system cannot recognize and destroy bacteria.

Question 2

The charge nurse has received the shift change report. Which client requires immediate intervention?
 
  1. Woman at 6 cm undergoing induction of labor, strong contractions every 3 minutes
  2. Woman at 4 cm whose fetus is in a longitudinal lie with a cephalic presentation
  3. Woman at 10 cm and fetus at +2 station experiencing a strong expulsion urge
  4. Woman at 3 cm screaming in fear because her mother died during childbirth

[Hikerman221]

Answer to Question 1

2,4,5
Rationale 1: The newborn's immune system is not fully activated until sometime after birth.
Rationale 2: Hypothermia is a reliable sign of infection in the newborn.
Rationale 3: The newborn has a poor hypothalamic response to infections.
Rationale 4: Signs and symptoms of infection in the newborn are often subtle and nonspecific.
Rationale 5: Because of a limitation in the inflammatory response, there is a failure to recognize and destroy bacteria.

Answer to Question 2

4
Explanation: 4. This client is most likely fearful that she will die during labor because her mother died during childbirth. This client requires education and a great deal of support, and is therefore the top priority.