Author Question: The nurse making home visits to a number of adult women with disabilities monitors the patients ... (Read 82 times)

NClaborn · **on:** Jun 27, 2018

The nurse making home visits to a number of adult women with disabilities monitors the patients closely out of awareness that:

1. They do not need as much care as do other women, because they are not able to get out into public.
2. They receive more preventive care than do women without disabilities.
3. These women seldom develop osteoporosis.
4. They receive less preventive care and have greater yearly health expenditures than do women without disabilities.

Question 2

The patient has been pushing for 2 hours and is exhausted. The physician is performing a vacuum extraction to assist the birth. Which finding is expected and normal?

1. The head is delivered after eight pulls during contractions.
2. A bruise is present on the occiput that does not cross the suture line.
3. The location of the vacuum is apparent on the fetal scalp after birth.
4. Positive pressure is applied by the vacuum extraction during contractions.

uniquea123 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

4
Rationale 1: Women with disabilities need more care because of their disabilities.
Rationale 2: Women with disabilities receive less preventive care than do women without disabilities.
Rationale 3: Women with disabilities develop osteoporosis more often than do women without disabilities, and need to be screened.
Rationale 4: Women with disabilities receive less preventive care and have more than twice the yearly health expenditures that women without disabilities do. Their disabilities often increase their need for health care.

Answer to Question 2

3
Rationale 1: Use of the vacuum extraction for eight contractions is too many, and can damage the fetal head.
Rationale 2: This is a cephalhematoma, a complication of vacuum extraction birth.
Rationale 3: Caput in the shape of the vacuum cup is usually present immediately after birth, and resolves in 23 days.
Rationale 4: Negative pressure is suction, which is needed to facilitate the birth.