Answer to Question 1
A
If fetal heart rate changes have occurred, suggesting the fetus is not tolerating the procedure, the nurse's priority action is to stop the oxytocin immediately. Telling the mother that everything will be all right is providing false reassurance. The physician should be contacted, but stopping the infusion is the priority.
Answer to Question 2
1
Rationale:
1. The lack of growth and sexual development associated with Turner's syndrome present problems with psychosocial development. Self-image, self-consciousness, and self-esteem are affected by the girl's perception of her body and how she differs from peers. The nurse should encourage more expression of the girl's feelings.
2. The lack of growth and sexual development associated with Turner's syndrome present problems with psychosocial development. Self-image, self-consciousness, and self-esteem are affected by the girl's perception of her body and how she differs from peers. The nurse should encourage more expression of the girl's feelings. Responding that the feelings will pass would not be therapeutic.
3. The lack of growth and sexual development associated with Turner's syndrome present problems with psychosocial development. Self-image, self-consciousness, and self-esteem are affected by the girl's perception of her body and how she differs from peers. The nurse should encourage more expression of the girl's feelings. Responding that the client will start to grow would not be therapeutic.
4. The lack of growth and sexual development associated with Turner's syndrome present problems with psychosocial development. Self-image, self-consciousness, and self-esteem are affected by the girl's perception of her body and how she differs from peers. The nurse should encourage more expression of the girl's feelings. Merely acknowledging that she is upset about the disease would not be therapeutic.