Answer to Question 1
A
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A Immobilization and elevation of the joint will prevent further injury until
bleeding is resolved.
B Although acetaminophen may help with pain associated with the treatment of
hemarthrosis, it is not the priority nursing intervention.
C Assessment of a child's response to hospitalization is relevant to all hospitalized
children; however, in this situation, psychosocial concerns are secondary to
physiologic concerns. A priority nursing concern for this child is the
management of hemarthrosis.
D Assessing the impact of hospitalization on the family system is relevant to all
hospitalized children, but it is not the priority in this situation.
Answer to Question 2
A
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A Delivery for the nulliparous woman with a fetus in breech presentation is almost
always cesarean section. The greatest fetal risk in the vaginal delivery of breech
presentation is that the head (largest part of the fetus) is the last to be delivered.
The delivery of the rest of the baby must be quick so that the infant can breathe.
B The greatest fetal risk in the vaginal delivery of breech presentation is that the
head (largest part of the fetus) is the last to be delivered. The delivery of the rest
of the baby must be quick so the infant can breathe.
C The physician may assist rotation of the head with forceps. A cesarean birth may
be required.
D Serious trauma to maternal or fetal tissues is likely if the vacuum extractor birth
is difficult. Most breech births are difficult.
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