Which finding could prevent early discharge of a newborn who is ...

[jman1234]

Which finding could prevent early discharge of a newborn who is now 12 hours old?
 
  a. Birth weight of 3000 g
  b. One meconium stool since birth
  c. Voided, clear, pale urine three times since birth
  d. Infant breastfed once with some difficulty latching on and sucking and once with some success for about 5 minutes on each breast.

Question 2

The nurse is precepting a student who asks about fetal circulation. The nurse explains that the fetal circulatory shunts are still required after birth. Is this statement true or false?
 
  Indicate whether the statement is true or false

[ndhahbi]

Answer to Question 1

D

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A Birth weight of 3000 g is a normal infant finding and would not prevent early discharge.
B One meconium stool since birth is a normal infant finding and would not prevent early discharge.
C Voiding three times since birth is a normal infant finding and would not prevent early discharge.
D This finding indicates that the infant is having some difficulty with breastfeed-ing. The infant needs to complete at least two successful feedings (normal suck-ing and swallowing) before an early discharge.

Answer to Question 2

F
Fetal circulatory shunts are not needed after birth because the infant oxygenates blood in
the lungs, metabolizes substances in the liver, and stops circulating blood to the placenta.
As the infant breathes, blood flow to the lungs increases, pressure in the right-sided heart
falls, and the foramen ovale closes.

[jman1234]

TYSM

[Dominic]

Excellent