Which nursing diagnosis has the highest priority for the infant ...

[CBme]

Which nursing diagnosis has the highest priority for the infant with a congenital diaphragmatic hernia?
 
  a. Risk for infection related to the immature immune system
  b. Imbalanced nutrition: less than body requirements related to NPO status
  c. Acute pain related to procedures and treat-ments
  d. Ineffective breathing pattern related to structural anomaly

Question 2

The maternity nurse understands that as the uterus contracts during labor, maternal-fetal exchange of oxygen and waste products
 
  a. Continues except when placental functions are reduced
  b. Increases as blood pressure decreases
  c. Diminishes as the spiral arteries are compressed
  d. Is not significantly affected

[annierak]

Answer to Question 1

D
The nursing diagnosis with the highest priority for the infant with a congenital diaphragmatic hernia is ineffective breathing pattern related to structural anomaly. A diaphragmatic hernia causes an ineffective breathing pattern, because it allows the abdominal organs to be displaced into the left side of the chest, decreasing lung capacity.

Answer to Question 2

C
Feedback
A The maternal blood supply to the placenta gradually stops with contractions.
B The exchange of oxygen and waste products decreases.
C During labor contractions, the maternal blood supply to the placenta gradually
stops as the spiral arteries supplying the intervillous space are compressed by the
contracting uterine muscle.
D The exchange of oxygen and waste products is affected by contractions.