The normal newborn nursery nurse is preparing to receive four ...

[ereecah]

The normal newborn nursery nurse is preparing to receive four term newborns who delivered a few minutes ago. What labor characteristic will most likely require action by the nurse?
 
  1. Multip experienced a precipitous delivery of a 7 pound, 3 ounce female.
  2. Mother received IV narcotics 30 minutes prior to birth.
  3. Maternal temperature of 99.0F at time of delivery
  4. Infant delivered in a face presentation mentum anterior

Question 2

A patient has been diagnosed with fallopian tube obstruction and told that her best option for becoming pregnant is with in vitro fertilization. The patient asks the nurse about the procedure. The best explanation by the nurse is:
 
  1. During the stimulation phase of the procedure, the physician will make sure that only one egg reaches maturation..
  2. Pre-implantation genetic diagnosis will be performed on your partner's sperm to make sure that the sperm are normal..
  3. After ovarian stimulation, you will be inseminated with your partner's sperm..
  4. Any extra embryos will be preserved for you if you wish to conceive again in the future..

[quynhmickitran]

Answer to Question 1

2
Rationale 1: Precipitous delivery can lead to an infant with an ecchymotic face, but the infant is not likely to require additional action.
Rationale 2: Narcotics within one hour of birth can cause respiratory depression in the neonate. This infant will require close observation.
Rationale 3: This temperature is not high enough to cause problems with the neonate.
Rationale 4: Although this infant will have an ecchymotic and edematous face, and parents will need to be taught that these findings will resolve in a few days, this infant is not at risk for other complications.

Answer to Question 2

4
Rationale 1: The physician wants a number of eggs, and will not prevent others from maturing.
Rationale 2: Pre-implantation genetic diagnosis is performed on the ova, not on the sperm.
Rationale 3: The patient's tubes are blocked, so she would not have therapeutic insemination.
Rationale 4: With in vitro fertilization, it is normal to save any unused embryos for future use.