Author Question: The nurse manager of a labor and delivery unit is reviewing the skill set needed for the nursing ... (Read 78 times)

arivle123 · **on:** Jun 27, 2018

The nurse manager of a labor and delivery unit is reviewing the skill set needed for the nursing staff to meet the 2020 National Health Goals regarding preterm births.

Which skills should the manager validate that the nursing staff has to meet these goals? (Select all that apply.) A) Resuscitation at birth
B) Actions to prevent apnea
C) Identify characteristics of preterm labor
D) Actions to prevent maternal hypotension
E) Interventions to prevent intraventricular hemorrhage

Question 2

After teaching a group of nursing students about the impact of pregnancy on the older woman, the instructor determines that the teaching was successful when the students state which of the following?

A) The majority of women who become pregnant over age 35 experience complications..
B) Women over the age of 35 who become pregnant require a specialized type of assessment..
C) Women over age 35 and are pregnant have an increased risk for spontaneous abortions..
D) Women over age 35 are more likely to have substance abuse problems..

T4T · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

A, B, C, E
Feedback:
Nurses can help the nation achieve the 2020 National Health Goals for preterm births by teaching women the symptoms of preterm labor so that birth can be delayed until infants reach term. Nurses also need to be prepared for resuscitation at birth of high-risk infants and to plan developmental care that can help prevent conditions such as apnea and intraventricular hemorrhage. Actions to prevent maternal hypotension would not help achieve the 2020 National Health Goals for preterm labor.

Answer to Question 2

C
Feedback:
Numerous studies have shown that increasing maternal age is a risk factor for infertility and spontaneous abortions, gestational diabetes, chronic hypertension, preeclampsia, preterm labor and birth, multiple pregnancy, genetic disorders and chromosomal abnormalities, placenta previa, IUGR, low Apgar scores, and surgical births (Bayrampour & Heaman, 2010). However, even though increased age implies increased complications, most women today who become pregnant after age 35 have healthy pregnancies and healthy newborns. Nursing assessment of the pregnant woman over age 35 is the same as that for any pregnant woman. Women of this age have the same risk for substance abuse as any other age group.