An experienced nurse is working with a new graduate. The ...

[Evvie72]

An experienced nurse is working with a new graduate. The experienced nurse suspects that the multiparous client is going to deliver precipitously, while the new graduate is unaware that the labor is proceeding rapidly.
 
  One reason for this difference in interpretation of the client situation is because experienced nurses are able to view situations more holistically because they: A. Are more aware of subtle cues that indicate client changes.
   B. Need less supervision in managing complex clinical situations.
   C. Spend less time providing direct client care.
   D. Know more about the pathophysiology of diseases.

Question 2

The patient at 18 weeks' gestation thinks she might have been exposed to a toxin at work that could affect fetal development. The patient asks the nurse what organs might be affected at this point in pregnancy.
 
  The best response by the nurse is: 1. The brain is developing now, and could be affected.
  2. Because you are in the second trimester, there is no danger.
  3. The internal organs like the heart and lungs could be impacted.
  4. It's best to not worry about possible problems with your baby.

[mochi09]

Answer to Question 1

A

Answer to Question 2

1
Rationale 1: Maximum brain growth and myelination are occurring at this point in fetal development.
Rationale 2: The fetus at 20 weeks' gestation is still vulnerable to exposure to certain toxins.
Rationale 3: The heart, lungs, and other internal organs form during the embryonic state, or the first 8 weeks of pregnancy.
Rationale 4: Avoid telling patients to not worry. Doing so indicates to the patient that you don't care about their concerns, and will end effective communication.

[Evvie72]

Thank you

[mochi09]

Happy to help you