The nurse attends the delivery of a full-term infant who weighs 5 ...

[bobbie]

The nurse attends the delivery of a full-term infant who weighs 5 pounds, 4 ounces. When the placenta is delivered, the physician describes several areas of necrosis.
 
  The nurse anticipates finding which of the following when assessing the newborn? 1. Prematurity
  2. Large for gestational age
  3. Small for gestational age
  4. Post-term infant

Question 2

The nurse teaches a client, who is being tested to determine if she can donate a kidney to a family member, about human leukocyte antigens (HLA). The nurse concludes the client understood when she says:
 
  1. I likely will have the same HLAs as the recipient.
  2. I hope I do not have too many of these antigens.
  3. A family relationship ensures a good match.
  4. A close match will lower the risk of rejection.

[Anna]

Answer to Question 1

3
Rationale: The damaged placenta is unable to supply adequate nutrition to the fetus, and the infant will be born small for gestational age as a result.

Answer to Question 2

4
Rationale: HLAs coat the outside of the cell and help the body to determine what cells are its own and what cells come from another source. If HLAs match closely, the body sees the new cells (found in the transplanted organ) as belonging to the body. This prevents the body from mounting an immune response to eliminate foreign cells. HLA matching is most likely to be optimized in an identical twin or sibling from the same parents. Other family relationships might share little in common with the transplant recipient.

[bobbie]

TYSM

[aliotak]

Excellent