Which clinical effect can occur in the presence of increased ...

[elizabeth18]

Which clinical effect can occur in the presence of increased maternal pain perception during labor?
 
  a. Increase in uterine contractions in response to catecholamine secretion
  b. Decrease in blood pressure in response to alpha receptors
  c. Decreased perfusion to the placenta in response to catecholamine secretion
  d. Increased uterine blood flow, causing increase in maternal blood pressure

Question 2

Pertussis vaccination should begin at which age?
 
  a. Birth
  b. 2 months
  c. 6 months
  d. 12 months

[prumorgan]

Answer to Question 1

ANS: C
Decreased perfusion to and from the placenta occurs as result of catecholamine secretion. A decrease in uterine contractions is seen in response to catecholamine secretion. Maternal blood pressure is increased in response to alpha receptors. Decreased uterine blood flow causes an increase in maternal blood pressure.

Answer to Question 2

ANS: B
The acellular pertussis vaccine is recommended by the American Academy of Pediatrics beginning at age 6 weeks. Infants are at greater risk for complications of pertussis. The vaccine is not given after age 7 years, when the risks of the vaccine become greater than those of pertussis. The first dose is usually given at the 2-month well-child visit. Infants are highly susceptible to pertussis, which can be a life-threatening illness in this age group.