Author Question: A client is admitted for oxytocin induction of labor due to post-dates. The nurse sees variable ... (Read 40 times)

silviawilliams41

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A client is admitted for oxytocin induction of labor due to post-dates. The nurse sees variable decelerations on the monitor. The nurse recognizes that in a post-date pregnancy, this most likely is caused by
 
  a. decreased amniotic fluid c. nuchal cord
  b. macrosomic infant d. placental insufficiency

Question 2

The nurse anticipates that the baby of a mother who has abused cocaine will exhibit what symptoms during the first day of life?
 
  a. Irritability, fussiness, and feeding difficulties
  b. Muscle rigidity, lethargy, and absent bowel sounds
  c. Diminished reflexes, sleepiness, and hypo-thermia
  d. Jitteriness, decreased reflexes, and fever



nmyers

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Answer to Question 1

A
Leakage of amniotic fluid is more likely in a postterm pregnancy, resulting in decreased amniotic fluid that can result in variable fetal decelerations because of umbilical cord compression. Macrosomic infant is a fetal complication associated with diabetes. Nuchal cord, also referred to as cord around the neck, is not a condition strongly associated with postterm pregnancy. Placental insufficiency can produce fetal heart tone decelerations, but the key in this question is postterm pregnancy.

Answer to Question 2

A
Irritability, fussiness, and feeding difficulties are common manifestations of the neonate having been exposed to cocaine during gestation. The other signs are not common manifestations of the neonate having been exposed to cocaine during gestation.



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nmyers

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