A 1-month-old infant is admitted to the emergency room with ...

[123654777]

A 1-month-old infant is admitted to the emergency room with severe diarrhea. Which of the following assessments suggest the infant is severely dehydrated?
 
  1. Skin moist and flushed;mucousmembranes dry
  2. Low specific gravity of urine;skincolor paleFontanels depressed;capillary refillgreater than three seconds
  4. High specific gravity of urine;moistmucous membranes

Question 2

Toward the end of the first stage of labor, a pudendal block is administered transvaginally. The nurse anticipates the patient's care will include:
 
  1. Monitoring for hypotension every 15 minutes.
  2. Monitoring FHR every 15 minutes.
  3. Monitoring for bladder distention.
  4. No additional assessments.

[Ptupou85]

Answer to Question 1

Answer:3
Rationale: Two signs of severe dehydration are depressed fontanels and capillary refill time greater than three seconds.Moist,flushed skin,moist mucous membranes,and low specific gravity of urine are not signs of dehydration;dry mucous membranes and pale skin color are signs of mild dehydration,not severe.

Answer to Question 2

4
Rationale 1: There is no need for any additional monitoring of the mother.
Rationale 2: There is no need for any additional monitoring of the fetus.
Rationale 3: There is no need to monitor for bladder distension.
Rationale 4: Because a pudendal block is done using a local anesthetic, there is no need for additional monitoring of the mother or the fetus.

[123654777]

Thank you

[Ptupou85]

Happy to help you