A mother is concerned that her newborn does not appear to be ...

[MGLQZ]

A mother is concerned that her newborn does not appear to be alert enough to feed and is very irritable. Which data documented in the mother's birth record might contribute to this newborn's behavior?
 
  1. Length of labor was 8 hours.
  2. Epidural during labor
  3. Blood pressure of 114/82
  4. Short second stage of labor

Question 2

During the initial intrapartal assessment of a patient in early labor, the nurse performs a vaginal examination. The patient's partner asks why this pelvic exam needs to be done.
 
  The nurse should explain that the purpose of the vaginal exam is to obtain information about the: Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Uterine contraction pattern.
  2. Fetal position.
  3. Presence of the mucous plug.
  4. Cervical dilation and effacement.
  5. Presenting part.

[ntsoane kedibone]

Answer to Question 1

2
Rationale 1: A normal length of labor is not a factor related to early feeding patterns.
Rationale 2: Some newborns whose mothers received epidurals in labor might experience a delay in normal feeding patterns. These newborns have been noted to be irritable and to have decreased visual skills and alertness.
Rationale 3: Normal vital signs during labor are not factors related to early feeding patterns.
Rationale 4: Normal vital signs during labor are not factors related to early feeding patterns.

Answer to Question 2

4,5
Rationale 1: A vaginal exam would not provide information about the uterine contraction pattern.
Rationale 2: Fetal position is assessed with Leopold's maneuvers.
Rationale 3: A vaginal exam would not provide information about the mucous plug.
Rationale 4: The vaginal examination of a laboring patient obtains information about the station of the presenting part and the dilation and effacement of the cervix.
Rationale 5: The vaginal examination of a laboring patient obtains information about the fetal presenting part.

[MGLQZ]

Thank you

[ntsoane kedibone]

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