A pregnant asthmatic client is being seen for her initial ...

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A pregnant asthmatic client is being seen for her initial prenatal visit.
 
  The nurse knows that the fetal implications of maternal asthma include which of the following? Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply. 1. Prematurity
  2. Low birth weight
  3. Hypoxia with maternal exacerbation
  4. Congenital anomalies from the medications
  5. Perinatal transfer of the asthma

Question 2

The home care nurse is examining a 3-day-old infant. The child's skin on the sternum is yellow when blanched with a finger. The parents ask the nurse why jaundice occurs. What is the best response from the nurse?
 
  1. The liver of an infant is not fully mature, and doesn't conjugate the bilirubin for excretion.
  2. The infant received too many red blood cells after delivery because the cord was not clamped immediately.
  3. The yellow color of your baby's skin indicates that you are breastfeeding too often.
  4. This is an abnormal finding related to your baby's bowels not excreting bilirubin as they should.

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Answer to Question 1

1, 2, 3
Explanation: 1. One implication of maternal asthma is that the infant is at risk for prematurity.
2. One implication of maternal asthma is that the infant is at risk for low birth weight.
3. One implication of maternal asthma is that the infant is at risk for hypoxia if the mother has an exacerbation of her asthma.

Answer to Question 2

1
Explanation: 1. Physiologic jaundice is a common occurrence, and peaks at 3 to 5 days in term infants. The reduction in hepatic activity, along with a relatively large bilirubin load, decreases the liver's ability to conjugate bilirubin and increases susceptibility to jaundice.

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