The patient vaginally delivers an infant that weighs 4750 g. ...

[bclement10]

The patient vaginally delivers an infant that weighs 4750 g. Moderate shoulder dystocia occurred during the birth. During the initial assessment of this infant, the nurse should look for:
 
  1. Bell's palsy.
  2. Bradycardia.
  3. Erb palsy.
  4. Petechiae.

Question 2

The 12-year-old patient reports that menarche occurred 5 months ago. She has had bleeding every day this month, and is very worried. The nurse should explain that the most common cause of this bleeding is:
 
  1. Dysfunctional uterine bleeding (DUB).
  2. Diabetes mellitus (DM).
  3. Pregnancy.
  4. Von Willebrand's disease.

[Dnite]

Answer to Question 1

3
Rationale 1: Bell's palsy is not associated with macrosomia.
Rationale 2: Bradycardia is not associated with macrosomia.
Rationale 3: Macrosomic newborns should be inspected for cephalhematoma, Erb palsy, and fractured clavicles.
Rationale 4: Petechiae can occur with shoulder dystocia, but are not significant.

Answer to Question 2

1
Rationale 1: Adolescents account for 20 of DUB cases due to hypothalamic immaturity after menarche.
Rationale 2: Uterine bleeding is not a symptom of DM.
Rationale 3: Uterine bleeding is not a symptom of pregnancy.
Rationale 4: Although von Willebrand's disease can cause irregular uterine bleeding, it is quite rare.

[bclement10]

Excellent

[kjohnson]

Gracias!