Author Question: The patient vaginally delivers an infant that weighs 4750 g. Moderate shoulder dystocia occurred ... (Read 59 times)

bclement10 · **on:** Jun 27, 2018

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 · **Reply #1 on:** Jun 27, 2018

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.