Author Question: Concerning eventual discharge of the high risk newborn or transfer to a different facility, nurses ... (Read 45 times)

TFauchery · **on:** Jun 27, 2018

Concerning eventual discharge of the high risk newborn or transfer to a different facility, nurses and families should be aware that:

1. infants will stay in the NICU until they are ready to go home.
2. once discharged to home, the high risk infant should be treated like any healthy term newborn.
3. parents of high risk infants need special support and detailed contact information.
4. if a high risk infant and mother need transfer to a specialized regional center, it is better to wait until after birth and the infant is stabilized.

Question 2

The nurse has received a report about a woman in labor. The woman's last vaginal examination was recorded as 3 cm, 30, and -2. The nurse's interpretation of this assessment is that the cervix is:

1. effaced 3 cm, it is dilated 30, and the presenting part is 2 cm above the ischial spines.
2. 3 cm dilated, it is effaced 30, and the presenting part is 2 cm above the ischial spines.
3. effaced 3 cm, it is dilated 30, and the presenting part is 2 cm below the ischial spines.
4. dilated 3 cm, it is effaced 30, and the presenting part is 2 cm below the ischial spines.

juiceman1987 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

3
1. Incorrect. Parents and their high risk infant should get to spend a night or two in a predi-scharge room providing care for the infant away from the NICU.
2. Incorrect. Just because high risk infants are discharged does not mean they are normal healthy babies. Follow-up by specialized practitioners is essential.
3. Correct. High risk infants can cause profound parental stress and emotional turmoil. Parents need support, special teaching, and quick access to various resources available to help them care for their baby.
4. Incorrect. Ideally, the mother and baby are transported with the fetus in utero; it decreases neonatal morbidity and mortality.

Answer to Question 2

2
1, 3, 4. Incorrect. The sterile vaginal exam is recorded as centimeters of cervical dilation, per-centage of cervical dilation, and the relationship of the presenting part to the ischial spines (either above or below). For this woman, the cervix is dilated 3 cm, effaced 30, and the presenting part is 2 cm above the ischial spines.
2. Correct. This is the correct description of the vaginal exam for this woman in labor.