Author Question: The nurse is caring for a newborn that weighed 7 lb 3 oz at birth. What action should the nurse take ... (Read 29 times)

Engineer · **on:** Jun 27, 2018

The nurse is caring for a newborn that weighed 7 lb 3 oz at birth. What action should the nurse take first based on this weight?

A) Plot the weight on a gestational age graph.
B) Ask for a physician to examine the newborn.
C) Draw additional blood work for cholesterol level.
D) Turn off the radiant heat warmer for physical assessment.

Question 2

A nursing student is preparing a class presentation about changes in the various body systems during the postpartum period and their effects.

Which of the following would the student include as influencing a postpartum woman's ability to void? (Select all that apply.) A) Use of an opioid anesthetic during labor
B) Generalized swelling of the perineum
C) Decreased bladder tone from regional anesthesia
D) Use of oxytocin to augment labor
E) Need for an episiotomy

SAUXC · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

A
Feedback:
A newborn's weight is important because it helps to determine maturity as well as establish a baseline against which all other weights can be compared. The birth weight of newborns varies depending on the racial, nutritional, intrauterine, and genetic factors that were present during conception and pregnancy. The weight in relation to the gestational age should be plotted on a standard neonatal graph. The nurse does not need to ask a physician to examine the newborn. There is no evidence to suggest that the infant needs a cholesterol level drawn. The weight does not influence if the newborn needs to be placed in a radiant heat warmer.

Answer to Question 2

B, C, D
Feedback:
Many women have difficulty feeling the sensation to void after giving birth if they received an anesthetic block during labor (which inhibits neural functioning of the bladder) or if they received oxytocin to induce or augment their labor (antidiuretic effect). These women will be at risk for incomplete emptying, bladder distention, difficulty voiding, and urinary retention. In addition, urination may be impeded by perineal lacerations; generalized swelling and bruising of the perineum and tissues surrounding the urinary meatus; hematomas; decreased bladder tone as a result of regional anesthesia; and diminished sensation of bladder pressure as a result of swelling, poor bladder tone, and numbing effects of regional anesthesia used during labor.