A primigravida who is 2 weeks away from her delivery date tells ...

[dakota nelson]

A primigravida who is 2 weeks away from her delivery date tells the obstetrical nurse that she feels like the baby has dropped. What would be the nurse's best response to this client?
 
  A) This feeling may be a sign that there is a complication with your pregnancy.
  B) This feeling is called lightening and means that the fetus has settled into the pelvis.
  C) This is a normal feeling at this stage and it is called 'Braxton-Hicks' contractions.
  D) This is a normal feeling called lightening signaling that labor has begun.

Question 2

A child is visiting a friend who has several dogs and cats and begins wheezing, has difficulty breathing, and has chest tightness. The parents bring the child to the ER and explain the symptoms to the nurse.
 
  After assessing the situation, what condition would the nurse suspect? A) Pneumonia
  B) Cystic fibrosis
  C) Acute asthma
  D) Pyloric stenosis

[Chou]

Answer to Question 1

B
Feedback:
Lightening is the settling of the fetus into the pelvis. Lay people often say, the baby has dropped. Lightening usually occurs 2 to 3 weeks before the onset of labor in primigravidas (women having their first child). During pregnancy's late stages, the uterine muscles prepare for labor and delivery by tightening and relaxing at intervals. These contractions, called Braxton-Hicks contractions, are usually painless, short, and irregular.

Answer to Question 2

C
Feedback:
Acute asthma attacks generally occur when triggers or irritants (e.g., pet dander) affect the lungs. Wheezing occurs when expired air is pushed through obstructed bronchioles. Other common symptoms of asthma include difficulty breathing, chest tightness, and coughing. Pneumonia is an inflammation of the lungs, usually with consolidation and drainage. Cystic fibrosis, a multisystem chronic and incurable condition, is a major dysfunction of the exocrine glands. Some children show symptoms in infancy, including meconium ileus (causing bowel obstruction), bile-stained emesis, a distended abdomen, and no stool. Vomiting is the most common symptom of pyloric stenosis. Other symptoms include loss of weight, hunger, irritability, and dehydration.

[dakota nelson]

TY

[Chou]

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