A new mother asks the nurse about the white substance covering ...

[dollx]

A new mother asks the nurse about the white substance covering her infant. The nurse explains that the purpose of vernix caseosa is to
 
  a. Protect the fetal skin from amniotic fluid.
  b. Promote normal peripheral nervous system development.
  c. Allow transport of oxygen and nutrients across the amnion.
  d. Regulate fetal temperature.

Question 2

A client presents with painless, bright-red bleeding. It is suspected that the woman has placenta previa. The nurse hypothesizes that which of the following should be done? (Select all that apply.)
 
  a. Perform a sterile vaginal examination.
  b. Administer oxygen via nasal canula.
  c. Institute continuous fetal monitoring.
  d. Notify the primary care provider immediately.
  e. Anticipate ultrasonography to rule out pla-centa previa.
  f. Contact the woman's nearest relative if she is alone.

[bfulkerson77]

Answer to Question 1

A
Feedback
A Prolonged exposure to amniotic fluid during the fetal period could result in
breakdown of the skin without the protection of the vernix caseosa.
B Normal peripheral nervous system development is dependent on nutritional
intake of the mother.
C The amnion is the inner membrane that surrounds the fetus. It is not involved in
the oxygen and nutrient exchange.
D The amniotic fluid aids in maintaining fetal temperature.

Answer to Question 2

C, D, E
The nurse should notify the primary care provider immediately, institute continuous fetal monitoring, and anticipate ultrsonography to rule out placenta previa. A sterile vaginal examination should NOT be done. At this point there is no indication that the woman needs oxygen. Contacting a relative is only done after permission is obtained from the woman; otherwise the nurse is in violation of HIPAA.

[dollx]

TYSM

[ktidd]

Great answer, keep it coming