In teaching family members about their child's von Willebrand ...

[Charlie]

In teaching family members about their child's von Willebrand disease, what is the priority outcome for the child that the nurse should discuss?
 
  a. Prevention of injury
  b. Maintaining adequate hydration
  c. Compliance with chronic transfusion therapy
  d. Prevention of respiratory infections

Question 2

A woman is having her first child. She has been in labor for 15 hours. Two hours ago, her vaginal examination revealed the cervix to be dilated to 5 cm and 100 effaced, and the presenting part was at station 0 .
 
  Five minutes ago, her vaginal examination indicated that there had been no change. What abnormal labor pattern is associated with this description? a. Prolonged latent phase
  b. Protracted active phase
  c. Secondary arrest
  d. Protracted descent

[sierrahalpin]

Answer to Question 1

A
Feedback
A Hemorrhage as a result of injury is the child's greatest threat to life.
B Fluid volume status becomes a concern when hemorrhage has occurred.
C The treatment of von Willebrand disease is desmopressin acetate (DDAVP),
which is administered intranasally or intravenously.
D Respiratory infections do not constitute a major threat to the child with von
Willebrand disease.

Answer to Question 2

C
Feedback
A In the nulliparous woman, a prolonged latent phase typically lasts more than 20
hours.
B A protracted active phase, the first or second stage of labor, would be prolonged
(slow dilation).
C With a secondary arrest of the active phase, the progress of labor has stopped.
This patient has not had any anticipated cervical change, indicating an arrest of
labor.
D With protracted descent, the fetus would fail to descend at an anticipated rate
during the deceleration phase and second stage of labor.

[Charlie]

Thank you

[sierrahalpin]

Happy to help you