Which of the following nursing actions can prevent or detect ...

[jake]

Which of the following nursing actions can prevent or detect common side effects of epidural anesthesia? Select all that apply.
 
  1. Preloading the client with a rapid infusion of IV fluids
  2. Continuing the client on p.o. fluids only to prevent hypotension
  3. Monitoring the FHR for late deceleration and decrease in rate
  4. Use of intermittent FHR monitoring so the client can use the birthing ball

Question 2

Before a newborn and mother are discharged from the hospital, the nurse informs the parents about the normal screening tests for newborns. Which of the following are good reasons for having the screening tests done?
 
  1. The tests will prevent infants from developing phenylketonuria.
  2. The tests will detect such disorders as hypertension and diabetes.
  3. The tests will detect disorders that cause mental retardation, physical handicaps, or death if left undiscovered.
  4. The tests will prevent sickle-cell anemia, galactosemia, and hemocystinuria.

[mmj22343]

Answer to Question 1

1, 3
Rationale:
1. Hypotension can be prevented by preloading with rapid IV infusion followed by continuous IV infusion. Variability of FHR and late decelerations can occur if maternal hypotension occurs. Continuing FHR monitoring is essential.
2. Hypotension can be prevented by preloading with rapid IV infusion followed by continuous IV infusion. Variability of FHR and late decelerations can occur if maternal hypotension occurs. Continuing FHR monitoring is essential.
3. Hypotension can be prevented by preloading with rapid IV infusion followed by continuous IV infusion. Variability of FHR and late decelerations can occur if maternal hypotension occurs. Continuing FHR monitoring is essential.
4. Hypotension can be prevented by preloading with rapid IV infusion followed by continuous IV infusion. Variability of FHR and late decelerations can occur if maternal hypotension occurs. Continuing FHR monitoring is essential.

Answer to Question 2

3
Rationale:
1. The normal screening tests for newborns are done to detect disorders that cause mental retardation, physical handicaps, or death if left undiscovered. The testing will not prevent any disorders, and will not detect hypertension or diabetes.
2. The normal screening tests for newborns are done to detect disorders that cause mental retardation, physical handicaps, or death if left undiscovered. The testing will not prevent any disorders, and will not detect hypertension or diabetes.
3. The normal screening tests for newborns are done to detect disorders that cause mental retardation, physical handicaps, or death if left undiscovered. The testing will not prevent any disorders, and will not detect hypertension or diabetes.
4. The normal screening tests for newborns are done to detect disorders that cause mental retardation, physical handicaps, or death if left undiscovered. The testing will not prevent any disorders, and will not detect hypertension or diabetes.