The nurse is providing care to a newborn female who is born with ambiguous genitalia. The follow-up investigation discovers adrenogenital syndrome (also called congenital adrenal hyperplasia CAH). The parents question why the baby's genitalia looks more male than female. Which response by the nurse is accurate?
1. The disorder caused your baby to be a hermaphrodite with both male and female sex organs.
2. The changes in the genitalia are due to increased androgens secondary to deficient cortisol.
3. The excessive cortisol caused the enlargement of the female tissue, creating a male appearance.
4. Your baby has only one sex chromosome resulting in an XO configuration.
Question 2
The nurse is instructing a postpartum client on the use of perineal pads. Which statements should the nurse include in the teaching session? Select all that apply.
1. Apply the pad from back to front.
2. Change the pad after each perineal cleansing.
3. Place the pad so that it applies pressure to the perineum.
4. Change the pad each time you use the bathroom.
5. Your pad should be loose to allow the perineum to breathe.'
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A breech birth. This image illustrates a newborn that has been delivered buttocks first.
The nurse cares for the postop client in the postanesthesia care unit (PACU).
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