Author Question: A plan to achieve adequate pain relief without maternal risk is most effective if the: 1. mother ... (Read 74 times)

Arii_bell

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A plan to achieve adequate pain relief without maternal risk is most effective if the:
 
  1. mother gives birth without any analgesic or anesthetic.
  2. mother and family's priorities and preferences are incorporated into the plan.
  3. primary health care provider decides the best pain relief for the mother and fami-ly.
  4. nurse informs the family of all alternative methods of pain relief available in the hospital setting.

Question 2

The priority nursing diagnosis for a newborn diagnosed with a diaphragmatic hernia would be:
 
  1. risk for impaired parent-infant attachment.
  2. imbalanced nutrition: less than body requirements.
  3. risk for infection.
  4. impaired gas exchange.



kbennett34

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Answer to Question 1

2
1, 3, 4. Incorrect. The assessment of the woman, her fetus, and her labor is a joint effort of the nurse and the primary health care providers, who consult the woman regarding their findings and recommendations. The needs of each woman are different, and many factors must be considered before deciding whether pharmacologic methods, nonpharmacologic methods, or a combination of both will be used to manage labor pain.
2. Correct. The assessment of the woman, her fetus, and her labor is a joint effort of the nurse and the primary health care providers, who consult the woman regarding their findings and rec-ommendations.

Answer to Question 2

4
1, 2, 3. Incorrect. Although these issues may be factors in providing care to a newborn with a di-aphragmatic hernia, the priority nursing diagnosis relates to the oxygenation issues related to lung hypoplasia that occurs with diaphragmatic hernia.
4. Correct. Herniation of the abdominal viscera into the thoracic cavity may cause severe respi-ratory distress and represent a neonatal emergency. Oxygen therapy, mechanical ventilation, and the correction of acidosis are necessary in infants with large defects.



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