The health care provider is reluctant to provide pain medication ...

[rosent76]

The health care provider is reluctant to provide pain medication to a patient delivering a preterm fetus. What should the nurse explain to the patient as the reason for the preterm fetus being more affected by medication?
 
  A) Affinity of the preterm fetus to fat-soluble drugs
  B) Inability of the immature liver to metabolize or inactivate drugs
  C) Affinity of the preterm fetus to drugs that are strongly bound to protein
  D) Inability of the preterm fetus to use drugs with a molecular weight over 1,000

Question 2

After teaching a group of students about fetal heart rate patterns, the instructor determines the need for additional teaching when the students identify which of the following as indicating normal fetal acidbase status? (Select all that apply.)
 
  A) Sinusoidal pattern
  B) Recurrent variable decelerations
  C) Fetal bradycardia
  D) Absence of late decelerations
  E) Moderate baseline variability

[poopface]

Answer to Question 1

B
Feedback:
A preterm fetus, which has an immature liver and is unable to metabolize or inactivate drugs, is generally more affected by drugs than a term fetus. A preterm fetus does not have an affinity to drugs that are fat soluble or strongly bound to protein. The preterm fetus is not able to metabolize drugs because of an immature liver, which has nothing to do with the molecular weight of the medication.

Answer to Question 2

A, B, C
Feedback:
Predictors of normal fetal acidbase status include a baseline rate between 110 and 160 bpm, moderate baseline variability, and absences of later or variable decelerations. Sinusoidal pattern, recurrent variable decelerations, and fetal bradycardia are predictive of abnormal fetal acidbase status.

[rosent76]

Correct answers!

[poopface]

Great! Please up vote