A maternity nurse should be aware of which fact about the ...

[LCritchfi]

A maternity nurse should be aware of which fact about the amniotic fluid?
 
  a. It serves as a source of oral fluid and a repository for waste from the fetus.
  b. The volume remains about the same throughout the term of a healthy pregnancy.
  c. A volume of less than 300 ml is associated with gastrointestinal malformations.
  d. A volume of more than 2 L is associated with fetal renal abnormalities.

Question 2

A mother of a 16-week-old infant calls the clinic, and is concerned because she cannot feel the posterior fontanelle on her infant. Which of the responses by the nurse would be most appropriate?
 
  1. It is normal for the posterior fontanelle to close by 812 weeks after birth.
  2. Bring your infant to the clinic immediately.
  3. This is due to overriding of the cranial bones during labor.
  4. Your baby must be dehydrated.

[lcapri7]

Answer to Question 1

A

Feedback
A Amniotic fluid also cushions the fetus and helps maintain a constant body temperature.
B The volume of amniotic fluid changes constantly.
C Too little amniotic fluid (oligohydramnios) is associated with renal abnormalities.
D Too much amniotic fluid (hydramnios) is associated with gastrointestinal and other abnormalities.

Answer to Question 2

1
Rationale
1. This is a normal finding at 16 weeks. The posterior fontanelle closes within 812 weeks.
2. The posterior fontanelle closes within 812 weeks. This is a normal finding at 16 weeks, and does not require emergency evaluation.
3. Overriding of the cranial bones is referred to as molding, and will diminish within a few days following birth.
4. Fontanelles can be depressed when the infant is dehydrated.

[LCritchfi]

TYSM

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