A group of nursing students are reviewing the changes in the ...

[jerry coleman]

A group of nursing students are reviewing the changes in the newborn's lungs that must occur to maintain respiratory function. The students demonstrate understanding of this information when they identify which of the following as the first event?
 
  A) Expansion of the lungs
  B) Increased pulmonary blood flow
  C) Initiation of respiratory movement
  D) Redistribution of cardiac output

Question 2

A patient who is 16 weeks pregnant is passing pieces of body tissue along with blood clots and dark red blood from the vagina. What should the nurse direct the patient to do at this time?
 
  A) Begin immediate bed rest.
  B) Count the number of perineal pads that are saturated with blood.
  C) Continue with normal daily activity and monitor pulse rate every hour.
  D) Seek immediate medical attention and bring the expressed vaginal material.

[xMRAZ]

Answer to Question 1

C
Feedback:
Before the newborn's lungs can maintain respiratory function, the following events must occur: respiratory movement must be initiated; lungs must expand, functional residual capacity must be established, pulmonary blood flow must increase, and cardiac output must be redistributed.

Answer to Question 2

D
Feedback:
Gestational trophoblastic disease is abnormal proliferation and then degeneration of the trophoblastic villi. The embryo fails to develop beyond a primitive start. At approximately week 16 of pregnancy, vaginal bleeding will begin as spotting of dark-brown blood accompanied by discharge of the clear fluid-filled vesicles. The pregnant patient who begins to miscarry at home needs to bring any clots or tissue passed to the hospital because the presence of clear fluid-filled cysts identifies gestational trophoblastic disease. The patient needs to seek immediate medical attention and not stay at home on bed rest, count perineal pads, or continue with normal activity and count pulse rates every hour.